Suresh Uppada

• Responsibilities of operations TL/Domain Trainer:
  Training: Taking responsibility for training new team members until they are proficient in their roles, including aspects related to production quality.
• Audit Reports: Reviewing audit reports generated by the team and providing feedback based on identified errors or areas of improvement.
• Daily Huddles: Conducting daily meetings to discuss updates and review the team's quality scores from the previous day.
• Error Analysis and Prevention: Sharing error analysis findings with the team and developing preventive plans to minimize future errors. This could involve utilizing tools like 5 Whys (5Y's), Corrective and Preventive Action (CAPA), and Root Cause Analysis (RCA).
• TAT Report: Creating and sending Turnaround Time (TAT) reports on a weekly basis to the Account Manager (AM).
• Process Knowledge Transfer (PKT): Conducting Process Knowledge Transfer sessions on a monthly basis to ensure team members are updated on any new processes or procedures.
• Floor Support: Assisting team members on the production floor with any process-related queries or issues they may encounter.
• Attendance Tracking: Sending daily attendance reports of the team to the Manager to ensure accurate record-keeping.
• Motivation: Providing daily motivation during huddles to keep the team focused on meeting daily targets and maintaining high quality standards.
• Leave Management: Managing and tracking the leave requests of team members using a leave tracker system.
• Rebuttals and Client Errors: Sending rebuttals for any client errors identified by the team and following up on their status.
• Reporting: Consolidating the team's production and quality reports and sending them to the Manager on a daily basis.
• Client Communication: Attending scheduled client calls at least twice a week to discuss project status, address any client concerns or queries, and ensure alignment between client expectations and the team's deliverables.

• Training New Batches: Providing training to new batches of team members to ensure they understand their roles and responsibilities effectively.
• Audit BV Details: Checking the status of assigned accounts periodically, possibly referring to Business Value (BV) audits, to ensure compliance and quality standards are maintained.
• Daily Team Huddle: Conducting a team huddle at the start of each day to discuss priorities, goals, and any important updates.
• Updating on Internal Errors: Providing the team with updates on any internal errors or issues that need attention on a daily basis, fostering transparency and awareness.
• PKT (Process Knowledge Transfer): Conducting Process Knowledge Transfer sessions with the team on every Friday to ensure they are informed about any new processes or updates.
• Client Interaction and Training: Acting as a Point of Contact (POC) between the client and the team, especially for new batches, and providing training as necessary to ensure alignment with client requirements.
• Refresh Trainings: Providing refresher trainings to existing team members to reinforce knowledge and skills, ensuring ongoing competence.
• Call Monitoring and Feedback: Listening to calls made by team members, providing feedback where necessary to improve performance and maintain quality standards.
• Process Support: Assisting the team with any process-related queries or challenges they encounter, offering guidance and support as needed.
• Weekly Production QA Reports: Compiling and sending weekly production Quality Assurance (QA) reports to the Manager, providing insights into performance and areas for improvement.

Responsibilities:

• Worked for Enrollment process, enrolling the Group's
  Subscribers, Including dependents on with applicable plans on Facets.
• Analyzing the details given in the application, like Address, Names, Plans etc.
• Make sure to enroll the Group with proper information Error free.
• Claim: Worked for claim adjudication team on legacy Facets platform.
  Paying the claims based on BS (Benefit summary).
• Medical claims, Preventive claims, Drug claims, Hospital claims.
  Took responsibility of QA internally on August 2016 for the entre team of 36 members.
• Promotions: Got promoted as SME on April 2018.

Responsibilities :

• Worked for a that process, explaining the bill to customers
  and clarifying their issues about the bills, and informing about all available.
• Promotions on the account to the customer and up-selling for the same products.
• Achievements : Announced as a best trainee in training period, achieved
  100% on all internal exams 150% quality in production.

Responsibilities :

• Worked for billing team, as per the health plan policy use
  to pay the Provider bills on the basis of policy deductibles coins, handled the medical claims, Hospital claims, Vision claims, Drug claims.
• Achievements : Announced as a best trainee in training period,
  On 01/09/2013 Took the responsibility of doing reprice the all claims for entire team of 93 members