Firoj Khan

Experience

1. Quality Executive

   Coforge

   Dec 2020 — Present · Gurugram, IN

   As a Quality Executive at Coforge, primary responsibility is to ensure the accuracy and compliance of claims processed by the operations team. Acting as a Subject Matter Expert (SME), perform audits on claims, verifying their completeness and adherence to company policies and industry regulations.Key Responsibilities:Claims Auditing: Conduct thorough audits of claims processed by the operations team to verify accuracy, completeness, and compliance with established guidelines. This includes reviewing supporting documentation, validating data entries, and cross-referencing against relevant policies and regulations.Feedback and Coaching: Provide timely and constructive feedback to the operations team regarding any errors, discrepancies, or areas for improvement identified during the audit process. Offer coaching and training as needed to enhance individual and team performance.Quality Assurance: Develop and implement quality assurance measures, including the creation of audit checklists, evaluation criteria, and performance metrics. Continuously monitor and evaluate the effectiveness of these measures, recommending improvements to enhance overall claim processing quality.Compliance Monitoring: Stay updated with industry regulations, policies, and best practices related to claims processing.Team Management: Lead and manage a team of 15 individuals responsible for processing claims. Set clear performance expectations, provide guidance, and foster a culture of continuous improvement. Conduct regular performance evaluations and encourage professional growth within the team.Process Optimization: Identify process inefficiencies and suggest process enhancements to optimize claim processing workflows.Reporting and Analysis: Generate regular reports on audit findings, performance metrics, and quality assurance results. Analyze trends and patterns to identify root causes of errors, recommend corrective actions, and track progress towards quality objectives.

Education

• Dyal Singh College (Evening)

  Bachelor of Arts - BA

  2014 — 2017

• Maharshi Dayanand University

  Master of Business Administration - MBA

  2019 — 2021