14+ years of professional experience (2 years Mortgage / 12 Years + Healthcare services) Work Exposure in India/USA/Jamaica (Currently located in Houston TX USA) Sutherland Healthcare Services: - Sep 2015 - Present Location: - Houston, USA Designation: - Senior Associate  Claim Adjudication (Payer/Insurance) business  Multiple LOB’s (Claims/Appeal/Rework Project/Special Handling)  Multiple Marquee clients (NDA) supporting NA  Overall end to end Project Management (P-P-P-P) o People Metrics – Shrink/Attrition/Development) o Process Metrics – Improvement (OE) / SLAs (Work with BB to enhance results/Build trend analysis) o Performance Metrics – KPI’s (Quality/Productivity/Error%/Completion% etc.) o P&L (Rev/Mar/EBITDA) ~$3M portfolio size o Client Management - Daily TB, Metrics review, BD, potential cost improvement opportunity, driving relationship, Proactive comm to address any escalation  Identify Automation opportunity, report with a business case and impact analysis for review and implementation (if cost effective) Concentrix (Formerly IBM): - Jul 2009 to Sep 2015 Location: Gurugram Designation: - Team Lead  SME Role - Claim Adjudication/Appeal/Rework  HIPPA/CMS – Expert Guide  Performance Management o BQM – SMART Goal Strategy o R&R o Daily/Weekly – Reviews o Escalation assistance  Training Reviews o Attend training meeting – identify gaps o Implement TTT/ Up Trainings o 30/60/90 Day Training / New Hires Performance Management  Client Interaction o WBR/MBR o Regular interaction via Emails
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