Asmita Mohanty
Kolkata
Summary
Results-driven Claims Associate with proven experience in claims processing, data analysis, and project management. Committed to enhancing customer service and regulatory compliance while conducting thorough investigations to achieve optimal outcomes.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Claim Associate
Carelon global Solution
Bangalore
12.2022 - Current
- Processed high volume of incoming claims according to established policies and procedures.
- Worked on claim adjudication and claim adjustments.
- Handled both member inquiries and provider inquiries for national accounts (GA, ME, CA, NY, IN, KY, MO, CT, CO, WA, VA, NV, OH, MI).
- Worked on GNYHA, escalation intakes, local, and dedicated accounts.
- Reviewed documentation for accuracy and completeness prior to approval.
- Conducted comprehensive investigations to negotiate settlements or deny claims.
- Collaborated with team members to enhance claims processing workflows.
- Analyzed claim forms, medical reports, and bills to ensure data accuracy.
- Assisted in training new staff on claims processing procedures effectively.
Education
MBA - Operational Management
DR.D.Y. Patil Vidyapeeth
Pune08-2025
Bachelor of Pharmacy - Pharmaceutical Medicine
Institute of Pharmacy And Technology
Cuttack , Odisha08-2022
Hospital Administration
Hospital Trainee (6Months)
Drug Distribution Center (DDC) Fakir Mohan MedicalSkills
- Project management
- Claims processing
- Data analysis
- Customer service
- Team collaboration
- Regulatory compliance
- Proficient in Microsoft Excel (Pivot Tables, VLOOKUP/XLOOKUP, Conditional Formatting)
- Advanced Microsoft Excel
Certification
Bachelor of Pharmacy License
Languages
English
Advanced (C1)
C1
Hindi
Proficient (C2)
C2
Bengali
Intermediate (B1)
B1
Odia
Advanced (C1)
C1
Websites
Timeline
Claim Associate
Carelon global Solution
12.2022 - Current
MBA - Operational Management
DR.D.Y. Patil Vidyapeeth
Bachelor of Pharmacy - Pharmaceutical Medicine
Institute of Pharmacy And Technology
Hospital Administration
Hospital Trainee (6Months)