Team Manager - Process/Business Excellence/BPR/Process Improvement - US Healthcare Insurance

Role-: Process Excellence/Process Re-Engineering/Business Excellence/Process Improvement

Vertical- US Healthcare Insurance,Insurance

Certification needed- Black Belt (Six Sigma)

- Identifying opportunities through focus sessions with front liners & leaders

- Facilitating improvement projects to improve process capability & quality standards

- Working on project sustenance module to track & identify next level opportunity to improve

- Conducting risk assessments to diagnose the potential risk & leveraging project management techniques to analyze the current business model and identify improvement opportunities

- Mapping future state of processes using ARIS (BPM), Lean Six Sigma tools (FMEA -Failure Mode Effect Analysis and VSM - Value Stream Mapping)

- Successfully rolled out Process Re-engineered enhancements and analyzed impact to business with operations leaders

- Conducting Lean training sessions across all levels of the organization to enable

Pull function in the processes & motivating employees to take initiative to foster Continuous Improvement

- Projects Management achievements

- Adeptly worked with QA team and achieved 99.95% audit compliance and annual savings of 1.5Cr as Cost of Quality (COQ) rework

- Streamlining Policy servicing projects

- Process efficiency increased 69% to 92% - First-time right (FTR) elevated from 85% to 98%. - C-SAT Improvement & Customer points - Policy Servicing (TAT improvement)- Projects Life Cycle & Sustenance

As a part of insurance operations team worked on insurance support & premium transaction process in setting up process SOPs & compliance standards

- Ensuring adherence to TAT and Accuracy targets as per the agreed Service level agreements

- Volume trend analysis/Forecasting to ensure business continuity and capture VOC for both internal & external clients to ensure customer satisfaction

- Worked on a Reengineering project for Reinsurance & Retrocession operations

Insurance/Healthcare Insurance, Claim Operation Manager, Revenue Cycle Management, US Healthcare. Operation Management. MIS Reporting, US Health Care Billing Management, Business Continuity Management, AR Follow Up, Payment Posting, Claims Denial Management experience in US Health Care, Claims Management, Revenue Cycle Management, Denial Management, Billing Management, Business Continuity Management & MIS Reporting.

- Responsible for planning, maintaining and enhancing properly functioning revenue cycle process through a cross-departmental organizational structure.

- Managing overall MIS & transaction team which is involved in transaction & all kind of reporting.

- Ensure that billing team members follow and adhere to all company policies and procedures

- Solve escalated billing operations issues that cannot be addressed by the supervisor level.

- Plan and implement most efficient AR measures to drive improved cash flow and oversee AR staff and department performance.

- Developed and implemented Business Impact Analysis (BIA) study for all lines of business as part of Business Continuity

- Developed and conducted Business Continuity awareness training program for senior and departmental managers.

- Set up, improve, drive and streamline monitoring, feedback and other internal processes related to Training and Transactional Quality.

- Proactive in assessing training & development needs and effectively aligning training programs with the business objectives.

- Recognised for training, motivating, and inspiring internal customers to provide superior integrated business communications solutions.

- Exhibited skills in team supervision and relationship management; exceptional communication abilities to cut across the organizational levels and accomplish targets.

- Set up, improve, drive and streamline monitoring, feedback and other internal processes related to Training and Transactional Quality.

- Overall implementation, planning and improvement of the Transactional Quality Framework

- Proficient in Microsoft Office Application (Excel, Word, PowerPoint) etc