Jaiker Joseph
Quality Analyst
Chennai
Summary
To gain employment with an employer where knowledge will be challenged. Ambitious Quality Analyst with track record of dependability and leadership. Knowledgeable in QA methodology with proven history of reducing errors to increase quality. Proficient in preparing test cases, plans, and scripts. Dedicated to analyzing and resolving defects.
Overview
14
14
years of professional experience
5
5
years of post-secondary education
4
4
Languages
Work History
Quality Analyst
Dafson Healthcare
4 2022 - Current
- Conducting Audits on Daily Basis and provide feedback to users. Identified trends by Analyzing inventory and recommend corrective actions.
- Streamline work procedures for better efficiency, implementing standardized checklists provided by Client.
- Send Daily Audit Report to Operations Team & Quality Team. Weekly Feedback Reports, Call Audits, Bi-weekly Assessments & Monthly Audit Reports to Management.
- Reduce error percentage with consistent monitoring and timely feedback to users. Cascade implementation of new updates provided by client and verifying effectiveness of updates and improve team's quality.
- Assist in development of training materials for new team members and providing continuous training & refresher training to New & Existing users.
- Identify the root cause for major issues and propose effective solutions to close the case & therewith improve collections for the Doctors or Hospital.
- Develop the efficiency of the team, by providing continuous feedbacks & inputs for bottom performed and make them achieve their set target with the required Quality set by Client, resulting in improved individual performance.
Customer Service Executive
SSK Technologies
Chennai
6 2006 - 6 2010
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and company alike.
- Resolving customer complaints, maintain detailed records of customer interactions, ensuring proper follow-up and resolution of issues, resulting in continued business.
- Updated account information to maintain customer records. Maintain customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Offer advice and assistance to customers, paying attention to special their needs and answer customer calls with minimal wait times.
- Collaborated with team members to develop best practices for consistent customer service delivery.
Quality Analyst
Omega Healthcare
10.2020 - 03.2022
- Send Daily Audit Report to Operations Team & Quality Team. Weekly Feedback Reports, Call Audits, Bi-weekly Assessments & Monthly Audit Reports to Management.
- Conducting Audits on Daily Basis and provide feedback to users.
- Analyzing Trends by going through inventory and recommend corrective actions.
- Reduce error percentage with consistent monitoring and timely feedback to users.
- Cascade updates provided by client and conduct daily team hurdles to improve team's quality.
- Identify root cause for major issues and provide effective solutions to resolve issue.
- Provide continuous feedback & inputs for bottom performers and make them achieve their target with Quality set by Client and show improvement in individual performance.
01.2017 - 03.2020
- Professional Umpire for Multiple Sports & Had own sports management Website through which tournaments were organized & conducted.
- National Umpire in Badminton & State Umpire in Cricket.
Analyst
Sysinformation (Mysore)
08.2015 - 12.2016
- Analyze Claims and provide pre-call analysis for calling Team.
- Eligibility verification of Patient's & verify if any pre-auth needs to be obtained based on client notes.
- Check on Claims which are in 90+ & 120+ buckets and address them on priority.
- Check claim status using web portals & IVR and close claims which does not require calling.
- Handling WC Claims and try reaching Adjusters
- Addressing Clearing House Rejections & Payer End Rejections.
- Filing Appeals, sending W9, Placing of ERA's & Client EOB in path.
- Patient Calling if case of Emergency.
Senior AR Caller
Imarque Solutions
07.2010 - 04.2015
- Enhanced the AR collection rate by implementing effective calling strategies and negotiation tactics.
- Maintained detailed records of all communications with clients and insurance carriers, ensuring accurate tracking of account progress toward resolution.
- Reduced aged receivables significantly by proactively identifying trends and addressing potential barriers to payment collections.
- Streamlined the AR calling process by creating a prioritized list of high-value accounts to focus on for maximum revenue impact.
- Trained new AR callers, sharing best practices and fostering a collaborative team environment for continuous improvement.
- Identified system inefficiencies within the AR calling process and proposed solutions that led to significant time savings for the team as a whole.
- Worked closely with legal counsel on escalated cases requiring litigation, providing necessary documentation for successful outcomes.
- Contacted customers to discuss past-due accounts and negotiated payment plans.
Education
Bachelor of Arts - English & Communication
Annamalai University
Chindambaram 04.2010 - 04.2013
GED -
Our Lady of Velanganni Matriculation & Higher Secondary School
Chennai 04.2005 - 04.2006
High School Diploma -
Our Lady of Velanganni Matriculation & Higher Secondary School
Chennai 04.2003 - 04.2004
Skills
Good In Office 365
Personal Information
- Age: 35 years
- Father's Name: Joseph Francis
- Mother's Name: Philomena Joseph
- Wife Name: Madhuri .B
- Date of Birth: 05/15/1988
- Gender: Male
- Nationality: Indian
- Marital Status: Married
- Religion: Christian
Permanent Address
No 9/20, B Type, 4th Main Road, Villivakkam, Tamil Nadu, 600049, India
Disclaimer
I hereby declare that the above-mentioned information is true to the best of my knowledge and belief.
Accomplishments
I am professional Technical Official in the Field Cricket (State Level) & Badminton (National Level). I've attended several State, National & 3 International Tournaments that was held in India.
I am still continuing as an Official during my free time.
Timeline
Quality Analyst
Omega Healthcare
10.2020 - 03.2022
01.2017 - 03.2020
Analyst
Sysinformation (Mysore)
08.2015 - 12.2016
Senior AR Caller
Imarque Solutions
07.2010 - 04.2015
Bachelor of Arts - English & Communication
Annamalai University
04.2010 - 04.2013
GED -
Our Lady of Velanganni Matriculation & Higher Secondary School
04.2005 - 04.2006
High School Diploma -
Our Lady of Velanganni Matriculation & Higher Secondary School
04.2003 - 04.2004
Quality Analyst
Dafson Healthcare
4 2022 - Current
Customer Service Executive
SSK Technologies
6 2006 - 6 2010
Similar Profiles
Peter HitchcockPeter Hitchcock
Systems Engineer / Senior Systems Engineer at Evergreen Healthcare / EmpRes Healthcare / Couve Healthcare ConsultingSystems Engineer / Senior Systems Engineer at Evergreen Healthcare / EmpRes Healthcare / Couve Healthcare Consulting
Ivory JonesIvory Jones
Claims Team Lead at Molina Healthcare/ Firstsource HealthcareClaims Team Lead at Molina Healthcare/ Firstsource Healthcare
Nyla NoktaNyla Nokta
Clinical Nurse Assistant Student Intern at Thrive Healthcare Academy and August HealthcareClinical Nurse Assistant Student Intern at Thrive Healthcare Academy and August Healthcare
Herbert Jeffrin MHerbert Jeffrin M
Specialist - Global Funds Control at Bank of New YorkSpecialist - Global Funds Control at Bank of New York
Zaheer Syed.SZaheer Syed.S
Team Manager at GSR Global ServicesTeam Manager at GSR Global Services