Avinash Chauhan

• Look after the employee lifecycle, including the stages an employee goes through during their time with a company, from recruitment and onboarding to departure or retirement
• As a security requestor, analyze the access requirements/needs of users based on their roles
• Conduct weekly calls with hiring managers and leads
• Categorize inquiries based on their nature, urgency, and complexity
• Route inquiries to the most appropriate agents or teams based on predefined criteria
• Continuously monitor the status of inquiries in real-time
• Create a comprehensive knowledge base with FAQs, guides, and tutorials to empower requestors to find answers on their own
• Efficiently address inquiries from hiring managers, leads, and users while controlling the resolution process, as this can significantly impact their satisfaction and the overall success of the business
• Develop clear and documented Standard Operating Procedures (SOPs) for handling common inquiries and issues
• Ensure that all support agents are trained on these procedures
• Met established productivity, schedule adherence and quality standards to deliver quality service
• Answered calls, emails and secure message inquiries to service clients and grow business relationships.

Enrollment

• Creating accurate and compliant enrollment materials, making corrections to existing material as per the customer request while maintaining quality.
• Responsible for relationship management with Distribution, Underwriter, Quality and Service partners.
• Responsible for the creation of and updating/maintaining SOPs for enrollment activities

• Handling a team of nine people, where I was responsible for overseeing their tasks
• Played key role in process automation
• Offer mentorship and coaching to junior team members or colleagues seeking product knowledge
• Quality Audit- Employment Verifications, Statements of Earnings (Paycheck), Direct Deposits, ACH Reject, Personal Data Change, Tax, and Checklist
• Queue Management- Assigning to processing team, pulling various reports- Queue Status (Pivot), Processing count, Status end of the day
• Co-ordinate with accounting and finance team to arrange payroll fund and any fluctuations
• Work in Partnership with other functional teams and third party vendors to meet organizational objectives
• Lean in process training to develop the team and create effective backups
• Closely interaction with client and onshore team with regards to process update and team queries
• Quarterly Error Trend Analysis Presentation.

• Policy Updates- Information or any changes or updates to policies,Including coverage limits and new policy offering.
• Skip trace the information of an individuals who interested to buy policies.
• Generated daily production reports
• Coordinated and executed internal and external audits.

• Provide a wide range of personal care services to resident or providers under limited supervision
• Adhere to the clients are plan when delivering services to the clients
• Participate in quality improvement plans
• Maintain effective communication amongst all the providers, member and care recipients
• Worked as an internal pend Auditor for my team and also helped in resolving all the escalation received from the onshore
• Verified claims acceptance using patient benefit plans, acquiring authorization where required
• Verified correct coding of procedures and entered claims into emulators
• Followed internal standards and examining guidelines to prevent claims processing errors.