Trying to navigate healthcare claims in Colombia can feel like a never-ending maze. One wrong form or missing signature, and suddenly payments are delayed, leaving providers frustrated. That’s where claims processing companies come in - they take the heavy lifting off your shoulders and keep things running smoothly. In this guide, we’ll look at some of the top players in the country, what they do, and how they help clinics, hospitals, and insurance providers focus more on patients and less on paperwork.

1. NeoWork

At NeoWork, we help healthcare providers in Colombia and across global markets manage claims and administrative workflows with clarity and consistency. Our teams handle the essential behind-the-scenes tasks that keep operations running smoothly - from verifying documentation to ensuring each claim moves efficiently through every stage of the process. By working closely with our clients’ internal teams, we help reduce bottlenecks, improve coordination, and keep claims on schedule so providers can stay focused on patient care instead of paperwork.

What makes our approach effective is the way we build and sustain our teams. We maintain an industry-leading 91% annualized teammate retention rate and a 3.2% candidate selectivity rate, which means we’re highly selective about who joins us - and we invest deeply in keeping our people engaged for the long term. This stability allows us to provide consistent, high-quality support tailored to each client’s workflow. Our flexible model also lets us scale up or down depending on the workload, integrating seamlessly with healthcare organizations across Colombia to keep their claims processing steady and reliable.

Key Highlights:

• Flexible team sizes based on client needs
• Experienced and trained staff
• Focus on process consistency and reliability
• Integration with existing systems

Services:

• Claims verification and processing support
• Quality assurance and reporting
• Administrative workflow management
• Temporary staffing for high-demand periods

Contact Information:

• Website: www.neowork.com
• Facebook: www.facebook.com/neoworkteam
• LinkedIn: www.linkedin.com/company/neoworkteam
• Instagram: www.instagram.com/neoworkteam

2. TP

TP handles healthcare claims with a focus on accuracy and flexibility, supporting organizations through the full claims process. The teams combine technology, AI, and established workflows to manage everything from initial submission to subrogation, keeping operations consistent even when claim volumes fluctuate. By integrating processes with the client’s existing systems, TP works to make claims handling smoother and more predictable.

TP also emphasizes training and upskilling staff so that everyone involved in claims management meets compliance standards and handles fraud detection effectively. The approach blends digital tools with human oversight to maintain efficiency while reducing errors, allowing healthcare providers to focus on patient care rather than administrative bottlenecks.

Key Highlights:

• End-to-end claims management coverage
• Scalable operations for peak periods
• Staff training programs for compliance and proficiency
• Integration of technology and human oversight

Services:

• Claims processing from FNOL to subrogation
• Fraud detection support
• Licensing and credential management
• Performance analytics and reporting
• Peak management support

Contact Information:

• Website: www.tp.com
• Facebook: www.facebook.com/teleperformancebrasil
• Twitter: x.com/Teleperformance
• LinkedIn: www.linkedin.com/company/teleperformance
• Instagram: www.instagram.com/teleperformance_group

3. SuperStaff

SuperStaff supports healthcare providers by offering bilingual teams that can manage claims and patient interactions in both English and Spanish. Their teams focus on bridging language and cultural gaps, helping healthcare organizations communicate clearly with Latino patients. This includes guiding patients through insurance verification, appointment coordination, and telehealth processes, while maintaining compliance with U.S. healthcare regulations.

The teams are trained to handle sensitive information securely and to follow strict privacy protocols, ensuring patient data remains protected. SuperStaff also emphasizes cultural understanding, allowing healthcare providers to offer services that feel more personal and accessible. By combining trained personnel with structured workflows, they help streamline administrative processes and support providers in delivering consistent patient-centered care.

Key Highlights:

• Bilingual teams fluent in English and Spanish
• Culturally competent support for Latino patients
• Compliance with U.S. healthcare regulations
• Focus on secure handling of patient data

Services:

• Claims support and verification
• Appointment scheduling and care coordination
• Telehealth support in Spanish
• Insurance plan guidance
• Patient engagement and follow-up

Contact Information:

• Website: www.superstaff.com
• E-mail: info@superstaff.com
• Facebook: www.facebook.com/SuperStaffOutsourcing
• LinkedIn: www.linkedin.com/company/superstaffoutsourcing
• Address: Street 7D #43A-40. Offices: 7-11, Medellin Colombia
• Phone: 415-651-7494

4. TTEC

TTEC works with healthcare payers to modernize claims processing systems by making them more flexible and configurable. Their approach focuses on identifying processes that can be adjusted by users without compromising system performance, helping reduce errors in claim adjudication. By implementing solutions like the Pega Smart Claims Engine, they enable healthcare organizations to streamline workflows while maintaining control over complex claims operations.

They combine technology and process expertise to address both current and future needs, allowing specialized users to make necessary system adjustments safely. The emphasis on configurability, coupled with automation, helps reduce the time spent on case processing and provides better consistency in handling claims. This approach supports organizations in handling diverse insurance products and evolving healthcare requirements efficiently.

Key Highlights:

• Configurable claims processing systems
• Reduction in time spent on case processing
• Minimized human error in claim adjudication
• Integration of workflow automation and process expertise

Services:

• Claims system modernization
• Pega Smart Claims Engine implementation
• Process analysis and user story creation
• CRM and systems integration
• Data analytics and digital transformation support

Contact Information:

• Website: www.ttec.com
• Facebook: www.facebook.com/TTEClife
• Twitter: x.com/tteclife
• LinkedIn: www.linkedin.com/company/ttec
• Instagram: www.instagram.com/tteclife
• Address: Calle 78 No.53 70 3rd Floor Barranquilla, Colombia
• Phone: +1.800.835.3832

5. Connect2BPO

Connect2BPO provides a range of outsourcing solutions from their base in Barranquilla, Colombia, supporting healthcare and other industries. Their teams focus on handling repetitive and time-consuming tasks like claims processing, recruitment, and customer service, which allows healthcare providers to focus on patient care. They emphasize structured workflows and trained personnel to maintain operational efficiency and accuracy across all outsourced processes.

Their approach combines technology and human oversight to ensure that claims are processed smoothly and regulatory requirements are met. With experience managing global employment outsourcing and payroll, they also help healthcare organizations navigate the complexities of staffing and administration while keeping the focus on reliable service delivery.

Key Highlights:

• Comprehensive outsourcing solutions in claims, customer service, and HR
• Structured workflows to maintain accuracy and efficiency
• Integration of technology and human oversight
• Support for global employment and payroll processes

Services:

• Healthcare claims processing
• Recruitment process outsourcing
• Payroll outsourcing
• Customer service and lead generation
• Digital marketing campaigns
• Employer of Record services

Contact Information:

• Website: connect2bpo.com
• E-mail: fo@connect2bpo.com
• Facebook: www.facebook.com/C2BPO
• LinkedIn: www.linkedin.com/company/connect2bpo
• Instagram: www.instagram.com/c2bpo
• Address: Calle 77 #59-35 Office 1403. Barranquilla, Colombia
• Phone: +13022124601

6. Cynergy BPO

Cynergy BPO is a global outsourcing advisory firm that specializes in connecting insurance companies with outsourcing providers in Colombia. Their approach focuses on aligning insurers with contact centers that leverage advanced technologies such as artificial intelligence (AI), machine learning (ML), and robotic process automation (RPA) to enhance claims processing efficiency. By partnering with these providers, Cynergy BPO aims to streamline operations, reduce costs, and improve customer satisfaction for insurance carriers.

Their services extend beyond claims processing to include underwriting, policy administration, and customer support. Cynergy BPO emphasizes the importance of regulatory compliance and data security, ensuring that their partners adhere to industry standards and regulations. Through their network of vetted outsourcing providers, Cynergy BPO supports insurance companies in navigating the complexities of the insurance industry while maintaining high levels of service and compliance.

Key Highlights:

• Specializes in connecting insurers with outsourcing providers in Colombia
• Focuses on leveraging AI, ML, and RPA for efficient claims processing
• Emphasizes regulatory compliance and data security
• Offers services in underwriting, policy administration, and customer support
• Provides tailored solutions to meet the specific needs of insurance companies

Services:

• Claims processing outsourcing
• Underwriting and policy administration support
• Customer support and contact center services
• Regulatory compliance and data security management
• AI, ML, and RPA integration for operational efficiency

Contact Information:

• Website: www.cynergybpo.com
• E-mail: john@cynergybpo.com
• Phone: 866-201-3370

7. Fusion CX

Fusion CX operates as a global business process outsourcing and customer experience provider, combining human expertise with technology to manage large-scale and complex workflows across industries. In Colombia, they extend their operations as part of a wider network, supporting clients in sectors like healthcare, telecommunications, retail, and financial services. Their approach integrates automation and multilingual support to ensure consistency in communication and service delivery while maintaining a flexible structure suited to each client’s specific processes.

In healthcare claims processing, Fusion CX applies its customer experience background to streamline administrative tasks, reduce errors, and improve turnaround times for payers and providers. Their use of digital tools and data-driven insights supports efficient claims handling, while their multilingual and multichannel capabilities make collaboration with diverse healthcare systems smoother. Rather than focusing solely on technology, they emphasize the combination of skilled teams and adaptive systems that help maintain accuracy and operational control in high-volume claim environments.

Key Highlights:

• Operations in multiple countries, including Colombia, with a broad multilingual workforce
• Experience in healthcare and life sciences alongside other key industries
• Integration of AI-based and cognitive automation tools in service processes
• Emphasis on scalability, compliance, and data security standards
• PCI DSS and ISO-certified for information security and service quality

Services:

• Healthcare claims processing and administrative support
• Multichannel customer engagement (voice, email, chat, and social media)
• Data annotation and digital transformation services
• Lead generation and utility billing management
• Speech analytics and performance quality monitoring
• Inbound and outbound call center operations

Contact Information:

• Website: www.fusioncx.com
• E-mail: contact@fusioncx.com
• Facebook: www.facebook.com/FusionCX
• Twitter: x.com/fusion_cx
• LinkedIn: www.linkedin.com/company/fusioncx-official
• Instagram: www.instagram.com/fusioncxofficial
• Address: Edificio Camacol, Cl. 49B #21, Laureles – Estadio, Medellin, Antioquia, Colombia
• Phone: +919073900798

8. ADEC Colombia

ADEC Colombia operates as part of ADEC Innovations’ global network, offering nearshore business process outsourcing (BPO) and call center services from Barranquilla. Their team supports a range of industries, including healthcare, where they focus on creating streamlined, bilingual communication between providers and patients. By combining process efficiency with an emphasis on empathy and accuracy, they help organizations manage administrative workloads more effectively while maintaining a human-centered approach to patient interactions.

In the healthcare sector, ADEC Colombia provides operational support that spans appointment coordination, benefits verification, billing, and post-care engagement. Their approach allows healthcare providers to reduce time spent on routine administrative tasks and focus more on patient care. Their bilingual staff, trained in healthcare-specific communication, helps ensure that patients receive clear information and consistent support, strengthening overall satisfaction and retention.

Key Highlights:

• Based in Barranquilla and part of ADEC Innovations’ global network
• Bilingual service delivery in English and Spanish
• Emphasis on empathy and human-centered communication
• Nearshore operations designed for scalability and efficiency
• Focused experience in healthcare, finance, logistics, and education

Services:

• Healthcare claims and billing support
• Patient scheduling and benefits verification
• Post-care communication and patient engagement
• Revenue cycle and utilization management
• Back-office and telemedicine support
• Customer service outsourcing across multiple industries

Contact Information:

• Website: www.adec-innovations.com
• E-mail: colombia@adec-innovations.com
• Facebook: www.facebook.com/ADECInnovations
• Twitter: x.com/adecinnovations
• LinkedIn: www.linkedin.com/company/adecinnovations
• Address: Unit 501-502, Centro Financiero, Cl. 74 #53-23, Nte. Centro Historico, Barranquilla, Atlántico, Colombia 080020

9. ContactPoint360

ContactPoint360 provides a mix of nearshore and global BPO services, with a particular emphasis on healthcare claims processing and related customer support. Operating in Colombia among other locations, they combine human expertise with AI tools to support a range of patient interactions and administrative workflows. Their teams focus on handling inquiries, billing, and claims management while maintaining clear communication and compliance with healthcare regulations. The use of AI assists in optimizing task allocation and improving first-contact resolution rates, helping staff manage high volumes of interactions efficiently.

In practice, ContactPoint360’s healthcare support spans inbound and outbound communications, patient engagement, and administrative services like claims follow-up and back-office coordination. Their approach leans on multilingual teams and AI-enhanced processes to streamline operational workflows while keeping patient interactions professional and accurate. They also provide ongoing monitoring and analytics to track performance, identify bottlenecks, and adapt processes as needed, aiming for consistency and reliability in daily operations.

Key Highlights:

• Global footprint with operations in Colombia and other countries
• AI-assisted workflows integrated with human teams
• Multilingual support 
• 24/7 availability for healthcare and other sectors
• Focus on reducing administrative burdens and improving process efficiency

Services:

• Healthcare claims management and billing support
• Patient communication and engagement
• Back-office and administrative services
• Technical support and helpdesk solutions
• Multichannel contact center operations
• Accounts receivable and collections management

Contact Information:

• Website: contactpoint360.com
• E-mail: sales@contactpoint360.com
• Facebook: www.facebook.com/ContactPoint360Company
• Twitter: x.com/CPoint360
• LinkedIn: www.linkedin.com/company/contact-point-360
• Address: Porto 100 Building Av. Cra. 45 #97-50 6th Floor, Bogotá, Colombia

10. Piton Global

Piton Global operates as a call center and BPO provider with a presence in Colombia, among other countries. They focus on delivering outsourcing solutions that integrate both onshore and nearshore operations. Their teams work across multiple industries, including healthcare, to manage customer interactions and support business processes. In the healthcare context, their services span claims processing, billing support, and general patient communication, emphasizing reliable execution and operational consistency.

Their approach often combines structured processes with technology tools to streamline tasks. Staff members are trained to handle complex back-office workflows while ensuring compliance with industry requirements. Piton Global also emphasizes multilingual support, which is particularly relevant for nearshore services catering to English- and Spanish-speaking clients, allowing for smoother coordination in healthcare claims and patient inquiries.

Key Highlights:

• Global BPO and call center operations
• Presence in Colombia and multiple other countries
• Multilingual support for English and Spanish
• Industry coverage includes healthcare, finance, technology, and more
• Focus on process-driven execution and compliance

Services:

• Healthcare claims processing and billing support
• Customer service and patient interaction management
• Technical support outsourcing
• Back-office and administrative support
• Multilingual call center services

Contact Information:

• Website: www.piton-global.com
• E-mail: contactus@piton-global.com
• Phone: 866-201-3370

Conclusion

Looking at the landscape of healthcare claims processing in Colombia, it’s clear there’s a lot more happening behind the scenes than most patients or providers might realize. These companies aren’t just handling paperwork - they’re managing complex workflows, ensuring compliance, and keeping the wheels of healthcare moving smoothly. Each firm has its own approach, whether it’s leveraging virtual staff, automating data capture, or offering end-to-end billing services. What ties them together is the way they help healthcare providers focus on care while keeping the administrative side organized and accurate.

There’s also a human element that often gets overlooked. From bilingual support that bridges cultural gaps to teams trained to navigate insurance intricacies, these companies help reduce errors and delays that can impact both providers and patients. The tools and systems they bring to the table - automation, remote teams, advanced billing software - make a tangible difference in day-to-day operations. At the end of the day, partnering with a claims processing provider in Colombia isn’t just about outsourcing tasks; it’s about creating smoother, more reliable processes that let healthcare organizations run better and patients get the attention they need.

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