Engagement Manager – Claims

SUMMARY

The Engagement Manager will be responsible for exceeding client expectations through superior implementation, delivery and management of technology products and solutions.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Play an active role in managing project goals and driving teams to achieve customers’ business outcomes by managing issues, risks, decisions, and action items
  • Plan, organize, and manage all phases of a project lifecycle to ensure successful delivery- including the development and management of project governance plans, project schedules, and team goals in addition to defining success criteria, project milestones, and budgets
  • Collaborate with operation managers, training, and support teams to understand our customer’s needs, their business, how success is defined, and ensure that expectations are exceeded in the delivery and development of valued solutions
  • Determine operational requirements and assists with development and implementation to meet the business requirements
  • Provide departmental performance and utilization data to analyze operations
  • Ability to take ownership, work under pressure, and meet deadlines on time
  • Challenge, recommend and redirect teams as well as manage client expectations during the engagement- taking proactive steps to ensure teams meet or exceed customer expectation
  • Assist with developing and implementing yearly departmental goals and objectives
  • Prioritizes work activities and stay organized to meet commitments
  • Prepare and present business delivery reports when required
  • Represent the company to promote its value statement in meetings with potential clients
  • Guide supervisors and employees in the interpretation of departmental and company policies and procedures

QUALIFICATIONS 

  • Graduates or Postgraduates. with a minimum of 12-15 years of work experience in US Health care Insurance Domain

EDUCATION and/or EXPERIENCE

  • Excellent communication skills both verbal and written
  • Interpersonal, communication, and analytical skills
  • Expert Knowledge of Microsoft Office applications (Word, Excel and PowerPoint)
  • Experience of team handling and reporting
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily

LANGUAGE SKILLS

  • Good English comprehension, verbal, and written skills
  • Medical science knowledge to comprehend medical reports

MATHEMATICAL SKILLS:

  • Ability to add, subtract, multiply, and divide in all units of measure
  • Using whole numbers, common fractions, and decimals
  • Ability to compute rates, ratio, and percent
  • Ability to draw and interpret bar graphs

SOFT SKILLS COMPETENCIES:

  • Customer service skills
  • Integrity and honesty
  • Oral communication
  • Motivation
  • Organizational and planning skills

REASONING ABILITY

  • Good English comprehension and analytical skills
  • Excellent problem-solving skills with an eye for detail

WORK ENVIRONMENT

  • Open to work 24/7 with mandatory US timings and night shifts
  • Ready to handle work pressure and ensure deliverables within timelines

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit. The employee frequently is required to use hands and fingers to handle, feel and reach with hands and arms. The employee is occasionally required to type, talk, and hear simultaneously. The employee must regularly lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, and ability to adjust focus.