Summary
Overview
Work History
Education
Skills
Languages
Hobbies and Interests
Personal Details
Accomplishments
Timeline
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Mahboob Khan

Bangalore

Summary

Dynamic professional with a proven track record at [Previous Employer], excelling in team management and quality assurance. Adept at data analysis and compliance monitoring, I drive results through effective communication and problem-solving. Recognized for enhancing team collaboration and achieving a 20% improvement in project delivery timelines.

Overview

10
10
years of professional experience

Work History

Senior Specialist Operations

08.2022 - Current
  • Worked as backup for the Manager when needed.
  • Set goals and manage quality, productivity, and compliance.
  • Managed high workloads, meeting deadlines and targets.
  • Improved team efficiency by streamlining workflows.
  • Led process improvement projects to save time and cost.
  • Assigned work based on inventory and team capacity.
  • Ensured the team met SLA targets for quality and productivity.
  • Handled queue and inventory management based on SLA and aging.
  • Conducted daily team huddles for updates and error sharing.
  • Managed and resolved client escalations and issues.
  • Took part in interviews and recommended the best candidates for hiring.
  • Maintained quality assurance and customer satisfaction.
  • Analyzed errors and made action plans to reduce mistakes.
  • Focused on quality control, testing, and solving claim issues.
  • Created scripts to identify system errors and reduce financial loss.
  • Ensured SLA compliance in all tasks as per the client’s needs.

Specialist Operations

08.2020 - 08.2022
  • Worked as backup for Team Leader when needed.
  • Reviewed claims and did sample audits for accuracy.
  • Managed team calls and quality calls regularly.
  • Helped team members with healthcare process queries and updates.
  • Checked and monitored process tools and applications daily.
  • Verified if claims were paid correctly as per contract rules.
  • Checked if co-pay, coinsurance, and deductibles were applied properly.
  • Found and corrected duplicate claims for the same date or service.
  • Always met SLA targets for both production and quality.
  • Helped improve team productivity and efficiency.
  • Set goals for quality, productivity, and compliance.
  • Led process improvement activities to make work better and faster.
  • Distributed daily work based on team capacity.
  • Helped the team meet targets on time with good quality.
  • Conducted team huddles for sharing updates and errors.
  • Handled client escalations and solved issues quickly.
  • Reviewed paid claims to check for overpayments and recovered money as per contracts.
  • Maintained reports like billing, audit inventory, batch reassign, and ending inventory.
  • Handled different processes like Post Pay, Hit Rate, Pre-Audit, Start-audits, and Sagility Payment Integrity.
  • Ensured quality and customer satisfaction.
  • Analyzed errors and created plans to reduce mistakes in the future.

Senior Process Consultant

03.2018 - 08.2020
  • Worked in different sub-processes under the FR post-pay process
  • Analyse the Queries to increase the hit rate percentage
  • Claims processing and meeting expected goals as per SLA
  • Performs reviews with on-floor associates on different healthcare scenarios and updates.
  • Mentoring new trainees and training them as per the process requirement.
  • Assigning and completing all priority Client requests and queries.
  • Conducting huddles and providing updates as received from the Client and Quality team.
  • Trained a new batch on the process and conducted refresher training on new scenarios.
  • Performing high-dollar claims audits and reviews with the lead.
  • Providing on-floor support to the low performers.
  • Provide clarifications and review invalid pends for the team and ensuring on-time closure.
  • Trained and worked in the prepay process.

Process Consultant

08.2015 - 04.2018
  • Worked in different sub-processes under the FR post-pay process
  • Analyse the Queries to increase the hit rate percentage
  • Claims processing and meeting expected goals as per SLA

Education

Bachelor of Commerce -

Bangalore University
Karnataka

Skills

  • Team management
  • Quality assurance
  • Data analysis
  • Communication skills
  • Problem solving
  • Compliance monitoring
  • Analytical thinking
  • Team collaboration
  • Quality assessment
  • Multitasking
  • Team leadership
  • Decision-making

Languages

English, Kannada, Urdu, Arabic

Hobbies and Interests

I am passionate about leading teams, improving healthcare claim processes, ensuring quality, and solving problems. I always strive to deliver accurate results, meet targets, and drive continuous process improvements.

Personal Details

  • Name: Mahboob Khan
  • Father’s Name: Azmathulla Khan
  • Date of Birth: 04-Nov-1991
  • Marital Status: Married
  • Languages Known: English, Kannada, Urdu, Arabic

Accomplishments

Received multiple awards, including 5 Workaholic, 14 Top Gun (highest production with 100% quality), 7 Spot, 43 Perfect Experience, and 32 Choco Awards, along with several client and leadership appreciations for consistent quality and timely delivery.

Timeline

Senior Specialist Operations

08.2022 - Current

Specialist Operations

08.2020 - 08.2022

Senior Process Consultant

03.2018 - 08.2020

Process Consultant

08.2015 - 04.2018

Bachelor of Commerce -

Bangalore University

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