- Responsible for answering real-time questions and inquiries from outsourcing vendors and to day communications/coaching with outsourcing vendors via office communicators, and video conference
- Attend all relevant bi-weekly meetings to support the vendors and clients related to entry, adjudication and UMRP services
- Update and maintain relevant confluence knowledge database to reflect current and accurate processes as it relates to claim entry, adjudication and UMRP
- Maintain SLA's in FreshDesk ticketing systems to ensure prompt responses and high-quality standards
- Monitor relevant SLA's and work to create action plans where possible
- Manage SharePoint database library and google drive where applicable
- Oversee Mail-In Scans daily transfer from SFTP, UMRP file transfers and all other document transfers as it relates
- Drive standardization into day-to-day functions which include updating and amending processes, UMRP processes approval matrix and data entry instructions
- Review UMRP cases/tickets, provide UMRP admin services & work with UMRP outside vendors to deliver to client contracts
- Bilingual (French and English) - other languages are considered an asset
- Strong interpersonal and communication skills
- Strong attention to detail
- Operates with a high degree of integrity
- Knowledge of MS office suite
- Reliable, team player
- Ability to assess data analytically and obtain a foundational understanding of programs
- Reviews tasks at hand with an analytical lens to realize operational efficiencies
- Understanding of 360 platforms and business offerings
Operations Specialist - Moncton, Canada - 360insights
Description
Description
Base salary CAD $42,500 - $47,500*
Plus Bonus, Equity & Benefits
Pay transparency
Our salary ranges are determined by role, level, and location. The range displayed on our job posting reflects the minimum and typical maximum target for new hire salaries for the position, it does not reflect the maximum salary for the role over time. Within the range, individual pay is determined by job-related skills and experience demonstrated during the interview process.
What you will be doing:
The Operations Specialist is responsible for supporting the day-to-day operations of offshore operations partners and is the first point of contact. The Operations Specialist consistently communicates with outsourced vendors to provide guidance and support and answer real-time inquiries. They partner with Client Success, Programs, Implementations, and other internal business partners as they relate to Claim Entry, claim Adjudication activities, closely monitors trends, and identifies issues while looking at problems with a solution lens and continuous focus on innovation.
What you'll bring to this role: