Arshiya Parveen Shaik
Senior Credentialing/Claims Representative
Dubai
Summary
Experienced senior Claim Representative with 5+ years in the Health Care insurance industry, seeking to obtain a position where i can utilize my experience and professionalism, with a customer- value team in an atmosphere where responsibiltiy is the top priority.
Overview
7
7
years of professional experience
3
3
years of post-secondary education
3
3
Languages
Work History
Senior Claim Representative
Optum global solutions
01.2017 - 09.2021
- Clarify doubts to my co-employees and newcomers
- Giving training on few topics on how to handle difficult scenarios
- Applying correct logic and concept to ensure accuracy and compliance with policies
- Give regular updates to team on new scenarios
- Meeting client SLA's in production and quality
- Regular calibration with onshore team on process, Have knowledge on Salesforce as credentialing and Re-credentialing process
- Interacting with Onshore Clients for new updates and training in process.
Claim Representative
DST
02.2015 - 06.2016
- Managed time efficiently to ensure daily workloads were met
- Analyzed and investigated complex claims to determine validity and payment amount
- Developed strategies to improve customer satisfaction and claim processing times
Education
Bachelor of Science -
Osmania University
03.2011 - 04.2014
Skills
Time management
Leadership
Problem-solving
Creativity
Adaptability
Good typing 50 wpm
Excel
MS word
Accomplishments
- Received many appreciation and best employee awards from onshore auditors due to excellence in quality with 100% accuracy and good production.
Personal Information
- Date of Birth: 05/11/92
- Nationality: Indian
- Passport : P2129610
- Gender: Female
- Civil Status: Single
Timeline
Senior Claim Representative
Optum global solutions
01.2017 - 09.2021
Claim Representative
DST
02.2015 - 06.2016
Bachelor of Science -
Osmania University
03.2011 - 04.2014
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