Sujith H S

Project Management and Transition:

• Successfully scaled a team: Managed a significant team expansion from 10 to 89 members during a major project transition.
• Microsoft Smartsheet: Use of Microsoft Smartsheet for our daily stand ups and sprint assigning
• Delivered complex projects: Played a key role in transitioning 3 processes involving 64 FTEs and 4 smaller projects with 15 FTEs.
• Agile methodology and Visio: Implemented agile practices along with Visio flow charts for efficient project execution.
• Stakeholder Engagement: Actively engaging stakeholders, project managers and transition managers can build trust, minimize resistance, and foster a collaborative environment that contributes to a smooth and successful outcome.

Operational Efficiency and Improvement:

• Process Improvement and optimization: Championed a white belt project that increased process utilization by 16%, demonstrating a data-driven approach to improvement.
• SLA adherence: Ensured adherence to Service Level Agreements (SLAs) through effective management.
• Risk mitigation: Proactively identified and addressed potential project risks, minimizing negative impacts.

Team Leadership and Development:

• Effective day-to-day operations: Managed team tasks, handled escalations, and addressed team management issues.
• Resource allocation: Optimized resource allocation to ensure timely project completion while maintaining quality standards.
• Knowledge sharing: Fostered professional development within the team by conducting workshops and seminars.
• Cross-functional collaboration: Facilitated seamless information exchange between departments, promoting effective teamwork.

• Taking one of one along with TL and effective career pathing
• To ensure that SLA regarding Accuracy and TAT is met on day-to-day basis
• Preparing decks for weekly, bi-weekly and monthly review with client
• Good knowledge on creating excels macros or visual basic application (VBA)
• Responsible for preparation of Operations Reports for internal stakeholder or management through excel and presenting in PPT for review
• Assisting team in terms taking web ex sessions with clients for smooth transition of new business
• Handling any escalations/queries sent by the Client regarding process and providing appropriate response on timely basis
• Prioritizing work which needs to assigned to staff
• Preparation of first confirmation on billing and also monthly billing
• Processing of Healthcare claims
• Trained on system like NASCO and Star for effective claim processing
• Processed claims for plans like HMO, EPO, PPO and Secondary Medicare Claims
• Cross trained on Claim policy to check if claim can processed and paid or denied
• Cross Trained on Data Entry for NASCO platforms
• Processed other claims like Host and Home claims.