Sridhar Cheripally
Claims Manager
Hyderabad
Summary
Having 15+ years of experience in US claims adjudication, client handling & TPA's.
Dynamic executive experience in fast paced environment demanding strong organizational, technical, and interpersonal skills.
Motivational management style with a record of building highly motivated teams by fostering an atmosphere that encourages highly talented professionals and mentoring staff to achieve full potential.
Recognized for reliability and “getting the job done” through persistence and strong work ethics. Innovative professional with proven ability to ensure quality work by identifying, analyzing, and solving problems with thorough understanding of problem-solving tools and techniques.
Excellent communication skills and a professional performer.
Unique combination of creativity and analytical skills with high aptitude and detail orientation. Confident and poised in interactions with individuals at all levels.
Well disciplined with proven abilities to manage multiple assignments efficiently while meeting deadline schedules.
Overview
19
19
years of professional experience
Work History
Claims Manager
GBG India Services Pvt. Ltd
Hyderabad
01.2011 - Current
- Entrusted with the responsibility of managing customer service to clients with issues & queries; build cordial relationship with clients and facilitate them using company services in better way.
- Responsible for achieving SLAs in terms of Quality/Productivity/Escalations/Reporting SLA's, analysis on deliverables such as the Turn Around Time, Customer Satisfaction etc., as agreed with the client.
- Carrying out a detailed time & motion study and suggesting the delivery excellence/solutions team regarding the production targets; suggested and implemented process improvements that helped deliver better and predictable quality results.
- Identify and update regarding underperformers, process backlogs & any other performance loopholes and work out for improvements and advise strategic quality on what are the automations that can be done on the application.
- Accountable for capacity planning, shift wise staffing for the team, based on volume trends and client targets, handling feedback mechanism for the team on quality and weekly performance.
- Analyzing the agent utilization metrics to identify loopholes in time and resource utilization.
- Conceptualized project improvement initiatives by identifying and tracking high risk areas, implementing risk mitigation and contingency plans as needed.
- Conducted calibration sessions for the quality team members to ensure all of them are following same guidelines and minimize difference of opinion.
- Initiated various team building activities, ensuring that the team is highly motivated; conducted appraisals and gave feedbacks on timely manner.
- Developed trainers & subject matter experts within the teams.
- Involved in documenting standard operating procedures, MIS generation & submission and presentation preparations and compilation of key information to monitor the daily performance of the teams.
- Initiated best practice sharing calls with the client on a Weekly Basis to ensure that the knowledge gap is reduced.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Conducted interviews on a regular periodic intervals.
Process Lead - Configuration
Core Tree Solutions Pvt. Ltd
Hyderabad
11.2008 - 12.2010
- Heading claims team consists of process examiners, auditors, repricing analysts, SMEs & supervisors.
- Recording and monitoring transaction volumes.
- Setting targets and assignment of claims processing and training and updates.
- Monitoring quality standards Identifying opportunities for better processing.
- Monitoring training and process clarifications in case any.
- Having direct interactions with client over Telephonic conferences held on periodic cycle.
- Generating reports day-to-day and monthly basis.
- Monitoring high dollar claims volume and checking aging & completion.
- Working with functional managers to obtain necessary resources to support team's requirements.
- Recognizing and celebrating team member accomplishments and exceptional performance.
- Conducting weekly meetings on quality issues and providing strategic solutions.
- Recognizing and acknowledging team's contributions and ideas for process improvements.
Team Leader
Maven Corp Pvt. Ltd.
Hyderabad
08.2004 - 09.2008
- Successfully worked on different platforms of claims adjudication from USA, which generated immense praises and acclaims from the client and the employer.
- Accomplished all target goals by identifying and tracking high risk areas, by implementing risk mitigation early and contingency plans as needed, through proof-of- concept prototyping and by maintaining constant communication with program/project stakeholders.
- Was instrumental in reducing backlogs by identifying areas of high input and implementing counter measures. Received the Star of the Month Certification from the organization.
- Assisted in recruitment of new team members, hiring highest qualified to build team of top performers.
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
Education
B. COM - Accounting
Honours Diploma in Software Engineering -
Skills
Windows, MS-Office (Word, Excel, power point) & Internetundefined
Additional Information
- Date of birth: 10th July
- Passport No#: B15988884/H9210312/U5663736
- Visa Holding: B1/B2 Visa - 10 Years Multiple Entries
- Date of Visa Issue: 12/01/2018
- Date of Visa Expiry: 09/01/2028
Timeline
Claims Manager - GBG India Services Pvt. Ltd
01.2011 - Current
Process Lead - Configuration - Core Tree Solutions Pvt. Ltd
11.2008 - 12.2010
Team Leader - Maven Corp Pvt. Ltd.
08.2004 - 09.2008
Osmania University - B. COM, Accounting
Aptech Ltd - Honours Diploma in Software Engineering,
Similar Profiles
Randhir Kumar PrasadRandhir Kumar Prasad
Stacker at Engineering and Allied Services Pvt. Ltd, Lift & Shift India Pvt. Ltd, Roadwings International Pvt. Ltd, Western Carriers India Pvt. Ltd, Tractor India Pvt. Ltd, Transworld Terminal Pvt. LtdStacker at Engineering and Allied Services Pvt. Ltd, Lift & Shift India Pvt. Ltd, Roadwings International Pvt. Ltd, Western Carriers India Pvt. Ltd, Tractor India Pvt. Ltd, Transworld Terminal Pvt. Ltd
Viraja ParanjapeViraja Paranjape
Associate Director, Financial Risk Remediation at UBS Business Solutions (India) Pvt. Ltd. (Erstwhile Credit Suisse Services (India) Pvt. Ltd.)Associate Director, Financial Risk Remediation at UBS Business Solutions (India) Pvt. Ltd. (Erstwhile Credit Suisse Services (India) Pvt. Ltd.)
Maxy D’silvaMaxy D’silva
Risk Analytics and Solutions at UBS Business Solutions India Pvt. Ltd. (Credit Suisse Services India Pvt. Ltd.)Risk Analytics and Solutions at UBS Business Solutions India Pvt. Ltd. (Credit Suisse Services India Pvt. Ltd.)
Prakash GadhamsettyPrakash Gadhamsetty
Assistant Consultant at Tata consultancy services limitedAssistant Consultant at Tata consultancy services limited
Chemicala Harshitha ReddyChemicala Harshitha Reddy
Associate Software Developer at SID Global SolutionsAssociate Software Developer at SID Global Solutions