Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Anubhav Sharma

Noida

Summary

Accomplished Senior Associate at Capgemini with a proven track record in enhancing claim resolution efficiency and reducing denials by leveraging data analytics and Microsoft Excel. Skilled in direct communication and problem-solving, I have significantly improved operational processes at HCL, demonstrating a blend of technical proficiency and exceptional customer service.

Overview

5
5
years of professional experience
1
1
Certification

Work History

Senior Associate

Capgemini
Noida
05.2022 - Current
  • Manage and resolve electronic claim denials for CVS Health by identifying root causes and working with insurance companies and healthcare providers for prompt resolution.
  • Communicate directly with insurance companies and doctor's offices to clarify issues, obtain missing information, and ensure timely processing of denied claims.
  • Handle prior authorization requests and work closely with the necessary parties to ensure approvals are obtained in a timely manner, reducing delays in claim processing.
  • Analyze denial trends and work to implement process improvements, aiming to reduce future denials and enhance overall claim resolution efficiency.
  • Maintain detailed documentation of all interactions, resolutions, and follow-up actions to ensure accurate claim processing and compliance with company policies.

Customer Service Representative

HCL
Noida
09.2019 - 04.2022
  • Assisted candidates with exam-related inquiries, providing guidance and resolving technical issues to ensure a smooth testing experience.
  • Managed customer service requests related to exam registration, scheduling, and troubleshooting technical difficulties during online assessments.
  • Collaborated with the Workforce Management (WFM) team to create detailed reports and dashboards in Excel, enhancing operational efficiency and decision-making.
  • Provided timely support to candidates experiencing login issues, system errors, or other technical challenges, offering step-by-step solutions.
  • Analyzed customer feedback and reported recurring issues, contributing to process improvements and better customer service strategies.

Education

Bachelor of Science - Science

Chaudhary Charan Singh University
Saharanpur
05-2017

Skills

  • Data analytics
  • Microsoft Excel
  • MySQL
  • Power BI
  • MS Suite

Certification

Currently pursuing a 6-month Data Science Bootcamp from Odin School. Gaining hands-on experience in data analysis, machine learning, and statistical modeling, with proficiency in Python, data visualization, SQL, and data manipulation techniques.

Timeline

Senior Associate

Capgemini
05.2022 - Current

Customer Service Representative

HCL
09.2019 - 04.2022

Bachelor of Science - Science

Chaudhary Charan Singh University

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Anubhav Sharma