Nirajkumar Yadav Email & Phone Number

Hyderabad, Telangana, India

Pune, Maharashtra, India

Pune

· Successfully transitioned four processes in the last two years, resulting in seamless operations and improved efficiency.· Successfully implemented 5 Agile Projects in last 3 years· Developed and implemented ramp-up plans to meet manpower requirements, leading to increased productivity and client satisfaction· Prepared job aids and documentation for all processes, leading to standardized procedures and enhanced team performance· Responsible for setting up Training Infrastructure· Managed multiple training verticals including NHT, Product Training, Process Training and Compliance Training.· Assisting the Trainers in Designing & Developing the training programs

Pune Area, India

· Managed a team of 20 auditors across three shifts and two locations, ensured quality of claims, ENR & OCR LOBs for 250 FTEs· Managed all the Training Requirements for a span of 700+ resources· Identified poor performers and implementing action plans for improvement, while managing staffing, incentives, and roster management for three LOBs· Prepared RCA and CAPA for every opportunity identified· Conducted monthly one-on-one sessions with team members to address concerns and provide feedback· Coordinated with clients to bridge knowledge gaps and address feedback, and prepared root cause analysis and corrective action plans for identified opportunities

Pune Area, India

· Part of the Pilot Team that started Product Certifications in India· Administered 10+ Implementation/Transition Projects and conducted New Hire Trainings, Process and Product Trainings· Responsible for Product Demo to Senior Management and external stakeholders· Conducted Product training on FACETS, QNXT, QicLink, and EAM· Configuring provider contracts, member benefits, and user roles in QNXT· Performed UAT testing and providing ongoing support to operations during the implementation phase, while standardizing documentation and developed an online assessment tool

Bengaluru Area, India

• Participated in financial recovery process for healthcare claims, identified overpaid claims and initiated the recovery process• Made outbound calls to providers and payers for billing and coverage queries, while maintaining MIS reports for back-office operations and voice process• Conducted onboarding, process and product training, and developed action plans for associates lacking in productivity/ quality• Identified overpaid claims and initiated the recovery process, resulting in improved financial performance for the organization• Conducted onboarding, process, and product training, leading to enhanced team performance and productivity

Bba, Finance

Business Graduate with specialization in Finance

Education record