To seek a challenging position and to dedicate my service an organization which offers excellent growth prospects where I can update my knowledge and contribute to the growth of the organization.
Overview
6
6
years of professional experience
Work History
Lead Analyst
Prochant India Pvt Ltd
02.2020 - 03.2024
Senior Process Associate
Prochant India Pvt Ltd
01.2019 - 02.2020
Process Associate
Prochant India Pvt Ltd
04.2018 - 01.2019
Interacting with Client, Account Managers and attending Internal calls
To discuss about the pending issues/newly escalated issues on the client, client education with live examples to avoid unnecessary denials from the insurance, payments flow & charges flow in the client with appropriate reasons if there is a deficit or surplus and 90+ aging claims AR% progress flow with appropriate reasons if there is a increase or decrease
Managing and assisting team members
Working on escalations from callers
Escalating unresolved issues to the Team Leaders and Managers through emails
Follow up on unresolved or open emails
Creating and working on emails TAT basis
Provide feedback to callers on regular basis
Individually responsible for working on appeals prepared by the team members within the TAT (This process is maintained by audit team and client team to make sure appeals is done valid for the dispute on payment)
Create actions/educate wherever an appeal error is found with the relevant agent
Ensure those errors are reworked by the team
Making sure all claims are followed up properly and in timely manner by the team
To make sure all allocated claims on a daily basis as priority are worked by the team
Coordinating with audit team on audit reports
Working on reviewing all the errors for the teams weekly
Ensure team’s production and quality achieved
Responding to the questions and queries from other processes (Billing team and Payment Posting Team)
Updating Client protocol page in SOP related to reimbursement whenever a new update is given by the client
Attending weekly billing team call and discuss any new findings during that week
Review overall AR to identify client issues and resolve or escalate for resolution
Assisting training and On-the-Job department
Pre Mock Calls for the trainees
Present about the live Denials on a active client
Take care of Experienced new joiners audit
Reporting
Monthly/Weekly Client Analysis related to reimbursement process and present it to the Management
Preparing 15 days and 30 days worked invoice reports for the respective client for invoicing with appropriate reasons if there is a surplus or deficit.
Education
B.E (EEE) -
C.S.I institute of technology Thovalai
01.2017
HSC -
Seventh day Adventist matric Hr sec school Pulierranghy
01.2013
SSLC -
Seventhday Adventist matric Hr Sec School Pulierranghy
01.2011
Skills
Windows Family
MS-Office, WPS
Dynamic, self-motivated and optimistic individual who is result oriented
Leadership ability, high creativity and capability to organize
Languages
English, Tamil, Malayalam
Personal Information
Father's Name: Achuthan.K
Date of Birth: 11/12/95
Gender: Male
Nationality: Indian
Permanentaddress
15/74c vettu kattu villai kadayal kaliyal po
Hobbies and Interests
Watching movies, Listening to music, Fishing
Disclaimer
I hereby declare that all the information furnished above is absolutely correct up to the best of my knowledge.
Timeline
Lead Analyst
Prochant India Pvt Ltd
02.2020 - 03.2024
Senior Process Associate
Prochant India Pvt Ltd
01.2019 - 02.2020
Process Associate
Prochant India Pvt Ltd
04.2018 - 01.2019
B.E (EEE) -
C.S.I institute of technology Thovalai
HSC -
Seventh day Adventist matric Hr sec school Pulierranghy
SSLC -
Seventhday Adventist matric Hr Sec School Pulierranghy