Bhiwandi Maharashtra Senior quality assurance analyst Jobs – 1 Open Jobs Today

Spanish Language Specialists
Medhansh Business Services Pvt. Ltd. —Thane, Maharashtra
- ₹60,000 - ₹70,000 a month
- Full-time
- Spanish
- Customer service
- Salesforce
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Spanish Language Specialists
Medhansh Business Services Pvt. Ltd. —Thane, Maharashtra
6 months to 1 year of US Customer Service experience (voice-based). This is a voice-intensive, customer-centric role requiring strong communication skills,…
₹60,000 - ₹70,000 a month
Quick apply
Spanish Verification Specialist (Customer Service Representative)
Owens Asia —Thane District, Maharashtra
Contacts business or service establishments to obtain information about an individual or a group's standing. At least one (1) solid year of work experience in a…

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Spanish Language Specialists

Medhansh Business Services Pvt. Ltd.
Thane, Maharashtra

Quick apply

Job details

Permanent | Full-time
₹60,000 - ₹70,000 a month

Qualifications

Spanish
Customer service
Salesforce
Inbound voice
English
12th Pass
Quality assurance
Hindi
Communication skills

Full job description

Spanish Language advisor

Location: Thane
Employment Type: Full-Time
Experience: 6+ Months
Industry: Insurance / Customer Service

Role Overview
The Member & Provider Support Advocate is responsible for delivering high-quality voice support to US health plan members and contracted providers. This role focuses on resolving inquiries related to benefits, eligibility, claims, authorizations, and general plan support while maintaining strict adherence to healthcare regulatory standards.
This is a voice-intensive, customer-centric role requiring strong communication skills, accuracy, empathy, and professionalism in a compliance-sensitive environment.
Key Responsibilities
1. Member & Provider Support

Handle inbound and outbound calls for US health plan members and providers.
Address inquiries related to benefits, eligibility, claims status, ID cards, authorizations, and billing.
Provide clear, accurate explanations of plan policies and next steps.
Ensure complete and precise documentation of all interactions within system platforms.
Deliver empathetic, respectful, and solution-focused service.

2. Issue Resolution & Case Management

Strive for first-call resolution wherever possible.
Identify and escalate complex, regulatory-sensitive, or high-risk issues appropriately.
Track and follow up on pending cases to ensure timely closure.
Meet defined service level agreements (SLAs) and productivity expectations.

3. Compliance & Quality

Adhere strictly to HIPAA and healthcare data privacy regulations.
Maintain audit-ready documentation at all times.
Meet Quality Assurance (QA), accuracy, and call-handling benchmarks.
Participate in training, coaching sessions, and calibration reviewsRequired Experience & Qualifications
Mandatory Requirements
6 months to 1 year of US Customer Service experience (voice-based).
Minimum qualification: High School Diploma (or equivalent) is mandatory
Experience supporting US customers in a structured, process-driven environment.
Clear, neutral American English accent with strong verbal communication skills.
Ability to handle high-volume inbound calls professionally.
Strong system navigation and documentation capabilities.

Preferred Qualifications

Graduates preferred.
Exposure to US Healthcare operations (Medicare Advantage, Commercial, or Medicaid).
Experience in Member Services or Provider Services.
Basic knowledge of healthcare terminology.
Familiarity with platforms such as Facets, Salesforce, or similar systems.Core Competencies
Strong communication and active listening skills
High empathy and service orientation
Attention to detail and accuracy
Compliance-driven mindset
Time management and SLA adherence
Professional composure during challenging interactions

Work Environment & Expectations

Voice-dominant, high-volume operational environment
Flexibility during peak business cycles (e.g., enrollment periods)
Mandatory completion of HIPAA and compliance certifications
Continuous performance monitoring and coaching

Career Progression Path

Senior Support Advocate
Subject Matter Expert (SME)
Quality Analyst
Team Lead/Quality Lead – Member & Provider Services
Operations Supervisor/Manager

How to Apply

Interested candidates can share their updated resume at:

Email: [email protected]
Contact: 9431 9431 96/ 9599343134

Pay: ₹60,000.00 - ₹70,000.00 per month

Work Location: In person

Quick apply

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