Responsible for handling provider credentialing for dental practitioners under the One Office Affordable program
Receive provider data from clients and complete credentialing applications for major U.S
Insurance companies, including Delta Dental, Aetna, Cigna, MetLife, UCCI, and UHC
Coordinate with provider offices to obtain signatures on applications and verify required documents such as DEA, dental license, COI, and CSR
Submit completed applications to insurance companies and track the provider's enrollment status until activation
Maintain and update client data sheets to ensure accurate record-keeping
Team Lead Quality Analyst (Sales Process)
Codex Tech-IT LLC
Ahmedabad
10.2023 - 04.2024
Implemented the Quality Assurance domain in the Codex
Responsible for the Quality Assurance POC document, RAG report for the Sales team based on the Audits
Spearheading the analysis of associate performance, categorizing them into BQ, MQ, and TQ, fostering a culture of continuous improvement
Collaborating closely with the training department to elevate product knowledge for associates, particularly focusing on those who are categorized as BQ
Disseminating the daily Quality Dashboard to my team, ensuring transparency and accountability in our quality metrics
Enhancing the sales orientation by mentoring associates, particularly those showing performance gaps, and conducting targeted coaching sessions to boost their capabilities
Executing real-time live call audits, harnessing my developing expertise in Six Sigma methodologies to pinpoint inefficiencies and streamline processes
Quality Analyst (Sales Process)
Digz Placements LLP
Visnagar
12.2021 - 10.2023
In my role as a Quality Analyst, I audit various LOBs (Compliance, Post Sales, On-boarding) and provide feedback
I analyze associate performance trends to categorize them (BQ, MQ, TQ)
I collaborate with training to improve product knowledge for BQ associates
I share the daily Quality Dashboard with my team
I work on enhancing sales orientation and hold sessions for underperforming associates
I perform real-time live call audits to identify root causes
For critical attributes, I report to the ops team for process improvement
I conduct training sessions to update associates on critical parameters
I organize pre- and post-quick meetings for process updates and addressing objections
Process Associate
Genpact
Jaipur
02.2019 - 11.2021
Talented and accomplished team member supporting a US financial institution, Wells Fargo Vendor Financial Services; successfully performing activities in booking and funding team within equipment leasing and lending domain
Ensuring timely and accurate transfer of funds to dealer and manufacturers through various financial modes like Wire Transfer, ACH and Checks along with maintaining the customer and transaction database in the mainframe system
I conducted thorough reviews of lease loan documents to ensure accuracy and compliance with established procedures
Additionally, I played a key role in facilitating the booking and funding of transactions for our equipment finance business
I effectively managed a high-volume workload in a deadline-driven environment, consistently achieving performance benchmarks for speed, accuracy, and volume
I also handled customer inquiries and escalations, ensuring timely and satisfactory resolutions to maintain high levels of customer satisfaction
In addition, I collaborated with cross-functional teams to streamline processes and identify opportunities for operational improvements
Education
Rajasthan Universty
Rajasthan
06-2018
Skills
Quality assurance
Performance tracking
Root cause analysis
Team collaboration
Customer service
Time management
Mentoring associates
Certification
§ Lean Six Sigma Green Belt from Henry Harvin Quality Management Academy
§ 01/01/2023, 7 QC tools of Quality Assurance, AIGPE
<ul><li>Company Overview: Loggerhead is a premier Florida property insurer that offers a user-friendly process, transparent claim handling, and prompt solutions for policyholders, creating a world-class customer experience.</li><li>Responsible for creating, directing, and managing the Customer Service, Internal Sales, and Agency Support functions for a new Homeowners' Insurance Company in Florida by overseeing the short and long-term strategies of the organization's customer success journey. This may include, but is not limited to, providing strategic recommendations regarding concepts and routines that drive efficiency and empower employees.</li><li>Work closely with the CEO and COO on all aspects of delivering service to customers and agents.</li><li>Provide strategic oversight and guidance to the operational leadership team.</li><li>Work closely with other department heads to support projects or procedures that have a direct impact on customers.</li><li>Responsible for the selection and implementation of the CSAT platform as well as the Customer Relationship Management (CRM) software currently in use with the organization.</li><li>Responsible for building out all operational teams, including job development, standard operating procedures, quality management, and the like.</li><li>Work in an integrated fashion with third-party vendors to provide "world-class" customer service to Policyholders, Agents, and other customers both in and out of inbound and outbound settings.</li><li>Collaborate with business units throughout the organization to design, develop, and implement consumer-focused business practices, procedures, and Corporate Policies.</li></ul> at Loggerhead Reciprocal Interinsurance Exchange<ul><li>Company Overview: Loggerhead is a premier Florida property insurer that offers a user-friendly process, transparent claim handling, and prompt solutions for policyholders, creating a world-class customer experience.</li><li>Responsible for creating, directing, and managing the Customer Service, Internal Sales, and Agency Support functions for a new Homeowners' Insurance Company in Florida by overseeing the short and long-term strategies of the organization's customer success journey. This may include, but is not limited to, providing strategic recommendations regarding concepts and routines that drive efficiency and empower employees.</li><li>Work closely with the CEO and COO on all aspects of delivering service to customers and agents.</li><li>Provide strategic oversight and guidance to the operational leadership team.</li><li>Work closely with other department heads to support projects or procedures that have a direct impact on customers.</li><li>Responsible for the selection and implementation of the CSAT platform as well as the Customer Relationship Management (CRM) software currently in use with the organization.</li><li>Responsible for building out all operational teams, including job development, standard operating procedures, quality management, and the like.</li><li>Work in an integrated fashion with third-party vendors to provide "world-class" customer service to Policyholders, Agents, and other customers both in and out of inbound and outbound settings.</li><li>Collaborate with business units throughout the organization to design, develop, and implement consumer-focused business practices, procedures, and Corporate Policies.</li></ul> at Loggerhead Reciprocal Interinsurance Exchange
QUALITY COMPLIANCE Coordinator Emergency Department at Sutter Roseville Medical CenterQUALITY COMPLIANCE Coordinator Emergency Department at Sutter Roseville Medical Center