BPO Team Lead - Claims Administration

BPO Team Lead

Position Overview:

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

 

In this role, the associate would be responsible for meeting all assigned goals including production, quality, attendance, Training Test and also need to contribute towards process improvements.

 

In addition to the above, needs to support the Team Lead/Supervisor for different set of Daily, Weekly and Monthly Reports.

 

Also, needs to part of clarifications through emails and calls.

 

Clients Business problem to solve?

Our Client is one of Leading Health Plan in US providing services in Florida state , NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction.

 

Positions General Duties and Tasks:

NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction.

Requirements for this role include:
Both Under Graduates and Post Graduates can apply.
Excellent communication (verbal and written) and customer service skills.
Able to work independently; strong analytic skills.
Detail-oriented; ability to organize and multi-task.
Ability to make decisions.
Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications.
Demonstrate strong reading comprehension and writing skills.
Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills.
Ability to work in a team environment.

Handling different Reports - IGO/NIGO and Production/Quality.

To be in a position to handle training for new hires

Work together with the team to come up with process improvements

Strictly monitor the performance of all team members and ensure to report in case of any defaulters.

Encourage the team to exceed their assigned targets.

• This is Specifically to handle all the Products. Life/Annuity and Health Claims Products (Accident, HI, CI and Cancer). Below are the Profile we are looking for these products.
• Human anatomy knowledge is preferred as priority.
• Knowledge on ICD-10 codes and procedures.
• In-depth Analysis of Patient Medical records and ability of research records from different medical departments.
• Health care professionals with questions about treatments or diagnostic tests given to patients with regard to procedures.
• Working knowledge of medical jargons.
• They will be acting as key SME of the Process and will take care of the Knowledge Sharing to the Team members. Buddy with them on any Clarifications, Exceptional Handling and provide On the Job training if needed.
• Additional Responsibility: They will need to be document Specialist to build SOP’s and will be mapped for Transition for additional Complex products training. They will be responsible for Imparting Training within the Teams and act as key SME of all these 4 products with their experience.

 
**Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.

 

Experience Level

Senior Level