Apoorva Gaur

Manage daily healthcare operations for multiple clients, ensuring smooth execution of claims processing, member enrollment, provider data management, and premium billing.

Handle premium billing processes for clients, ensuring accurate calculation, invoicing, and reconciliation of payments.

Utilize JIRA to track, manage, and resolve client issues, ensuring timely follow-ups, and process improvements.

Conduct premium billing and reconciliation for clients, ensuring accuracy in invoices and payments, while resolving discrepancies.

Act as a key point of contact for clients and vendors, addressing inquiries, troubleshooting issues, and ensuring seamless communication.

Analyze healthcare workflows, identifying opportunities for process optimization and automation to improve efficiency, and reduce errors.

Prepare and present reports, dashboards, and performance metrics to clients and leadership, providing insights into operational efficiency and improvement areas.

Support issue resolution and root cause analysis, implementing proactive measures to prevent recurring challenges.

• Managed the auto-renewal process for healthcare insurance policies, ensuring seamless policy renewals for members, and minimizing lapses in coverage.
• Monitored renewal eligibility and policy changes, verifying accurate premium calculations, and benefit adjustments.