Specialist-Quality

6 days ago

India Sagility Full time ₹ 2,50,000 - ₹ 7,50,000 per year
About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Subject matter expert

Audit Process Quality

Job title:

Specialist-Quality

Job Description:

Education: Any Graduate

Experience: 2+ Years

Roles & Responsibilities:

  • Provide day-to-day leadership support to supervisors and assists with CPI and KPI requirements.
  • Participate in day to day Claims meetings to introduce and/or create action plans based on account requirements
  • Identify areas of process improvement and work effectively within the organization to implement resolutions on a timely basis. Areas for improvement should be targeted at increasing client satisfaction and/or company profitability.
  • Oversee necessary enhancements to client programs or servicing therein. This may include areas such as staffing, training, attendance and quality. .
  • Responsible for service quality for all work performed by his/ her employees. Ensure support is provided to front line employees (SMEs, Producers, Lead Operators)
  • Coordinate with Manager Claims to balance needs of individual teams with needs of the entire organization.
  • Promote teamwork and cooperative effort.
  • Help train and provide guidance to other Supervisors and CSRs within the organization.
  • Maintain a clean, safe, and unobstructed work area, and practice good safety habits.
  • Provide internal and external customers with the highest quality service.

Skills:

  • Subject matter expert in Claims process.
  • Able to perform Quality Audits.
  • Exceptional interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills.
  • Proficiency with the necessary technology, including computers, software applications, phone systems, etc.
  • Ability to improve and/or transform teams processes across functions within the organization.
  • Ability to understand basic data and take appropriate action.
  • Ability to drive individual and team efficiency and productivity through effective and efficient metric management.
  • Ability to coach, train, and motivate employees and evaluate their performance.
  • Ability to strategically lead and develop team towards improved performance.
  • Ability to delegate and manage work loads and projects across functions within the organization.
  • Ability to successfully drive continuous improvement efforts by leading various work streams related to call center metrics and monitoring tools.
  • Ability to problem solve, handle conflict, anticipate issues/concerns, troubleshoot problems, and proactively institute creative solutions.

Location:

Indore, Brilliant Summit, Block -B, Plot no-16India

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