Karan Kachrodi
Kolkata,WB
Summary
Proficient operational Assistant with over 10 years of office experience, specializing in US healthcare claims, problem solving, planning, Benefit Verification, and optimal assistance. Known for increasing productivity and relieving workload of managerial staff.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Team Leaders
Wipro-Digital Operations
08.2020 - Current
- Responsible for the day-to-day supervision of a group of associates including work and attendance monitoring in accordance with organization policy and applicable legal requirements
- Identify performance related issues, develop an action plan for improvement, implement corrective action, up to and including termination of employment
- Communicate expectations to employees and provide timely updates
- Conduct Team Meetings to ensure expedient communication of relevant information and as an open forum for input
- Schedule and organize team activities
- Maintain calibration through monthly & quarterly calibration process across the LOB
- Identify root causes and recommend solutions for improvement
- Effectively monitor and evaluate compliance
- Meet and exceed client metrics: External & Internal Quality metrics should be consistently Green
- Collect Data and perform analysis and RCA on metrics and publish reports
- Ensure consistency through calibration of internal Quality scores with the client scores through effective interaction with the client Quality team
- Conduct Weekly Review the Reviewer for all Quality analysts and provide appropriate coaching
- Develop Controls to minimize external and internal escalations
- Drive process innovation through Macro development/BI implementation
- Identify problem areas and provide solution.
Training & SME
Concentrix
05.2014 - 08.2020
- End to end claim audit
- Review the identified claims are processed with correct benefit or not
- Actively participating to support the provider or member to keep benefited
- Monthly calibration with Operation team to reduce the defect and based on defect Process
- Manuals Creation & Updating; Identify the need and design the job aids to help in day today work
- Meeting performance goals i.e
- Productivity, Doller target & quality
- Process Knowledge Tests (PKT’s) Rollout & Reporting, develop/design refresher training basis on Accuracy & PKT Defect Areas and work with QA to ensure the quality is maintained and is consistent on the floor
- Project assigned in Business area: Interest Reduction & Interest Penalties - HD Claim processing
- Notification Processing
- Unnecessary information requested
- Claim payment error project to stop future defects
- Lean project to enhance production/Quality
- Driving 100% Quality for 2 continuous years for a new line of business
- Worked as an OJT for Multiple LOB Health care.
Education
B.COM. -
MLB Excellence Collage, Gwalior
01.2008
12th -
Gayatri High Secondary School, Gwalior
01.2005
10th -
Gayatri High Secondary School, Gwalior
01.2003
Skills
- MS Office including MS Word, Excel, PowerPoint, and Outlook
- Dashboard & Presentation
- Data Analysis
- Audit reporting
- Overtime Management
- Coaching and Mentoring
- People Management
- Teamwork and Collaboration
Certification
- Business Analytics with Excel
- Lean Management
- Business Intelligence using Power BI
Additional Information
- Achieved Outstanding Performance awards as a 100% Quality & production.
- Worked on a project of "Training and Transformation" to create training modules for make the training sessions interactive and easy to learn for a new onboard team.
- Worked on Client project as a member or subject matter expert for reduction of non-compliant deletion of claims.
- Excellent performance delivered in 2021 to 2024, got R&R awards.
Languages
English
Hindi
Personal Information
- Father's Name: Late Sumant Kumar
- Date of Birth: 07/01/86
- Marital Status: Married
Timeline
Team Leaders
Wipro-Digital Operations
08.2020 - Current
Training & SME
Concentrix
05.2014 - 08.2020
B.COM. -
MLB Excellence Collage, Gwalior
12th -
Gayatri High Secondary School, Gwalior
10th -
Gayatri High Secondary School, Gwalior
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