Quality Specialist at Sagility

, , India -

Full Time

Start Date

Immediate

Expiry Date

27 Mar, 26

Salary

0.0

Posted On

27 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Process, Quality Audits, Interpersonal Skills, Customer Service, Problem-Solving, Verbal Communication, Written Communication, Conflict Resolution, Technology Proficiency, Data Analysis, Team Efficiency, Coaching, Training, Motivating Employees, Delegation, Continuous Improvement

Industry

Outsourcing and Offshoring Consulting

Description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. Subject matter expert Audit Process Quality Job title: Quality Specialist Job Description: Education: Any Graduate Experience: 2+ Years Roles & Responsibilities: Provide day-to-day leadership support to supervisors and assists with CPI and KPI requirements. Participate in day to day Claims meetings to introduce and/or create action plans based on account requirements Identify areas of process improvement and work effectively within the organization to implement resolutions on a timely basis. Areas for improvement should be targeted at increasing client satisfaction and/or company profitability. Oversee necessary enhancements to client programs or servicing therein. This may include areas such as staffing, training, attendance and quality. . Responsible for service quality for all work performed by his/ her employees. Ensure support is provided to front line employees (SMEs, Producers, Lead Operators) Coordinate with Manager Claims to balance needs of individual teams with needs of the entire organization. Promote teamwork and cooperative effort. Help train and provide guidance to other Supervisors and CSRs within the organization. Maintain a clean, safe, and unobstructed work area, and practice good safety habits. Provide internal and external customers with the highest quality service. Skills: Subject matter expert in Claims process. Able to perform Quality Audits. Exceptional interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills. Proficiency with the necessary technology, including computers, software applications, phone systems, etc. Ability to improve and/or transform teams processes across functions within the organization. Ability to understand basic data and take appropriate action. Ability to drive individual and team efficiency and productivity through effective and efficient metric management. Ability to coach, train, and motivate employees and evaluate their performance. Ability to strategically lead and develop team towards improved performance. Ability to delegate and manage work loads and projects across functions within the organization. Ability to successfully drive continuous improvement efforts by leading various work streams related to call center metrics and monitoring tools. Ability to problem solve, handle conflict, anticipate issues/concerns, troubleshoot problems, and proactively institute creative solutions. Location: BLR, Surya Wave BuildingIndia Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. Already keen? Discover your next role with Sagility, a great place to work.

Responsibilities

The Quality Specialist provides leadership support to supervisors and assists with CPI and KPI requirements while overseeing service quality for all work performed by employees. They identify areas for process improvement and implement resolutions to enhance client satisfaction and company profitability.