Group Leader in the Reconciliation Unit-analytical specialist
tawuniya
Total years of experience :22 years, 3 Months
1. Monitor staff achievements, perform periodic performance appraisals, and provide guidance or coaching to direct reports in performing their delegated duties
2. Provide Claims & Underwriting analysis in order to assist the department manager.
3. Gather and develop Business Intelligent Reports
4. Analyze and report SBU products' performance.
5. Improve and provide internal and external analysis and trend reports
6. Improve and provide Loss ratio detailed reports and analytical outcome by policy/segments/regions/products etc
7. Improve and provide client performance reports
8. Improve and provide provider deep cost analysis
9. Improve and provide compliance reports
10. Analyze and report financial performance
11. Automate all Unit reports and monitor quality
12. Improve and provide claims deep analysis
13. Improve and provide provider claims cost and trend
14. Improve, automate and analyze SBU Management KPIs and reports
15. Ensure that all direct reports acquire the competencies for effective performance in their roles, through appropriate training and professional development
16. Optimize the use of available resources across the unit in carrying out assigned duties, to ensure work meets agreed standards for timeliness and quality
17. Provide clients with regular reports about comprehensive list of transactions for a particular period
18. Ensure that relevant customer medical information is disseminated to management, providers, clients and members
19. Ensure that all practices gained across the year is developed in manuals and guidelines for future training and knowledge
a) Technical
1. Sharing in needs assessment and ensuring the availability of software, hardware and networks necessary for MIS operations.
2. Maintenance of software and hardware and trouble shooting at TST office and facilities.
3. Ensuring the backing up of data at TST and facilities.
4. Sharing in the preparation of presentations, graphics and designs of brochures.
5. Active participation in staff meetings providing colleagues with updates on performance.
b) Training
6. Participating in the training of software users at facilities.
c) Administration
7. Keeping accurate records of HSRP documentation in respect of computer maintenance and contracts.
d) Other
8. Acting as a team leader for processing bidding procedures related to the information systems of Alexandria, Menoufeya and Sohag governorates (total of 7303 computers and 2083 printers in addition to network requirements).