Amit Chandra

Key Responsibilities:

• Claims Analysis and Processing:
• Conduct detailed scrutiny and analysis of various claim documents including BDA forms, HIPPA forms, claim forms, and invoices, primarily related to long-term client care.
• Prepare structured reports that serve as crucial resources for claim handlers in making informed decisions about claim acceptance.
• Communication and Coordination:
• Facilitate ongoing communication with benefit analysts to ensure smooth progression and processing of claims.
• Address client inquiries efficiently through both email and direct phone calls, ensuring high levels of client satisfaction.
• Team Leadership and Management:
• Allocate daily tasks among team members to meet operational targets effectively.
• Mentor and support team members to foster a collaborative and productive work environment.
• Quality Control and Reporting:
• Maintain adherence to Service Level Agreements (SLA) by ensuring operational work is completed with high accuracy and quality.
• Generate daily and monthly reports including accuracy assessments and end-of-day summaries to track team performance.
• Prepare and deliver presentations for monthly review calls to discuss team achievements and areas for improvement.
• Strategic Analysis:
• Involved in the creation of monthly Root Cause Analysis (RCA) reports to identify areas for process enhancement.
• Conduct Knowledge Assessment Tests (KAT) to gauge and improve team knowledge and performance.
• Streamlined processes by implementing an efficient workflow system, improving overall productivity.
• Ensured accuracy in document preparation by meticulously reviewing all legal descriptions, easements, and encumbrances.
• Hands on experience of using tools like Citrix, AWS, APR, Pega, Calypso etc.

Achievements:

• Successfully managed high volumes of claims processing while upholding stringent quality standards.
• Enhanced team productivity and efficiency through effective workload distribution and continuous performance feedback.
• Led a team of associate claims specialists, providing ongoing training and support.
• Organized weekly meetings to discuss challenges and brainstorm solutions, fostering a collaborative team environment.
• Acted as the primary liaison between senior management and the claims authorization team.
• Presented monthly reports to stakeholders that detailed project progress, outcomes, and strategic recommendations for further improvements.

Worked as a Customer Care Executive (Inbound/outbound) in Dish tv Noida

• Enhanced customer satisfaction by resolving inquiries effectively and efficiently.
• Managed a high volume of inbound calls, multitasking effectively to address diverse customer needs simultaneously.
• Communicated with customers to identify needs and expectations.
• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.

• Worked as a Telemarketing Executive for SBI and ABN AMRO Bank with Credit Card Dept.
• Sold cards to customer based on leads provided
• Answered calls, took messages, and transferred calls to correct individuals.
• Made average of [150] outbound and inbound calls per day.
• Handled high-volume telemarketing operations with expert use of client management software and computer dialing.
• Displayed excellent sales skills and understanding of how to leverage abilities to exceed quotas.