Achievement-oriented Third Party Administrator professional with 9+ years diversified experience in operations management, provider network management and Insurer management
Performance reporting, highly motivated, self-starter with diversified experience, good presentation skills and multi-tasking
Proactive manager with demonstrated leadership abilities, strategic planning expertise and problem-solving acumen.
Assists senior managers with accomplishing demanding targets by encouraging staff and coordinating resources.
Methodical and well-organized in optimizing coverage to meet operational demands.
Boosting productivity and streamlining procedures for organizations. Focused on smoothly overseeing financial, personnel and operational facets. Expertly balanced targets with resources and optimized long-term success.
Excellent leadership skills in working with both the internal and external teams
Overview
27
27
years of professional experience
5
5
Languages
Work History
Deputy Manager
Family Health Plan TPA PVT LTD
Hyderabad
05.2022 - 10.2023
Managed the provider's claims payments pending by clearing outstand.
Analyzing insurer payment errors and work to miniscule the errors.
Liaised with team members, stakeholders and vendors to coordinate activities, provisioning, environment setup, risk mitigation and follow-up.
Attended client meetings and working towards the target set by them to achieve SLA
Conducting team meetings, taking new initiatives, organizing, planning, and implementing to improve the process
Performed the tasks of monitoring, organizing, and coaching the team on a daily/weekly/monthly basis
Created reports and analyzed and interpreted data.,setting teams KRAs, involved in hiring new candidates.
Introduced new methods, practices, and systems to reduce turnaround time.
Assistant Manager
Mediassist Insurance TPA PVT LTD
Bangalore
07.2014 - 05.2022
Managed centralized pre authorization team with excellent turn around time.
Handled email support for top corporate and maintained good service level agreement
Awarded Employee of the year award during 2015-2016 for significant contributions towards organization
Generating reports, scheduling shift roaster as per the forecast volume,shift rationalization to better support assembly line for seamless movement to next stages
Launched quality assurance practices for each phase of development
Recognized staff for contributions to company success to foster engagement and increase productivity.
Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
Assistant Unit Manager
Mphasis India PVT LTD
Bangalore
04.2013 - 05.2014
Team Management - Supervising and managing a team of agents, including their performance, productivity, and adherence to business regulations and procedures
Performance Monitoring - Maintain and evaluate individual and team performance metrics such as quality scores, average handle time, customer satisfaction ratings and sales targets.
Coaching and Training - Team Members need constant coaching, monitoring and training to enhance their skill set, product knowledge and customer service capabilities.
Work Allocation -Assigning tasks, projects and client assignments based on each team member's skill set and workload capabilities
Conducting team meeting, taking new initiatives, organizing, planning and implementing, conducting pre - post shift huddles.
Conducted training and mentored team members to promote productivity, accuracy, and commitment to friendly service.
Team Leader
Genisys Information Systems India PVT Ltd
Bangalore
06.2011 - 09.2012
Managed the daily operations of organization,specify the team's goals and key performance metrics.
Assigning tasks and goals, and make sure they do them daily, weekly, and monthly.
Coaching and monitoring the team to achieve the given target of the organization
Generating performance reports and set targets for the team members
Handling escalation calls and email, Preparing team roster as per the predicted volume
Call Queue Monitoring, Floor walking, Briefing updating new updates to the team members generating reports
Conducting regular one-to-one.
Team Leader
Allsec Technologies Pvt Ltd
Bangalore
08.2009 - 12.2010
Coaching and monitoring the team to achieve the given target of the organization
Call Queue Monitoring, Floor walking, Briefing updating new updates to the team members generating reports
Conducting team meeting, taking new initiatives, organizing, planning and implementing, conducting pre - post shift huddles.
Conducted training and mentored team members to promote productivity, accuracy, and commitment to friendly service.
Generating daily reports and set targets of team members as well as ensuring that they meet the targets
Random call barging and train the team on improvements areas to maintain good quality
Handling escalation calls and email,preparing team roster as per the predicted volume.
Customer Care Executive
Mphasis, MsourcE India Pvt Ltd
Bangalore
02.2006 - 07.2009
Performing the task of handling customer calls regarding requests for services and products
Handling responsibilities of troubleshooting issues on the products and services to meet customer satisfaction
Document all calls about participant inquiries accurately using relevant applications
Responsible for preparing customer lists and feedback and updating the same to the team leader
Perform the tasks of conducting training sessions for new joiners.
Proprietor
R.R Cyber Café
Bangalore
09.2001 - 12.2005
Maintaining customers in & out register
Daily, weekly, and monthly account maintenance
Installing Software/Applications and hardware maintenance.
Site Engineer
Proficient Engineering Company
Bangalore
01.1997 - 05.2001
Executing overall scheduling and specific planning work,coordinating/meeting with contractor and Raising quotation for the required material
Inspecting completed work done, assigning rework if not met the specific standard as per client requirement
Responsible for the Project completion within schedule, meeting budget, meet the quality standard
Maintaining daily attendance/OT register and distributing work.
Education
Diploma - Electrical Engineering
L. V. Polytechnic
Hassan
04.1993 - 1996.04
Pre University Collage - PCMB
Kalpatharu College of Science
Tiptur
01.1991 - 1992.10
B.A - Hindi
Karnataka Hindi Mahila Seva Samithi
Banglore
01.1992 - 1993.03
Post Diploma in Computer Engineering - Computer Engineering
LRDE
Bangalore
01.1997 - 1998.01
High School - Secondary Education
Basvarajendra High School
Arsikere
04.2001 -
Skills
Operations management
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Timeline
Deputy Manager
Family Health Plan TPA PVT LTD
05.2022 - 10.2023
Assistant Manager
Mediassist Insurance TPA PVT LTD
07.2014 - 05.2022
Assistant Unit Manager
Mphasis India PVT LTD
04.2013 - 05.2014
Team Leader
Genisys Information Systems India PVT Ltd
06.2011 - 09.2012
Team Leader
Allsec Technologies Pvt Ltd
08.2009 - 12.2010
Customer Care Executive
Mphasis, MsourcE India Pvt Ltd
02.2006 - 07.2009
Proprietor
R.R Cyber Café
09.2001 - 12.2005
High School - Secondary Education
Basvarajendra High School
04.2001 -
Post Diploma in Computer Engineering - Computer Engineering
LRDE
01.1997 - 1998.01
Site Engineer
Proficient Engineering Company
01.1997 - 05.2001
Diploma - Electrical Engineering
L. V. Polytechnic
04.1993 - 1996.04
B.A - Hindi
Karnataka Hindi Mahila Seva Samithi
01.1992 - 1993.03
Pre University Collage - PCMB
Kalpatharu College of Science
01.1991 - 1992.10
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