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1 day ago
Job Role: Insurance Operations Specialist
About the Role:This position plays a vital role in ensuring seamless post-payment customer experiences. Key responsibilities include managing documentation, medical scheduling, and verification processes to drive timely case issuance while meeting monthly targets with minimal turnaround time and high first-time right rates.
Main Responsibilities:- Taking complete ownership of post-payment cases to ensure smooth customer journeys
- Communicating with customers via calls and emails to update them on next steps and pending requirements
- Coordinating with stakeholders, including insurers, TPAs, underwriters, and internal stakeholders, to ensure timely case issuance
- Achieving monthly issuance targets with minimal turnaround time and high first-time right rates
- Collaborating with insurers to improve operational processes for better issuance rates, reduced turnaround times, and improved first-time right rates
- Strong written and verbal communication skills
- Brief understanding of insurance underwriting and decision-making processes
- Ability to handle customers patiently, including difficult conversations
- Proven stakeholder management skills to push cases forward
- At least 1+ years of experience in insurance operations
- Basic computer and Excel skills
This role demands strong communication, stakeholder management, and process improvement skills, along with a basic understanding of insurance underwriting and proficiency in Excel.
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