HARSHAL BAPU PATIL
Kalyan
Summary
Intend to build a career with leading corporate of hi-tech environment with committed and dedicated people, which will help me to explore my self fully and realize my potential. Willing to work as a key player in challenging & creative environment.
Overview
15
15
years of professional experience
Work History
Business Support Team Supervisor
Willis Towers Watson
04.2023 - Current
- Company Overview: Company providing consultancy and financial services.
- Highlighting challenges with MSExcel/PDF based financial performance summary reports (dashboards)
- Communicating with onshore client managers, carrier contacts, and peers over various channels for queries and escalations
- Managing quarterly risk assessments and deploying controls for risk mitigation
- Assessing and developing SOPs to ensure adherence to data privacy and protection norms
- Fostering a culture of work-life balance to enhance efficiency
- Resolving people, process & technical queries for the team
- Maintaining regular communication with offices and stakeholders to discuss queries and feedback
- Playing a pivotal role in the transition process from Manila to Mumbai, including conducting tests for 100 candidates and interviewing for L1 rounds
- Handling a team of 15 colleagues, providing technical support and people management
- Company providing consultancy and financial services.
Team Leader
Accenture Ltd.
Mumbai
08.2017 - 08.2021
- Company Overview: (Client Name – BCBSNC and Anthem)
- Managing Team of 30-50 people
- Managing Day to Day claims and membership Inventory and Quality
- Client Interaction (Weekly Call/Process Related Calls/New Updates/Highlighting Challenges)
- Managing Load Balancing to ensure task are well performed and within the deadlines provided by the Client (Meeting Service Level Agreement)
- Driving Automation Opportunities within the Team
- Understanding the major challenges related with the process and discussing with internal and External Stake Holders.
- Creating back up plans wherever required.
- Encouraging team mates to create their career path and work towards it.
- Conducting daily Huddle to keep team motivated and updated
- Supporting Manager in his Day-to-Day task like Operation Excellence, Load Balancing with Chennai Counter Parts/Overtime Planning.
- People Management and Process Management
- Ensuring that capacity plan for the day is done start of the shift and driving the team to meet the plan and sharing the plan vs actual in the end of the shift.
- Monitoring the hourly production count and driving the team to meet their individual target.
- Monitoring the internal quality/external quality and helping them to improve their quality performance.
- Cascading the updates timely and measure their understanding through assessment. Ensure that the team is on the same page with regards to the process updates.
- Error discussion should happen frequently and need to curb the repetitive errors.
- Taking weekly 1-0-1 discussion with the team member and giving them coaching and feedbacks timely.
- Ensuring team adheres to the procedure to cancelling cabs to avoid NO-SHOWS.
- Ensuring that the transport roster needs to be done well in advance.
- Preparing the Deck for the call well in advance and sending to the stake holders.
- Utilizing the capacity as per the capacity plan.
- According to client forecast we are maintaining or capacity plan
- Contributing to benefit plan analysis, design, cost savings and funding strategies.
- Conducting review of client deliverables to ensure alignment to client objectives
- Reviewing work and contributing to the development of new hires
- (Client Name – BCBSNC and Anthem)
SME
Accenture Ltd.
08.2017 - 08.2021
- Company Overview: (Client Name – BCBSNC and Anthem)
- We are handling the different types of health insurance claims like authorization, COB, CSI, MEDICAID & MEDICARE claims.
- Performing claim adjustment and resolving the queries of the customer
- As per policy benefits making the payment of the claims or denying, rejecting the claims.
- Proactively advising clients and providing superior client service in response to day-to-day service issues and questions (eligibility, carrier coverage and claims issues, compliance, etc.)
- In Membership we are doing the enrollment of the policies also as per the customer request we are performing the maintenance part like plan change, address change, adding and removing dependents.
- We are handling the 3 categories of health care: Commercial, Medicare, Medicaid.
- (Client Name – BCBSNC and Anthem)
Sr Associate and Auditor
Wipro Ltd.
10.2010 - 08.2017
- Company Overview: (Client Name – United Health Group)
- Processing Health Insurance Claims (CLIENT: UNITED HEALTH GROUP)
- Checking all relevant information of policy to process the claim
- Making coordination of Medicare (Policy given to each and every citizen of USA by Govt. of USA for their old age i.e. more than 65 years)
- Making coordination off Medicaid.
- Sending letters to client If claim is getting closed or rejected because of different situations.
- Also supporting new training batch to understand concept of insurance and how to process the claim.
- Auditing their claim and providing suggestion to them if claim is processed wrongly.
- Preparing their data on weekly basis which includes different parameters like Production, Quality and Attendance etc.
- Providing OJT Support in training batches to new hire people.
- Maintaining daily reports for interest team. Updated the team with daily updates.
- (Client Name – United Health Group)
Education
B.COM -
MUMBAI
12.2010
HSC -
MUMBAI
12.2006
SSC -
MUMBAI
12.2004
Skills
- DTP
- Typing
- Tally 9
- Microsoft Office
- Excel
- PowerPoint
- Analytical skills
- Creative skills
- Integrative skills
- Self-starter
- Teamwork
- Team management
- Load balancing
- Client communication
- Quality assurance
- Microsoft Excel
Accomplishments
Recognized for quick learning, process improvements, and high efficiency
Hobbies and Interests
- LISTENING SONGS
- DANCING
Languages
- ENGLISH
- HINDI
- MARATHI
Personal Information
- Date of Birth: 01/21/89
- Nationality: INDIAN
- Marital Status: MARRIED
Timeline
Business Support Team Supervisor
Willis Towers Watson
04.2023 - Current
Team Leader
Accenture Ltd.
08.2017 - 08.2021
SME
Accenture Ltd.
08.2017 - 08.2021
Sr Associate and Auditor
Wipro Ltd.
10.2010 - 08.2017
B.COM -
MUMBAI
HSC -
MUMBAI
SSC -
MUMBAI
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