Description
Role & responsibilities
- Respond to inbound and outbound calls related to healthcare insurance, claims, billing, and eligibility.
- Assist US-based members and providers with accurate and timely information.
- Maintain a strong understanding of healthcare benefits, medical terminology, and insurance workflows.
- Accurately document customer interactions and transactions in the system.
- Ensure HIPAA compliance and protect patient privacy at all times.
- Meet and exceed key performance metrics including quality, customer satisfaction (CSAT), and Average Handling Time (AHT).
- Collaborate with internal teams for escalation resolution and process improvement.
- Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
- Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
- Assist customers in navigating the member website, and other websites while encouraging and re-assure them to become self-sufficient
Preferred Candidate Profile
- Minimum 6 months to 3 years of experience in the International voice process.
- Excellent verbal and written communication skills in English.
- Strong interpersonal skills with the ability to remain patient and empathetic.
- Comfortable working night shifts and rotational offs.
- Basic computer literacy and typing skills.
- Experience with international healthcare insurance processes (e.g., claims adjudication, EOB, authorizations).
- Knowledge of HIPAA regulations.
- Graduate in any stream (preferably Life Sciences, Healthcare, or related fields).
- Undergraduates with relevant BPO experience are eligible to apply
- Knowledge of billing practices and procedures preferred
- Proficiency with word processing and spreadsheet software and required
Perks & Benefits
- CTC Range- 3.2 LPA - 3.7 LPA
- Paid training and continuous development
- Cab Facility (Pick Up & Drop) or Transport Allowance
- Medical Insurance
- Life Insurance
About Company
TELUS Digital is the customer experience transformation partner to the world's most admired brands. Our diverse team weaves data, technology, and human ingenuity to deliver differentiated customer journeys, drive operational effectiveness, and scale AI solutions with meaningful value and positive impact.
We craft real-world solutions in the moments that matter, from customer acquisition to lifelong loyalty. Enabled by our global reach - spanning 78,000 experts in 33 countries - and deep industry expertise, we help over 600 organizations make the customer experience feel effortless.
Our solutions span Data & AI, Digital Experience & IT, CX Management and Trust & Safety. At the core of our innovation is Fuel iX™, an enterprise-grade generative AI platform that helps clients safely access and optimize leading LLMs to scale their own AI from pilot to production.
Equal Opportunity Employer Statement
At TELUS Digital, we are proud to be an equal opportunity employer and are committed to creating a diverse and inclusive workplace. All aspects of employment, including the decision to hire and promote, are based on applicant's qualifications, merits, competence and performance without regard to any characteristic related to diversity.
