Job Description

:



Position Title, Responsibility Level: Executive/Senior Executive

Function:

Operations

Reports to -

Assistant Manager/Lead Assistant Manager

Permanent/ Temporary: Permanent

Span of Control \xe2\x80\x93

None

Location:

C \xe2\x80\x93 15, Noida

Basic Function

This position is accountable for claims adjudication.

Work is performed under general supervision according to established guidelines. This individual promotes capabilities from a customer perspective, aligning needs with the target offering by creating a customer self-service enabled platform for core customers. .

Essential Functions

• Responsible for reviewing and analyzing discrepancies by cross-verifying from different data sources
• Meets individual goals while assisting team to meet team goals
• Operates with urgency in a real time service environment
• Contributes to the development of new tools and process mapping that supports new offerings and updates/improves current tools, actively seeks opportunities to implement changes which improve accuracy, timeliness, productivity and customer satisfaction
• Defines, communicates and manages workflow and data coordination to support various implementation related reports (i.e., reporting, inventory, capacity reporting, and ad-hoc reports as needed by management)
• May perform other duties as assigned

Performance parameters

• Productivity
• Quality
• Turn Around Time of work assigned
• Attendance & Schedule Adherence

Primary Internal Interactions:

• SME/AM/LAM/Manager for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking support
• AM/LAM for the purpose of settling issues left unresolved by the SME and monthly evaluation of performance
• SME for the purpose of handling process related issues; queries and escalated transactions
• QCA for the purpose of associate performance feedback and audit in order to update the training curriculum
• Mentors for the purpose of seeking clarifications and answering queries real time

EXL Service