Results-driven Process Specialist at Principal Global Services with a strong integrity and compliance mindset. Expert in regulatory knowledge and audit readiness, ensuring accurate processing of 401(k) contributions and claims. Proven ability to collaborate cross-functionally, enhancing operational efficiency and achieving timely resolutions for clients. Committed to maintaining high standards of compliance and quality.
Overview
7
7
years of professional experience
Work History
Process Specialist
Principal Global Services
Hyderabad
05.2022 - 04.2025
Process and review 401(k) retirement contribution services for U.S.-based clients.
Evaluate client requests, including cash withdrawals, loan requests, and contribution rollovers to different financial institutions.
Verify and validate submitted documents to ensure compliance with company regulations and U.S. Retirement policies.
Perform cross-checking of member personal information, duplicate submissions, and distribution eligibility requirements.
Conduct tax calculations on distributions, and ensure accuracy before processing requests.
Make sound decisions on the approval or denial of requests based on policy compliance.
Process cash payouts via check, ACH, or wire transfer after verifying bank account details.
Performed QA audits on 401(k) processes to ensure accuracy and compliance with the U.S. Retirement policies.
Collaborate with customer service teams to obtain additional information for the timely resolution of client requests.
Produced weekly summary reports of progress and learnings to help keep work aligned with objectives.
Appeals Analyst
Optum Global Solutions
Hyderabad
10.2018 - 05.2022
Collect, review, and validate supporting documentation for claims. Conduct thorough research to ensure accurate and fair case resolutions.
Share and submit reports on claims status to supervisors, and other relevant stakeholders.
Determine where specific claims should be reviewed, handled, or routed to other departments, as required.
Coordinate with SMEs or business partners to obtain decisions when appropriate.
Review member benefit information, provider-specific information/contracts, claims, applicable SOPs, delegation status, state-specific policies, and national policies and procedures in order to make an accurate decision on the claim.
Send out a completed and timely written notification letter within the claim outcome.