Skill required: Claims Services - Claims Administration
Designation: Delivery Operations Senior Analyst
Qualifications:BBA/BCom/Bachelor of Arts
Years of Experience:5 to 8 years
Language - Ability:English(Domestic) - Intermediate
About Accenture
Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song— all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 784,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com
What would you do Team Lead is responsible for managing a claims processing team, ensuring operational performance, quality, productivity, and employee development Lead and manage a team of approximately 15-20 Claims processors. Allocate work and balance workloads across team members. Monitor daity production and ensure service levcl commitments are met. Act as the first point of escalation for claim processing issues. Provide processing support during high-volume periods. Ensure claims are processed accurately and in compliance with client Medicare, and organizational guidelines. Conduct quality reviews and provide feedback to team members. Identify quality trends and implement corrective actions. Set performance expectations and monitor productivity. Conduct coaching sessions and performance reviews. Develop action plans for performance improvement Recognize and reward high performers. Manage attendance, adherence, and employee engagement. Prepare and review operational reports and Track KPls.
What are we looking for Healthcare claims adjudication knowledge (Medicare/Commercial/Medicaid) Leadership and people management Analytical and problem-solving skills workflow and workload management Communication and stakeholder management Reporting and data analysis Quality and compliance management Microsoft Office proficiency Healthcare claims processing, Blue Cross Blue Shield experience
Roles and Responsibilities:
- In this role you are required to do analysis and solving of increasingly complex problems
- Your day to day interactions are with peers within Accenture
- You are likely to have some interaction with clients and/or Accenture management
- You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments
- Decisions that are made by you impact your own work and may impact the work of others
- In this role you would be an individual contributor and/or oversee a small work effort and/or team
- Please note that this role may requires you to work in fixed shifts i.e. US Shift (India evening shift)
