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Operations Processing Senior Rep

India, Chennai · Job Posted May 29, 2026
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Job Description

Customer Service Representatives learn business procedures of different internal organizations and using their multitasking ability will work on many projects at once by handling incoming and initiating outgoing calls based on established program processes. Performs review of documents, transactions and/or accounts tracking results and opportunities and ensures business rules compliance

Job Responsibility

  • Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies
  • Identifies opportunities and reports on inaccuracies that may be present in reviewed documents
  • Learns CRM system and is able to access different internal online resources to obtain required information in a timely manner
  • Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US
  • Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met
  • Analyzing medical insurance claims for quality assurance
  • Resolving moderately routine questions following pre-established guidelines
  • Performing routine research on customer inquiries
  • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team

Requirements

  • Proficiency in Microsoft office programs and general computer operations
  • Ability to learn and follow basic direction on process
  • Must have mastery of the English language, both oral and written
  • Must be detail-oriented and organized to maintain accurate records
  • Must have the ability to focus and work quickly
  • Able to work independently
  • Sense of urgency in reporting any concerns to immediate supervisor
  • High School diploma or equivalent required
  • 1-2 years’ experience working in the medical field preferred

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