Vicky Thakur Email & Phone Number

Noida, Uttar Pradesh, India

Stay current with Industry developments in respective domain, and share with CDG and Benefits colleagues(Technology, Operations and Batch)• Active participation in client renewal meetings and data collection projects at bidding stage• Understand client contractual agreement and performance measures• Monitor client operations measures to proactively manage client-level impacts• Respond to client requests in a timely fashion using effective communication skills• Proactive management of operations metrics to meet or exceed SLA targets• Assign and manage BOA/DA work, including workload distribution, track status of outstanding work, ensure SLA metrics are met/ exceeded, identify training opportunities, review and approve SOPs, identify activities for transition to OCP/ Shared Service• Establish strong client relationships to support and facilitate tough client conversations with acceptable client outcomes• Identify growth areas for BOAs and provide opportunities in those areas• Identify cross-training opportunities and implement cross-training action plan• Establish strong client relationships to support and facilitate tough client conversations with acceptable client outcomes• Develop and deliver client-specific operational training and support domain related training• Be a good team player and coach in order to create a healthy environment of trust amongst the team.

Uttar Pradesh, India

❑ Review and Processes Healthcare payer claims including HCFA & UB forms.❑ Coordination of Claims Benefits based on the Policy & Procedure.❑ Determine accurate payments criteria for clearing pending claims based on defined Policy and Procedure.❑ Validate Member, Provider and other Claims information.❑ Scrutinizing Medical Claims Documents and settlements.❑ Continuously analyzes, reviews on Claims products like- Disability, Wellness, Accident, Sickness Claims.❑ Preparing SOPs and managing calls with Onshore team.❑ Organizing and completing tasks per Assigned Priorities.❑ Resolving complex situations following pre-established guidelines.❑ Taking calls from clients on regularly for Query discussion, Rebuttal requests by Onshore.❑ Participate in Internal and External calibration to ensure consistent scoring and feedback delivery approach.❑ Developing and maintaining a solid working knowledge of the Healthcare Insurance industry and of all Products, Services and Processes performed by the Team.❑ Monitor team member and able to provide mentorship whenever needed.❑ Build report to update the company on the team’s progress.❑ Report building with the internal and external partners.❑ Assist the Manager as and when vital to make the business run effectively and efficiently.