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Medicare/Medicaid/ Claims( Healthcare) - Supervisor/Lead

Capgemini Invent El Paso, TX
  • Expired: September 08, 2016. Applications are no longer accepted.

About Capgemini A global leader in consulting, technology services and digital transformation, Capgemini is at the forefront of innovation to address the entire breadth of clients' opportunities in the evolving world of cloud, digital and platforms. Building on its strong 50 year heritage and deep industry-specific expertise, Capgemini enables organizations to realize their business ambitions through an array of services from strategy to operations. Capgemini is driven by the conviction that the business value of technology comes from and through people.

It is a multicultural company of over 200,000 team members in more than 40 countries. The Group reported 2018 global revenues of EUR 13.2 billion. Visit us at

People matter, results count. Click the following link for more information on your rights as an Applicant - for Team Leader with minimum experience for 4-5 years in US Health Care domain and managing large teams. End to End understating to various health care products and plans.

He will be responsible to provide training for new Hires general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims. Work Exposure in: BPO, Customer Service, Payer Operations Productivity & Quality Management: Should be able drive daily task handling through various form & medium of communication, written and/or verbal, phone, email, chat, web forms, and social communications, as well as self-service support sites. S/he should be able to drive the quality, productivity targets with team(s) & defined timelines to ensure Service Level Agreements (SLAs) and ensure there is no penalty due to miss in SLA's.

S/he should ensure accuracy in the reports submitted. Demonstrate analytical capabilities while performing tasks. Should adhere to established policies, procedures, and compliance which result in a satisfactory audit rating.

Process Management: Maintain performance and deliver as per the process metrics and should be able to work and deliver under pressure and contribute towards process improvement in the projects. Supporting the batch when they are released from training to transaction. Helping new batches in their learning curve.

Perform Root Cause Analysis for all the critical misses, and effectively handling escalations, providing regular feedbacks to help them to perform better Running programs for outliers on the production floor so that they can meet the production and quality targets. Specialized/Practical Knowledge Minimum 4-5 years Exp in US Health Care Strong experience in People Management and experience in managing large teams Full time Bachelor's degree/Diploma from an accredited institute (Any Graduate (Non -Technical/Technical) Work Exposure in: BPO, Customer Service, Payer Operations Excellent grasping powers able to understand the various processes. Team player with excellent verbal and written communication skill.

Should have working knowledge of Microsoft Office skills (excel in particular). Willing to work in 24/7 environment and sign a service agreement as per company norms. Ability to work in flexible work schedule, including holidays & weekends.

KNOWLEDGE, SKILLS AND ABILITIES Should be committed and focused to succeed under challenging work environment Should be able to adapt with the changes in the processes and updates in a dynamic process. Strong numerical skills and a positive "Can do" attitude combined with strong attention to detail and an awareness of current market issues. Should take up necessary trainings to enhance one's skills and demonstrate interest in learning about self.

Should ensure there are no competency gaps in the current role through on the job training, mentoring or external trainings. Should develop skills in specific technology area / domain through certification S/he should seek feedback on one's performance and uses that feedback to grow Open for working in high pressure environment. All prospective employees must pass a thorough background check prior to joining and reference checks prior to offer.

Customer Service Associate/Customer Care Representative Analyst Entry level Agent Subject Matter Expert * Strong business sense and healthcare industry preferred Request you to send your resume to

Capgemini Invent


El Paso, TX