IRIS by Oracle
Ankur Bhargava
New Delhi
Summary
- I am determined and very open to accepting challenges at workplace and thus would like to offer my skills and services to companies which are looking for positive individuals. I would like to be in a position which helps me enhance my skill sets and gives me new opportunities of growth. I can ensure quality and my capabilities to help company growth.
- 5+ year of experience as Senior Claims Associate.
- Customer escalations and Email handling.
- Handling compliance dispute.
- Higher level complaints and dispute.
- Understanding and resolving customer queries.
- Strong problem solving, time management, customer satisfaction skills.
- Competent in MS Excel- Intermediate Level.
- Web development skills Experience in Internet and intranet portal design/development.
- Experience in managing and grooming new team members
- Vast knowledge of US Healthcare , Hippa and PII Terminology
- Result Oriented
- Well-developed written and oral communication skills.
- A results-oriented person with a proactive and dynamic approach.
- A team player with a positive approach.
- Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering Number years of insurance experience.
Overview
5
5
years of professional experience
Work History
Senior Claims Associate
Optum Global Solutions
Delhi
02.2019 - Current
- Cash Posting
- Billing
- Adjustment of Claims for US Banks
- Working on discrepant bills and providing solutions and clarifications by contacting the client through calls& emails
- Managing Logs of the transactions in Excel
- Publishing Reports.
- Reduced claim-processing errors through thorough investigation and effective communication with all parties involved.
- Managed high-priority claims in a time-sensitive manner, resulting in expedited resolution and satisfied clients.
- Analyzed trends within assigned portfolio to proactively address common issues and improve overall team performance.
- Provided mentorship and guidance to junior team members, helping them develop their skills and progress in their careers.
- Trained new Claims Associates on company policies and procedures, contributing to their rapid integration into the team.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Monitored and managed claim expenses to control costs and maximize profitability.
- Developed and implemented strategies to improve claim processes.
Education
B. Tech(I.T) - undefined
Punjab Technical University
SSC (XII) - undefined
AISCE(X) - undefined
Skills
Us healthcare Knowledge
Hippa and PII Terminologies
Claims Investigation
Insurance Claims Review
Microsoft Office
Claim Amount Calculations
Insurance Claim Forms Review
Insurance Coverage Verification
Understanding of medical terms
Organisation Experience
- Optum Global Solutions, Senior Claims Associate, 02/01/19, Present, Unknown, Unknown, BriovaRX, Cash Posting, Billing, Adjustment of Claims for US Banks, Working on discrepant bills and providing solutions and clarifications by contacting the client through calls& emails, Managing Logs of the transactions in Excel, Publishing Reports, Managing the que in the absence of the supervisor, Allocation of work and publishing of reports, Providing floor support and mentoring to new joiners, Ensuring camaraderie in the team through Employee Engagement Activities, Providing On Job Training to new joiners.
Personal Information
- Father's Name: Kamlesh Kumar Bhargava
- Date of Birth: 12/08/91
Disclaimer
I hereby, affirm that the information in this document is accurate and true to the best of my knowledge.
Accomplishments
- Supervised team of 5 staff members.
Software
Timeline
Senior Claims Associate
Optum Global Solutions
02.2019 - Current
B. Tech(I.T) - undefined
Punjab Technical University