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.

The role of an associate is to contribute to the overall team performance and profitability by implementing action plans which in return will improve and maintain client satisfaction.Job title:

Process Consultant-Operations:

Education: Any Graduate

Experience:1-2 Years Claims Administrations - Voice Experience

Roles & Responsibilities:

- Possess basic knowledge of Claims Administrations - Non Voice

- Good reasoning and analytical skills

- Able to communicate fluently in the language required for the function/location

- Active listening skills

- Passion to learn

- Influencing skills

- Ability to comprehend the employee requirement well

- Adhere to attendance and punctuality norms

- Acquiring knowledge & skills of related areas of the process

- Processing claims/developing projects/handling calls, as per the process guidelines

- Understands, knows, and interprets different complex scenarios and is able to resolve all assigned tasks

- Adhering to the SLA,



and understanding Quality & Auditing parameters

- Meeting assigned productivity goals

- Understanding and adhering to quality standards

- Meeting TAT

- Mentor & coach new members of the team based on requirement

Mandatory Skills

- Exceptional interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills.

- Proficiency with the necessary technology, including computers, software applications, phone systems, etc.

- Ability to understand basic data and take appropriate action.

- Ability to drive individual and team efficiency and productivity through effective and efficient metric management.

- Ability to coach, train, and motivate employees and evaluate their performance.

- Ability to strategically lead and develop team towards improved performance.

- Ability to delegate and manage work loads and projects across functions within the organization.

- Ability to problem solve, handle conflict, anticipate issues/concerns, troubleshoot problems, and proactively institute creative solutions.

Preferred Skills

- US health care (ERISA/HIPAA/State Mandates)

- Process SLA

- Awareness of ISO, ISMS

- Telephone etiquettes

- MS office

- Typing skills & computer skills

- Effective communication in English

- Positive analytical skills

- Comprehending ability

Location:

BLR, Surya Wave BuildingIndia

📌 Process Consultant-Operations (India)
🏢 Sagility
📍 India