Executive - Service Quality Description Enrollment: Responsibilities:
Excellent knowledge on client specifics and experience in all types of Enrollment & billing transactions
Experience in individual & family Enrollment and or Group Enrollment
Perform quality review of claims based on the documentation provided by client to ensure claim output meets all customer specifications
Collects all findings during the audits and perform effective root cause analysis along with examiners & ops supervisors
Generate multiple level of analysis from the audit findings and identify opportunities to improve overall process
Circulate quality dashboards at agreed periodic intervals to all relevant stake holders
Conduct 1-0-1 coaching / feedback on specific error scenarios
Provide suggestions to Trainer and Ops on the slow performers who needs additional coaching / re-training on specific areas
Tracks all feedback from client and provide constructive information to agents during daily quality team huddle
Participates in client knowledge calibration exercise
Understanding Client P&Ps and auditing documents / claims based on instruction guidelines.
Record audit findings and prepare audit reports and circulate quality dashboard
Organize ILP review meeting and quality briefings to update associates on any quality issues
Analyze internal/client feedback and respond with details
Handling Feedback sessions efficiently.
Periodic knowledge calibration with client or SME.
Floor troubleshooting and if required get queries clarified with client.
Liaison with other functions and ensure smooth working relations.
Key Performance Indicators
Transform Knowledge into skill
Productivity Ability to complete the required number of audits within timeline
Initiative Ability to do analytics on the audited reports and present the findings to the management to improve Quality scores
Know How Critical: 5/6 days working in a week i.e. based on business requirement. In need basis, should work on weekends/holidays if the production team operates on those days
Critical:
Graduation in any discipline
Willingness to work in day/night shift
4+ years of experience in US Enrollment & Billing process with 2 years of experience in auditing domain.
Desirable:
Proficiency in MS Office (PowerPoint, Excel & Word)
Competency in QC tools
Competency to understand processing guidelines
Excellent Communication Skill (Oral & Written)
Primary Location: India-Tamil Nadu-Chennai Work Locations: Chennai - Bayline Infocity Job: Executive Organization: HPHS - Offshore Operations - India
Employement Category:
Employement Type: Full timeIndustry: ITFunctional Area: Finance & AccountsRole Category: AccountantRole/Responsibilies: Executive - Service Quality