ANURADHA PATHAK

• Guide new employees through the onboarding process, providing them with the tools and knowledge
• Enhanced team productivity by providing effective training programs and performance management systems.
• Evaluated employee performance regularly, promoting professional growth opportunities through coaching methods.
• Collaborated with other department heads to align organizational goals and maximize efficiency across all departments.
• Streamlined operational processes by implementing efficient workflow management strategies.
• Managed cross-functional teams for successful project completion and timely delivery.

Managed and ensured the team met Service Level Agreements (SLAs) consistently

• Conducted high-cost claims assessments, adjudications, and processed payments to providers and members
• Regularly communicated updates via email and in team meetings to ensure transparency and progress tracking
• Provided training to new joiners and supported their integration into the team
• Generated and published accurate reports for both internal team members and external stakeholders
• Claims Assessment & Adjudication
• Team Leadership & Employee Mentoring
• Customer Relationship Management
• Strategic Problem-Solving & Critical Thinking
• Conducted internal quality checks and collaborated on external quality audits received from clients

• Coordinated the preparation of monthly SLA parameter reports, ensuring all deadlines were met
• Provided mentorship and guidance to new team members, helping them achieve their targets and maintain quality
• Successfully managed month-end reporting and contributed to continuous process improvements
• Team Leadership & Employee Mentoring
• Identified modifications to processes and procedures that would promote better efficiency.

• Accessioned claims received through the portal and made decisions in line with SOPs to approve, reject, or hold claims
• Supported the claims team by ensuring efficient and accurate decision-making
• Quality Assurance & Compliance
• Managed multiple tasks simultaneously, ensuring timely completion of all assignments.
• Communicated effectively with colleagues and supervisors to resolve issues promptly and accurately.