Sagility is a tech-enabled BPM services provider, a thought partner providing a broad spectrum of transformational services, to enable our clients provide efficient and hi-quality care across the healthcare system.

Sagility™️ combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. We optimize the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics.

DUTIES & RESPONSIBILITIES:

• CSAs will answer and resolve inbound telephone calls pertaining to medical products and services about benefit, claim or eligibility and non- clinical Utilization Management issues from a Doctor/Hospital regarding (1) one or more issues about a single Customer, or (2) one or more issues about multiple Customers.
• CSAs will transfer to Company calls pertaining to Company’s products and services other than medical.
• CSAs may be engaged to support the centralized fax administration process to complete necessary research and document production to send an outgoing fax to resolve an inbound inquiry to the customer’s satisfaction.
• Authenticate both the Customer and the Healthcare Professional’s information by means of asking information that should match what is listed in the system.
• Capture all relevant information that transpired in the call and properly document it in the client’s system.
• Utilize existing resources to provide resolution to healthcare professional’s concern.
• Maintain professionalism and positive working relationships with team members, internal customers, and external customers.
• Validates and organizes the information received.
• Makes sure that the data received is available to appropriate people and systems within the organization.
• Participate on the online training set by US counterpart for updates.

COMPETENCY REQUIREMENTS:

With Basic Competency Level:

Excellent interpersonal skills Ability to understand and interpret policy provisions.  Product knowledge Typing Skills Problem Solving Skills

Education, Experience and Flexibility:

• Under-Graduate or Any Graduate
• Minimum of 1 – 2 years of Customer Service experience.
• Flexible to work in US Shifts with rotational week offs.