Summary
Overview
Work History
Education
Skills
Accomplishments
Snapshot
Projects & Ideas
Areas of Expertise
Timeline
Generic

Pooja Bhatti

Ops AM (P&C Insurance)
Delhi,DL

Summary

Consistent professional with substantial experience in Claims industry and expertise in P&C claims. Proficient in MS Word, Excel, PPT. Supervise daily operations. Strong competencies for addressing operational issues and concerns quickly. Organized and proficient in managing inventory, recognize team weaknesses and optimize plans to drive growth. Focused on supporting business management with developing and implementing successful operational and service policies. Highly effective at promoting positive relationships and building capable team. Ready to take new challenges and build success with exciting organization.

Overview

22
22
years of professional experience
2
2
years of post-secondary education

Work History

Assistant Manager Operations

Exl Service
Noida, UP
07.2015 - Current
  • Responsibilities (as Ops AM - (P&C insurance)
  • P&C healthcare claims being used for litigation.
  • Preparing summary and synthesis.
  • Handling team of 40 including SMEs,QCs, trainer
  • Responsible of meeting KPIs (production targets, quality, TAT), utilization,attendance, upskilling and cross- skilling, etc.
  • Preparing MBR or QBR dashboards & performance decks
  • Encouraging team members to give process simplification/improvement ideas which in turn help in automation of process steps (ongoing project)
  • Arranging and hosting/conducting monthly RnR and other employee engagement activities
  • Interviewing new hires; arranging smooth transitioning of new joiners (training material & systems arrangement) and making sure training parameters are in sync with current production parameters.

Clinical Operations Associate

Exl Services
03.2009 - 06.2015
  • Assisted in development, review and revision of standard operating policies and procedures in collaboration with senior management.
  • Assisted senior management with monitoring of performance measures and designed methods for improving quality of care and service delivered in practices.

Home based Editor

M/s Scriptacom BPO Systems
04.2007 - 11.2008
  • (business/medical transcription)

Final level editor

M/s Indoswift Consultancy
05.2004 - 02.2007

Final level editor

M/s Sar Softech
03.2003 - 04.2004

Final level editor

M/s Brainmass
02.2002 - 02.2003

Final level editor

M/s Heartland
12.1998 - 02.2002

Education

Bachelor of Arts -

Delhi University
07.1995 - 01.1998

Medical Summarization training from EXL - undefined

Medical Transcription training - undefined

Heartland

Diploma - C+ programming

.

Skills

    People Management, Ops Management, Healthcare Claims, Insurance

Accomplishments

  • Successful completion of various POC during my tenure.
  • Imparted training to the new ramps/batches.
  • Completing 4 months’ training of Medical Summarization, Basic Traits of Process, US Culture, Essentials of Insurance, and Advanced Grammar Skills. Intro-320 certified.
  • Successfully achieved a rating of 5 and 4.5 during my entire tenure.
  • Awarded Star performers/extra miler numerous times (more than 20 times) during my tenure as associate in transcription as well as summarization industry.

Snapshot

Over 20+ years of industry experience in SLA Management, Team Management, Client Management, Quality Management, Transitioning; Training and Development, and Medical Summarization and Transcription.

Presently working with Exl Services as Assistant Manager (L4), Claims Summarization, managing teams of medical professionals (starting from hiring, managing; training, and bringing them on board).

Expertise in channelizing professional goals of associates towards organizational goals.

Strong leadership abilities.

Analyzing volume trends by preparing various reports - TAT management, to measure SLAs and work with teams to improve them. Preparing business review decks, collecting data from various sources to prepare monthly goal sheets, preparing simplified dashboards to help make data driven decisions.

Analyzing team data for team appraisals and ratings.

Vast and in-depth expertise in medical summarization – Played a pivotal role in establishing a new medical summarization process. Started from preparing training material developed with help of onshore team over multiple daily calls, preparing process instructions, establishing quality parameters, training medical professionals. Helping project bring from pilot phase to steady phase.

Proficiency in streamlining business processes, defining continuous improvement processes, accelerating employees’ strengths, and building efficient and quality focused teams.

Effective communicator& administrator with problem solving & organizational abilities.

Projects & Ideas

➢ Involved in Utilization project – goal was to Aim for utilization of each employee by reducing technology downtime, idle time, managing breaks.

➢ Efficiency gain project – Cross trained team members to get maximum output.

➢ Automation project – Shared inputs and had multiple sessions with analytical and automation team to help understand requirements to increase process efficiency.

➢ Pursuing LSSGB & BB

Areas of Expertise

SLA Management

Setting out productivity, quality, and TAT standards for various operational areas, ensuring a high-quality customer experience, while adhering to the SLAs and work processes.

Creating awareness for driving the projects and process improvement strategy & methodology, ensuring maximum operational efficiency.

Analyzing performance and providing valuable feedback as well as charting out plans for improvement in quality and service standards.

Team Management/Training and Development

Maintaining daily dashboard for production and accuracy for team; providing timely feedbacks for improvement.

Carrying out appraisals & performance reviews of teams members & providing feedbacks on areas of improvements.

Conceptualizing & developing training plans and modules for developing multi skilled work force for cross utilization within sub processes for optimum efficiency.

Reporting

Collecting data and preparing inventory reports for TAT management.

Analyzing inventory trends weekly.

Analyzing productivity and quality data of team members to make data-driven decisions and identifying improvement areas.

Preparing business review decks of BAU and training teams; present to higher leadership.

Medical Summarization/transcription

Researching medical documents and summarizing them from the point of view of litigation as well as claims adjudication. • Training medical professionals inmedical summarization. • Proofreading&editingmedical records,includingvisual proofreading, electronic spell check, grammarcheck.

Timeline

Assistant Manager Operations

Exl Service
07.2015 - Current

Clinical Operations Associate

Exl Services
03.2009 - 06.2015

Home based Editor

M/s Scriptacom BPO Systems
04.2007 - 11.2008

Final level editor

M/s Indoswift Consultancy
05.2004 - 02.2007

Final level editor

M/s Sar Softech
03.2003 - 04.2004

Final level editor

M/s Brainmass
02.2002 - 02.2003

Final level editor

M/s Heartland
12.1998 - 02.2002

Bachelor of Arts -

Delhi University
07.1995 - 01.1998

Medical Summarization training from EXL - undefined

Medical Transcription training - undefined

Heartland

Diploma - C+ programming

.
Pooja BhattiOps AM (P&C Insurance)