Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Ambika HG

Bangalore

Summary

Dedicated and results-oriented professional Experienced in the Insurance industry. Expertise in customer-focused service delivery, customer onboarding or Enrollment, claims /payment processing, and policy Verification and Documentation. Proven track record in enhancing client satisfaction through personalized service and efficient problem- solving. Strong communicator and team player committed to continuous improvement and excellence in the insurance sector.

Overview

5
5
years of professional experience

Work History

Senior executive

Firstsource limited Company
03.2023 - Current
  • Experienced in insurance eligibility and benefits verification
  • Proven ability to verify customer information accurately, ensure compliance with regulatory requirements
  • Adept at using various verification systems and maintaining detailed records
  • Successful resolved over 95% of claims disputes by conducting through reviews and collaborating with healthcare providers to gather necessary Documentation
  • Identified common billing errors and worked with team
  • Verified claim data correctness in preparation for processing
  • Researched medical claims for validity to resolve discrepancy
  • Processed claims according to establish quality and production standards
  • Provided clients with information regarding their rights and procedure guidelines
  • Communicated with clients and necessary parties.

Senior process Consultant

Hinduja global solutions
08.2018 - 06.2022
  • Detail-oriented Insurance/customer enrollment specialist in managing customer onboarding processes, ensuring seamless enrollment and maintaining high levels of customer satisfaction
  • Skilled in data entry and Experienced process trainer in designing and delivering comprehensive training programs
  • Initiating Onboarding Enrollment Process and sending out welcome letters with ID card upon Qualifying events
  • Proficiency in entering sensitive PHI and confidential financial Information
  • Develop and deliver process training programs for new hires and providing assistance to existing employees, ensuring a thorough understanding of company procedures and best practices
  • Conduct training needs assessments to identify skill gaps and areas for improvement
  • Evaluate training effectiveness through assessments, feedback, and performance metrics
  • Created and maintained comprehensive training documentation and resources
  • Improved process adherence by 30% through targeted training programs
  • Used data to create models that help team performance meeting required quality like SLA and TAT
  • Responsible for Auditing/ identifying improvement opportunities for business growth
  • Handled up to 7 team members by mentoring each and providing refresher training for improvement
  • Responsible for scheduling team meetings and discussing about Team Daily production and quality Review.

Education

Bachelor's Degree in commerce - undefined

Bangalore university
05.2018

Skills

  • Basic SQL and vision
  • Microsoft Office Suite (Word, Excel, PowerPoint)
  • Data Entry and Management Tools: Microsoft Excel, Google Sheets
  • Documentation: Microsoft Office Suite, Google Docs
  • Video Conferencing Tools: Zoom, Microsoft Teams

Accomplishments

  • Successfully given Presentation to client regarding Monthly performance and quality.
  • Received Monthly Top gun for top performance & Spot Award for New project documentation.
  • Providing guidance, coaching and training to other employees within job area.
  • Recognized has process trainer for three project and trained new recruits by complying with the Company regulations & Compliance.

Timeline

Senior executive

Firstsource limited Company
03.2023 - Current

Senior process Consultant

Hinduja global solutions
08.2018 - 06.2022

Bachelor's Degree in commerce - undefined

Bangalore university

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Ambika HG