Detailed Job Description - Sr. Manager - Claims

Job Title:

Sr. Manager - Claims

Function:

Operations

Reporting to:

AVP

Employment Type:

Permanent

Working Hours:

40 hours per week

Location/Site:

EXL India

OverviewA

As a Senior Manager overseeing a team of US healthcare Repricing and Extended support process, Candidate will be responsible for managing and guiding a team of employees to achieve target-driven goals while ensuring adherence to operational standards and compliance requirements. This role is pivotal in maintaining high levels of communication, quality, and productivity within the team.

Qualifications:

Any graduation.

Experience:

Minimum 12 year of exp in US healthcare

Which includes Minimum 5 years of exp in managing the team

Communication Skill:

Possess a very good command over English language. Should be able to communicate with others effectively (verbal and written).

Working Hours:

40 hours per week as full-time employee

Job Title:

Sr. Manager, operations - Claims

Skills and abilities:

This role requires effective communication and leadership skills to manage a remote or on-site team in a dynamic and fast-paced environment. The role is completely team's target oriented on the number of calls made daily.

. Lead and manage a team of employees in a target-oriented process environment.

. Monitor and evaluate team performance, ensuring adherence to daily call targets and quality standards.

. Provide coaching and feedback to team members to enhance performance and communication skills. Strong interpersonal skills with the ability to coach, motivate, and manage a team effectively.

. Should have excellent communication.

. Follow every aspect of SOP without fail

. Complete calls and document with expected Quality

. To have the team achieve Quality and production target.

. Follow project related protocols and instructions.

. Maintain and manage all the logs like productivity, Clarification log, and any other logs applicable daily.

. All emails from management and client should be answered promptly without fail . Ensure compliance of entire team for HIPAA, OIG.

. Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs.