GOVINDA KUMAR VERMA
New Delhi
Summary
Operations Delivery leader with benefits administration and comprehensive client service experience.Empower business development and successfully achieving short- and long-term business goals. Drive strong colleague’s engagement and build best working environment where colleagues can do their best work and celebrate success.
Overview
16
16
years of professional experience
Work History
Assistant Manager - Operations
Optum Global Solutions (India) Pvt. Ltd
07.2011 - Current
- I am accountable for managing operational performance for claims
- This includes meeting and exceeding contractual performance standards and operational measures
- I am responsible for making sure that all ongoing work is delivered on-time and with quality to plan sponsors and plan participants
- I am also accountable for identifying process improvements
- Directly involve to get the claims processed, sometime urgent claims need to be processed and I am very much comfortable doing that to make end customers happy and healthy.
Senior Insurance Associate
MetLife
03.2010 - 07.2011
- Preparing Standard Operating Procedures, Manuals to facilitate smooth functioning of process, ensuring SLAs to be met
- Charting business requirements; coordinating in developing process flows, implementing and transitioning processes in line with internal guidelines
- Conduct detailed Transition Planning in accordance to defined Process Go-Live commitments
- Identify and document any changes to delivery methodology required to satisfy client requirements
- Report transition progress at defined intervals to Management teams (Client and Internal) for effective governance and timely issue resolution
- Leading entire team and responsible for all internal reporting at Supervisor level
- (Like- Monthly/Yearly appraisal report, Audit report, Quality report, Training report, etc.)
- Keeping TAT commitments, handling escalations and maintaining Quality Standards of team through constant monitoring and providing feedback; ensuring CTQ targets and performance standards are met by the team
- Conducting internal process audits & process reviews for ensuring strict adherence to the process parameters/systems
- Coordinating and ensuring Meetings / Feedback sessions happen on a regular & consistent manner, skill based & refresher trainings happen regularly
- Interaction with business clients, if and when required on process related matters.
Senior Analyst
Accretive Health Care
10.2008 - 03.2010
- To update the payments received from different insurance companies and check whether the claim is mis-paid or underpaid
- To do a follow-up on the denied claims
- To do random quality checks on the paid claims
- To rebill the hospitals and patients in case of wrongly denied claims
- Investigate and resolve outstanding items
- Provide floor support to trainee batches.
Education
Skills
- Business Development
- Operations Management
- Project Management
- Staff Training and Development
- Operational planning
- Compliance Monitoring
- Customer Engagement
- Process Improvement
- Operational Efficiency
- Workforce Planning
Technicalsoftskills
- Microsoft office (Word, Excel, Outlook)
- Diploma in Computer Application.
- Diploma in Financial Market.
Languages
- English
- Hindi
Timeline
Assistant Manager - Operations
Optum Global Solutions (India) Pvt. Ltd
07.2011 - Current
Senior Insurance Associate
MetLife
03.2010 - 07.2011
Senior Analyst
Accretive Health Care
10.2008 - 03.2010
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