MS Office
People Operations professional with strong background in enhancing workplace culture and driving efficient HR processes. Skilled in talent acquisition, employee engagement, and performance management. Known for fostering team collaboration and delivering impactful results. Adaptable to changing needs and highly dependable.
Currently working as People Manager with 40+ users in Life Insurance & Health Claims which includes:
1. Claims Processing Efficiency: Ensure timely and accurate processing of health insurance claims, meeting or exceeding predefined turnaround times.
2. Quality Assurance: Implement and monitor quality control measures to ensure the accuracy of claims processing and adherence to regulatory standards.
3. Team Productivity: Manage and optimize team workflows to enhance productivity and meet or exceed claims processing targets.
4. Training and Development: Provide ongoing training to claims personnel, keeping them updated on the latest industry regulations, medical procedures, and insurance policies.
5. Customer Satisfaction: Monitor and improve customer satisfaction levels by addressing issues related to claims processing and ensuring a smooth claims experience.
6. Fraud Prevention: Implement measures to detect and prevent insurance fraud in the claims process, safeguarding the company's interests.
Process Optimization
MS Office
AWD
Mainframe
Velocity
Express Scripts
CM - Certified Manager Certification
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CM - Certified Manager Certification