Knowledgeable professional offering 14 years of experience in quality control and operations. Focused, detail-oriented and dedicated to continuous improvement and helping the team produce top results.
Overview
16
16
years of professional experience
2011
2011
years of post-secondary education
Work History
Quality Analyst
Evolent Health
Pune
06.2024 - Current
Conducted thorough root cause analyses on recurring defects, resulting in the implementation of effective corrective actions.
Provided detailed reports on quality metrics to senior management, enabling informed decision-making regarding process improvements.
Analyzed quality and performance data to support operational decision-making.
Audited Oncology and cardiology based processes.
Audited Pre Authorization queries resolved by the operations Team
Senior Quality Assurance Analyst
Cotiviti India Pvt Ltd
06.2021 - 06.2024
Responsible for call/data quality monitoring
Provide feedback to agents using a prescribed feedback model
Mentoring and coach agents on process-level issues
Monitor adherence to compliance procedures and processes
Responsible for conducting calibration and performance review call in terms of quality with the internal team
Used quality monitoring system to compile and track individual and team performance
Analyzed issues and recommended corrective actions to improve final results
Identified quality problems and recommended solutions
Conducted internal audits to measure adherence to established QA standards
Perform brainstorming and root cause analysis to analyze data and provide tips or suggestions
Conduct refresher training on the basis of the errors identified
Sr Audit Assistant Support
Cotiviti India Pvt Ltd
06.2018 - 06.2021
Auditing paid Insurance claims for a US-based, to find overpayments for payment accuracy
Developed audit reports including, recommendations, conclusions and results
Training and mentoring new employees on call handling and processing knowledge and providing feedback
Maintained progress and productivity reports daily
Communicated effectively with clientele to maintain customer satisfaction and loyalty
Provided timely, courteous and knowledgeable responses to information requests
Customer Relations Manager
Legalforce RAPC India Ltd
05.2015 - 02.2017
Responsible for the Customer support division at the Nagpur (India) Branch for the U.S
Customer relations team of 14 CS executives
Delegated work to executives, setting priorities and goals
Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs
Completed thorough opening, closing and shift change functions to maintain operational standards each day
Resolved customer inquiries and complaints requiring management-level escalation
Recruited and trained new employees to meet job requirements
Reviewed completed work to verify consistency, quality and conformance
Customer Relations Executive
Sharma Abhyanker LLC
11.2012 - 03.2015
Maintained high satisfaction ratings with customers by providing exceptional service and support
Answered inbound calls, chats and emails to facilitate customer service
Consulted with customers to resolve service and billing issues
Escalated customer concerns, issues and requirements to supervisors for immediate rectification
Maximized customer satisfaction by handling customer email and telephone interactions
Informed customers about billing procedures, processed payments and provided payment options setup assistance
Customer Relations Advisor
Hutchison 3 Global Services Pvt. Ltd
05.2011 - 10.2012
Handled UK 3 Mobile Customers queries
Provided end-to-end technical assistance for Smartphones
Handled Complaints Escalations process for Senior Management
Updated Knowledge Database on regular basis for process improvement
Coached new employees on Call handling & Process knowledge and provide Feedback when required
Team leader
Alacrity E-commerce solutions
07.2010 - 02.2011
Customer queries
Coaching new employees on call handling and process knowledge and providing feedback
Taking supervisor calls regarding Product queries and complaints
Accounts Receivable Executive
Ascent Business solutions
12.2008 - 05.2010
Performed day-to-day financial transactions, including verifying, classifying, computing, posting and recording accounts receivables data
Utilized daily audit information to update ageing reports