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Job Description & How to Apply Below
Team Executive - Claims Adjudication (Prepay/Postpay)
Location:
Chennai
Roles & Responsibilities :
In-depth Knowledge and Experience in the US Health Care Payer System.
5-9 years of experience in claims adjudication (prepay audit, postpay audit) . With over 1 year of experience as a Team leader
Proven track record in managing processes, streamlining workflows, and excellent people management skills.
Needed to be a people-centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals.
Circulate quality dashboards at agreed periodic intervals to all relevant stakeholders.
Adhering to various regulatory and compliance practices.
Maintaining ownership of reports, both internal and for the clients.
Presenting the data and providing deep insights about the process to the clients as well as internal management.
Managing and coordinating training programs.
Excellent in coaching and providing feedback to the team.
Take necessary HR actions as part of the Performance Improvement Process
Key Performance Indicators
Ensuring that the key Service Level Agreements are met consistently without any exceptions.
Leverage all operational metrics to ensure that the revenue and profitability targets are met and exceeded.
Work in tandem with all business functions to ensure smooth business processes.
Retention of key team members
Interested candidates, share your CV at dee
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