EXL

Analyzes business data and runs outsourced operations

Senior Executive

Internal Audit & ControlsConfirmed live in the last 24 hours

Full-timePasay, Metro Manila, PhilippinesNo salary listed

About the Job

Requirements

Have at least 3 years of Quality Assurance experience.
Have no attendance issues for 6 months, with reliability and Quality Assurance scores of 97% or higher.
Have no disciplinary actions in the last 3 months.
Be willing to work from the office 100%.
Be proficient in written and spoken English.
Have advanced reporting and storytelling skills.
Have intermediate-to-advanced knowledge of Microsoft applications.
Have critical-thinking and problem-solving skills.
Have extensive knowledge of the Life Insurance and Annuities industry and processes.

Responsibilities

Track process transactions and implement sampling methodology.
Audit client clinical claims review functions according to process guidelines.
Provide event-based and frequency-based feedback to stakeholders.
Communicate case consultations to the Quality Management team internally and at the client level.
Assist operations in identifying training needs and process-level issues that can improve performance.
Ensure the rebuttal process is followed, including calls with client supervisors and managers on both the quality and operations sides.
Participate in monthly inter-rater reliability tests to ensure process calibration.
Attend internal and client-level team meetings, reporting quality trends and other client-requested data, and discussing workflow, policies, procedures, and initiatives.
Brief new agents joining the process and explain how the quality function operates within it.
Assist with preparing quarterly, monthly, and annual quality reports.
Establish effective rapport with clients and stakeholders.

Track process transactions and implement sampling methodology

Audit client clinical claims review functions per process guidelines

Providing event-based and frequency-based feedback to stakeholders

Communicate case consults to Quality Management team both internally and client level

Assisting operations in identifying training needs and process level issues that can help improve performance

Ensure that rebuttal process is followed. This includes calls with client supervisors and managers both on quality and operations side

Participate in monthly inter-rater reliability tests to ensure process calibration

Attend team meetings both internal and client level. This includes reporting quality trends and other client requested data, discussion of workflow, policies, procedures and initiatives

Brief new agents joining the process and explain how the quality function operates in the process

Assist with preparation of quarterly/monthly/annual quality reports

Establish effective rapport with clients and stakeholders

Eligibility

No Attendance issues for 6 months (97% Reliability and QA Score of 97% & above)
No Disciplinary Actions from the last 3 months
With minimum of <3 years of Quality Assurance experience
Must be willing to work from office 100%

Skillset

Must be proficient in English oral and written communications
Must have advance skills in reporting and story telling
Must have intermediate to advance knowledge on Microsoft Application
Must possess critical thinking and problem-solving skills

Must have extensive knowledge of the Life Insurance and Annuities industry/processes