Summary
Overview
Work History
Education
Skills
Accomplishments
Languages
Projects
Disclaimer
Personal Information
Timeline
Generic

Balasubramanyam S.A

Bangalore

Summary

Currently working as a Subject Matter Expert (SME) from June 2021 for Accenture. A result-oriented professional with nearly 8 years of experience in AXA Business Services in service operations as a Customer Service Associate, Analyst, Specialist Proficient in process understanding and execution & management on international level. Proficient in assigning and training the team members for new process set ups and management of the same. Possess excellent interpersonal, communication and organizational skills with proven abilities in process management, customer relationship management and planning.

Overview

12
12
years of professional experience

Work History

Subject Matter Expert (SME)

Accenture
06.2021 - Current
  • Allocation of Line of Business (LOBs) & Maintaining the Turnaround time (TAT)
  • I am dealing with end-to-end property and casualty claims
  • Handling DWT report, Daily Summary report, Allocation report & Production report
  • Handling queries of team Members & Giving feedback for Errors
  • Conducting Team meetings on a daily Basis
  • Training for the new Associate
  • Process the all LOBs with separate guidelines, Maintain the quality for all LOBs
  • Cross training the existing associates to enhance their knowledge
  • Have prepared questions for PKT-Process Knowledge Test
  • Have given Quality support for multiple projects simultaneously
  • I have provided various process improvement ideas which the team has successfully implemented
  • Based on latest policies and procedures, I update the SOPs (std
  • Operating procedures) regularly as and when required
  • To maintain quality and accuracy to 99% and SLA at 100%
  • Work with IT Department to solve technical issues in Operation team
  • I monitor production activities, pick up the samples for audit, if found errors on picked samples, have given feedback to the Agent

Specialist

AXA Business Services
06.2013 - 05.2021
  • Company Overview: Business unit- healthcare services United Kingdom and global
  • Auditing and processing the New Business and other issuance activities of the company
  • Handling queries for internal and external customers and clients based on customer verbatim
  • Giving feedback to trainees, solving queries regarding process
  • To deliver outstanding customer service with quality
  • Completing the service requests within TAT and expedite within the time limit
  • Generating TAT report for the team and analysing the same
  • Work queue management in the absence of the manager and on floor quires support
  • Mentoring new trainees
  • To analyse and review medical claim for accuracy completeness & eligibility
  • To communicate with various department to get clarifications on eligibility
  • To process all types of claims & identify key elements and processing requirements based on diagnosis, provider, medical policy & policy procedures
  • To efficiency and accurately process all types of claims utilizing based on the product or system knowledge to ensure timely payment generated
  • Generating the benefit statement to members about their claims which we have paid or rejected with the appropriate comments
  • Business unit- healthcare services United Kingdom and global

Education

Bachelor of commerce -

Bangalore University
01.2008

Skills

  • Problem-solving
  • Attention to detail
  • Quick learner
  • Adaptability
  • Ability to work under pressure
  • Process management
  • People management
  • Employee engagement
  • Client management
  • Customer service orientation
  • Decision making
  • Creativity
  • Ability to multitask
  • Knowledge of US property and casualty insurance

Accomplishments

  • Received Impact Award
  • Received Rising Star Award
  • Received Best Team Member Award
  • Well Rated in recent appraisal cycle
  • Received appreciation mails from clients
  • Proposed five process improvement ideas, three implemented

Languages

Telugu
English
Kannada

Projects

TPN & Cashless, Assessing claims directly to providers and training new joiners, Checking eligibility of claims, Assessing inpatient and outpatient claims, Maintaining recoup sheet and sending reports, Creating benefit statements for members

Disclaimer

I hereby declare that the information furnished is true to the best of my knowledge., Present, Bangalore, Balasubramanyam S.A

Personal Information

  • Date of Birth: 02/18/87
  • Gender: Male
  • Nationality: Indian

Timeline

Subject Matter Expert (SME)

Accenture
06.2021 - Current

Specialist

AXA Business Services
06.2013 - 05.2021

Bachelor of commerce -

Bangalore University

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Balasubramanyam S.A