Dr. SANDIP KR NEOGI

- Leading the corporate cashless team, heading a team of 50 doctors at the Kolkata and Indore locations.

- Ensuring daily, monthly, and quarterly TAT is maintained according to IRDAI guidelines.

- Handling customer grievances and MD escalations through proper coordination with the CRM team.

- Designing and upgrading SOP for the cashless team.

- Heading the doctor's audit team in cashless, ensuring the highest quality with minimum leakage.

- Conducting sessions for continuous process updates, training, and development for the cashless team.

- Supervise end-to-end claims management processes, including authorization, adjudication, and verification, ensuring strict compliance and accuracy.

- Maintain and exceed daily, weekly, and monthly turnaround time (TAT) targets, achieving 100% error-free claim processing through stringent quality control.

- Negotiate in real time with healthcare providers to optimize cost efficiency and secure favorable service agreements, reducing expenses by up to 15%.

- Resolve escalations and address customer inquiries promptly, significantly improving client satisfaction and retention rates.

- Evaluate treatment plans and associated costs to ensure clinical appropriateness, and cost-effectiveness.

- Collaborate effectively with internal departments and external stakeholders to streamline claims processing workflows, and improve operational efficiency.

- Implement innovative process improvements, resulting in a 15% reduction in operational costs, and enhanced client service delivery.

- Conduct continuous quality control using real-time error reduction techniques to consistently uphold high processing standards.

- Training and development for new joiners.

- Continuous training and development for the complete cashless doctors.

- Processing cashless claims.

- Real-time negotiation with the provider.

- Errorless processing.

- Maintenance of daily TAT.

- Handling sensitive corporations.

- Medical management - scrutinizing claims, preauthorizations of cashless.

- Responsible for the implementation and monitoring of various requirements of all chapters in NABH, along with the other team members.

- Managing the activities of the Quality Assurance department in the hospital, monitoring all NABH-related quality improvement initiatives in various departments.