Subject Matter Expert
Send a job offer directly to this candidate
Accomplished Claims Adjudication Subject Matter Expert (SME) with 9+ years of experience. Proven ability to lead, mentor, and drive a 15-member team to achieve Service Level Agreements (SLAs) through expert claims analysis, performance management, and adherence to all insurance standards
Ensured all client Service Level Agreements (SLAs) were consistently met, specifically focusing on maintaining optimal Turnaround Times (TAT).
Communicated all essential client updates, policy changes, and procedural modifications to the team in a timely manner.
Maintained and analyzed team statistics on production, quality, aging, attendance, and subject knowledge, presenting comprehensive reports for management review.
Compiled daily performance reports to track key metrics and support ongoing associate feedback.
Delivered targeted refresher training to associates to address performance gaps and conducted client-specific training for new hires.
Organized team-building events and morale-boosting activities to maintain a positive work culture.
Bharathidasan University, India