
Kanivazhagan Marimuthu
Healthcare
About Kanivazhagan Marimuthu:
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
Experience
- Managed a team of 15 members, overseeing daily operations and workflow distribution.
- Conducted daily team huddles to communicate updates, address immediate challenges, and align team priorities.
- Provided regular, constructive feedback to associates to enhance production, quality scores, and the management of aging claims.
- Established clear Key Performance Indicators (KPIs) for all associates and monitored progress to ensure successful achievement.
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.
Education
Bachelor Degree (Computer Science)
Bharathidasan University, India
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