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:
Job Description:
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
Good analytical skills
Comprehending ability
Location:
Skills Required
- Any Graduate
- 1-2 years Claims Administration (voice) experience
- Basic knowledge of Claims Administration - Non Voice
- Fluent communication in the language required for the function/location
- Active listening skills
- Interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills
- Proficiency with computers, software applications, and phone systems
- Ability to understand basic data and take appropriate action
- Ability to coach, train, motivate employees and evaluate performance
- Ability to delegate and manage workloads and projects across functions
- Adherence to attendance and punctuality norms
- Meet productivity goals, SLA, TAT, and quality & auditing parameters
- Mentor and coach new team members as required
- US healthcare knowledge (ERISA/HIPAA/State mandates)
- Process SLA awareness
- Awareness of ISO, ISMS
- Telephone etiquette and typing/computer skills
- Effective communication in English, good analytical and comprehending ability
What We Do
Sagility is a technology-led healthcare operations and business process optimization partner serving payers and providers. It combines healthcare expertise with artificial intelligence, intelligent automation, analytics, cloud platforms, consulting, and BPaaS to streamline claims, membership, clinical, payment-integrity, provider-network, and revenue-cycle workflows across the healthcare ecosystem. Its goal is to reduce administrative costs, improve member and provider experiences, and support better clinical and financial outcomes.
