Customer Care Executive - US Healthcare - International KPO/BPO-GGN

1 - 4 years

3 - 5 Lacs

Posted:3 weeks ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Job Summary:

We are seeking dedicated and empathetic Customer Care Executives to handle inbound calls for US-based health insurance claims. The role involves interacting with patients, insurance holders, and healthcare providers to address queries related to health claims, policy coverage, claim status, and general healthcare assistance.

Key Responsibilities:

  • Answer inbound calls from US-based customers regarding health claim-related queries.
  • Verify member details and provide information on claim status, benefits, and eligibility.
  • Accurately document call interactions in the system.
  • Follow HIPAA compliance and ensure confidentiality of patient data.
  • Resolve issues efficiently while maintaining high customer satisfaction.
  • Escalate complex or unresolved cases to appropriate departments.
  • Stay updated with process changes and healthcare policies.

Required Skills:

  • Excellent verbal communication skills in English (US Accent preferred).
  • Strong listening, problem-solving, and empathy skills.
  • Ability to handle high call volumes in a fast-paced environment.
  • Basic knowledge of US healthcare terminology (preferred, not mandatory).
  • Proficient with computer systems and CRM tools.

Eligibility Criteria:

  • Minimum qualification: Graduate in any stream.
  • Willing to work in rotational night shifts.
  • Prior experience in international voice processes or healthcare domain is an advantage.

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