Manager-Back Office-Claims Administration
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What you'll do
- Oversee the day-to-day health insurance claims operations, customer service, and quality control (Focused towards BackOffice Processes)
- Maintain and improve as per SLAs /KPIs over the month at a process level(Focused towards Back Office Processes)
- Ensure that all processing is completed in a timely and accurate manner, with a focus on meeting or exceeding service level agreements
- Monitor transactions on an ongoing basis and take corrective steps where necessary or make incremental improvements.
- Provide coaching and feedback to team members to enable them to improve their performance.
- Assist new hires such that they are productive on the floor in the shortest possible time frame.
- Handle escalations and basis analytical skills
- Provide inputs on process and system to the team members.
- Client Interaction, where required at the level of Supervisors.
- Ensure compliance with internal policies and procedures, external regulations and information security standards.
- Collect and provide data required for various audits.
- Ensure that all agents in their process know their goals and how they are linked to the Organization’s quality policy.
What they're looking for
- Knowledge of the function, process and systems.
- Ability to use the desktop computer systems
- Coaching and Feedback ability.
- Clear written and verbal communication.
- Medical knowledge and understanding of medical terminologies
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Oversee the day-to-day health insurance claims operations, customer service, and quality control (Focused towards BackOffice Processes), Maintain and improve as per SLAs /KPIs over the month at a process level(Focused towards Back Office Processes)
Ensure that all processing is completed in a timely and accurate manner, with a focus on meeting or exceeding service level agreements
Competencies & Skills
- Knowledge of the function, process and systems.
- Ability to use the desktop computer systems
- Coaching and Feedback ability.
- Clear written and verbal communication.
- Medical knowledge and understanding of medical terminologies
Roles and Responsibilities
- Monitor transactions on an ongoing basis and take corrective steps where necessary or make incremental improvements.
- Provide coaching and feedback to team members to enable them to improve their performance.
- Assist new hires such that they are productive on the floor in the shortest possible time frame.
- Handle escalations and basis analytical skills
- Provide inputs on process and system to the team members.
- Client Interaction, where required at the level of Supervisors.
- Ensure compliance with internal policies and procedures, external regulations and information security standards.
- Collect and provide data required for various audits.
Ensure that all agents in their process know their goals and how they are linked to the Organization’s quality policy.
Company
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