Ashish Kumar Choubey

Benefit operation manager with extensive experience in client management and delivery assurance. Achieved a 27% reduction in workflow creation through innovative process improvements and effective stakeholder communication. Expertise in data file verification and benefit plan conversion enhances operational efficiency.

• Benefit Operation Manager (BOM), 11/01/20, Present, Handle 250+ Clients Requirement with Daily Ongoing Processing and client delivery Process., Data File verification and adjustment., Testing & Sign off Implementation in Test and Production environment., Handle Annual Enrolment and Year End project., Benefit Account Reconciliation., Support Client Operation Platform Transition., Support Benefit Plan Conversion in/out process., Collaborate with multiple teams (internally) and vendors (externally)., Review and allocate tasks/issues to multiple respective teams., Advise / seek corrective and implement preventive course of action post Root Cause Analysis for respective issues., Trend analysis of Client/Employee level escalations / issues, share potential risk with respective teams/manager and seek/provide resolution within TAT., Training and mentoring new hires., Audit and compare multiple data., Stakeholder communication., Review and modify mainframe file data (Payroll Contribution, plan coverage, DBP, and payroll reimbursement)., Create, share and maintain client management MIS reporting/dashboard as per process requirement., Minimize and maintain the client delivery TAT as per business requirement., Prepare and share Weekly, Monthly, Quarterly, and Annual performance summary with client team., Lead weekly and monthly Client Governance calls., Work on employee’s communication / correspondence.
• Delivery Analyst (Ongoing Operation Team), 01/01/17, 12/31/20, Reviewed and provided resolution to escalations received from client team., Liaising with Onshore leads and client team for all clarification / issue., Collaboration with client contact., Assist Plan features and benefit., Work for improvement of business process to reduce client escalation., Work to achieve individual and respective team quality and productivity standards., Involved in process level refresher training and floor quality awareness events.
• Benefit Operation Analyst (Ongoing Operation Team), 01/01/13, 12/31/17, Provided resolution to Workflow team queries regarding Plan enrolment, contribution, reimbursement and card request., Initiated a Quality Improvement project to reduce rework-related calls volumes and streamline clients' workflows for cost saving/better participant experience., Involved in Workflow Elimination Project – Reduction in 27% of workflow creation on multiple topics by providing cross training., First Time Resolution – Suggested first-time resolution (FTR) ideas to resolve repeated participant issues., Reduce error and manage process escalations., Support team as subject matter expert.
• Processor (Claims Team), 11/01/09, 06/30/13, All plan types claim adjudication., Review all types plan requirement., Follow claims SOP.
• Processor (Health Insurance), 07/01/07, 11/01/09, All Health Insurance claim entry and Audit., Daily work inventory review and allocation., Quality Audit on Daily Processing.

• 18+ years of progressive experience in providing consultant and operations support in US Health Benefit Process with Team Management.
• Client Management with implementation and Ongoing projects.
• Vendor Management.
• Data file management.
• Client Billing and Invoice Management.
• Understand, gather and document client requirements.
• Client Benefit operation transition.
• Work and share on opportunities relevant to improve client deliverable.
• Administer Health and Welfare benefit coverage, contribution, reimbursement and card requirement.
• Maintain and share MIS Reports with Management and stakeholders.
• Maintain client SLA.
• Task Inventory/TAT management.
• Client and Stakeholders Communication / interaction.
• Ongoing collaboration with client teams, internal teams, and external vendors.
• Audit client processes.
• SOP creation and implementation post approval.
• Supervise and manage daily operational activities.
• Resolve client escalations.
• Cross-training colleagues on different skills/process for better Inventory management.
• Mainframe data file verification and modification.
• Review and modify payroll contribution, Direct Billing Payment, and payroll reimbursement.
• Seek advice and implement process improvement ideas.