Claims Specialist (Healthcare Voice)

Company Description

ResultsCX is a leading provider of transformational Customer Experience Management (CXM) solutions for more than 75 global brands, including Fortune 100 and 500 companies. For over three decades, the company has delivered strong customer and business outcomes across Healthcare, Media, Telecom, Technology, Retail, Banking, Financial Services, and other sectors. ResultsCX focuses on digitally influenced customer journeys that drive revenue acceleration, cost optimization, and enhanced customer experience. Supported by over 23,000 colleagues and more than 25 engagement hubs worldwide, its solutions address complex customer experience challenges. By partnering with ResultsCX, brands improve service delivery and make everyday interactions easier for millions of consumers.

Role Description

Patient Support Specialist

Location: Bellandur | Vajram Esteva, Marathahalli - Sarjapur Outer Ring Rd, Devarabisanahalli, Bellandur, Bengaluru, Karnataka - 560103

Job Type: Full-Time

Experience Required

• Minimum 6 months of experience in healthcare BPO or similar domain

Key Skills & Requirements

• Typing Speed: Minimum 28 words per minute (WPM) with 98% accuracy
• English Proficiency: B1H level or higher (excellent verbal and written communication skills)
• Basic understanding of US healthcare processes (patient care, claims, pharmacy support, or member call preferred)
• Strong attention to detail and ability to work in a fast-paced environment
• Proficiency in using MS Office tools and CRM systems is a plus

Key Responsibilities

• Handle inbound and outbound calls related to US healthcare queries such as patient care, pharmacy support, grievance, and appeal cases
• Provide accurate information while maintaining professionalism and empathy
• Ensure all data entry and updates are accurate and timely
• Collaborate with cross-functional teams to resolve customer concerns
• Adhere to compliance standards and data privacy regulations in healthcare (e.g., HIPAA)

Additional Details

• Shift Timings: Night Shift (Rotational)
• Week Off: Rotational
• Work Environment: Work from Office