Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Specialist-Quality
Job Description:
- Provide day-to-day leadership support to supervisors and assists with CPI and KPI requirements.
- Participate in day to day Claims meetings to introduce and/or create action plans based on account requirements
- Identify areas of process improvement and work effectively within the organization to implement resolutions on a timely basis. Areas for improvement should be targeted at increasing client satisfaction and/or company profitability.
- Oversee necessary enhancements to client programs or servicing therein. This may include areas such as staffing, training, attendance and quality. .
- Responsible for service quality for all work performed by his/ her employees. Ensure support is provided to front line employees (SMEs, Producers, Lead Operators)
- Coordinate with Manager Claims to balance needs of individual teams with needs of the entire organization.
- Promote teamwork and cooperative effort.
- Help train and provide guidance to other Supervisors and CSRs within the organization.
- Maintain a clean, safe, and unobstructed work area, and practice positive safety habits.
- Provide internal and external customers with the highest quality service.