CSA Healthcare - Email / Back Office

Role Summary

Firstsource Solutions Limited (an RP-Sanjiv Goenka Group company) is hiring a Customer Support Associate (CSA) - Healthcare Claims / Back Office for its Chennai facility. In this role, you will analyze healthcare documents and member/provider contracts to decide whether to pay, deny, or route medical claims. Operating under strict Quality and Turnaround Time (TAT) SLAs, you will ensure accurate claims adjudication and back-office transactional processing.

Key Responsibilities

• Claims Adjudication: Analyze medical claim documents, member details, and provider contracts to determine payment approval or denial according to client specifications.
• Routing & Information Gathering: Identify missing information on submitted claims and route them to designated internal departments, providers, or members for clarification.
• SLA & Quality Adherence: Maintain high operational speed and processing accuracy to meet strict daily Production, Turnaround Time (TAT), and Quality SLAs.
• Schedule Compliance: Maintain strict shift timeliness and daily schedule adherence in a structured BPO back-office setting.

Key Qualifications

• Educational Qualification: Graduate in Arts & Science or a 3-Year Diploma (Any discipline without active arrears). Note: B.E./B.Tech and Master's degree holders are not eligible for this specific role.
• Experience: Open to Freshers (0 years) as well as candidates with up to 2 years of back-office or BPO processing experience.
• Typing & Accuracy: Minimum typing speed of 24 WPM with at least 90% accuracy.
• Core Competencies: Excellent reading comprehension, strong listening skills, attention to detail, and a analytical mindset for contract interpretation.

About Firstsource Solutions

Firstsource Solutions Limited, an RP-Sanjiv Goenka Group company, is a global leader in business process solutions (UnBPO™) across Healthcare, Banking, Financial Services, Media, and Retail sectors with a global presence spanning the US, UK, India, Philippines, and beyond.