Summary
Overview
Work History
Education
Skills
Languages
Awards
Timeline
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Bakthuri Geethika

Bakthuri Geethika

Bengaluru

Summary

Efficient claims associate with an extensive background in managing and processing insurance claims. Demonstrates strong analytical skills in evaluating claims, ensuring accuracy, and identifying discrepancies. Effectively communicate with clients and adjusters to resolve issues, and expedite claims. Proven ability to handle multiple tasks, prioritize workloads, and maintain high standards of service.

Overview

1
1
year of professional experience

Work History

Claims Associate

Carelon Global Solutions
Bengaluru
08.2024 - Current
  • Worked on various claims, both on professional and facility claims, with different edits.
  • Paying and denying the claims according to the policy using the WGS Wellpoint Group System application.
  • Resolved complex claims efficiently by employing problem-solving skills and legal knowledge.
  • Processed a high volume of claims within strict deadlines.
  • Applied a detailed understanding of various insurance products to enhance claim assessment accuracy.
  • Worked closely with SA and SME to bring about changes with quality and accuracy within the deadlines.
  • Investigating and resolving complex claim issues such as eligibility, adjustment, timely filing, and payment discrepancies.
  • Helped newly joined associates get familiar with the team.

Education

Master of Business -

PVKK Institute of Technology
Anantapur
01.2025

Bachelor of Computer Application -

SK University
Anantapur
01.2023

Board of Intermediate Education -

Sitaramaya Girls Jr. College
Dharmavaram
01.2020

Board of Secondary Education -

KGBV School, Nallacharuvu
Anantapur
01.2018

Skills

  • MS Excel
  • MS Word
  • MS PowerPoint
  • Claim adjustment proficiency
  • Claim investigation method
  • Research ability

Languages

English, Telugu, Kannada

Awards

Awards and recognition, received appreciation from Elevance Health for handling a special group with accuracy and awarded as POC for the same, received appreciation from the management for overtime to reduce the central inventory, received impact awards for maintaining production and accuracy along with support for team members, additional responsibility, handling one of the special PG groups in the west local, mentoring new joiners to understand the process, sharing daily updates to the team that happened in the meeting, taking additional responsibilities like auditing to reduce internal errors, being support for partial time for JAA, CONV, Calpers, and Central

Timeline

Claims Associate

Carelon Global Solutions
08.2024 - Current

Master of Business -

PVKK Institute of Technology

Bachelor of Computer Application -

SK University

Board of Intermediate Education -

Sitaramaya Girls Jr. College

Board of Secondary Education -

KGBV School, Nallacharuvu
Bakthuri Geethika