• Bachelor of Commerce
• Diploma in Computer Application
My dream is get a job in European country which is my biggest dream and build a beautiful house with my salary. My hobbies are playing games and listening to music.
Adjudication, Adjustment, Attention to details, Team work, Claims processing, Health Insurance, Healthcare, Vlookup, Microsoft Excel, Good Analytical Skills.
● Collaborated closely with stakeholders to identify opportunities for process improvements and drive continuous innovation in the
organisation
● Capable of managing multiple projects simultaneously with great precision
● Conduct various process audits as per guidelines and SPO s defined in QMS
● and audited claim documents, ensuring closure in compliance with process guidelines
● Prepare findings from the report and share it with the account/ project leadership on daily/ weekly/ monthly, as required
● adjustment team co-workers to maximise errors rate
● Processed high-value claims based on provider requests, pricing them according to standard rates and benefits outlined in
provider contracts
● Handling NY inquiries from member/provider side and NY Escalation queries as well
● Provide insights and process guidance to the projects as per the need
● for accurate and timely daily reports
● Setting Productivity & Quality benchmark
● Audit support to reduce errors and to increase performance accuracy
● advanced Excel function like VLOOKUP and Pivot Table to optimise data analysis, reporting, and record-keeping
