Summary
Overview
Work History
Education
Skills
Affiliations
Accomplishments
Languages
Timeline
Generic
CHESHTA GARG

CHESHTA GARG

Hathras

Summary

Skilled Claims Adjudicator with comprehensive experience in analyzing and processing insurance claims. Strengths include knowledge of insurance policies, ability to interpret contracts and excellent negotiation skills. Has successfully streamlined claim processes and improved efficiency in previous roles. Known for critical thinking capabilities and strong decision-making skills in high-pressure situations.

Overview

2
2
years of professional experience

Work History

Medical Claims Adjudicator

Care Health Insurance
Gurgoan
07.2023 - 03.2024
  • Analyzed policy details along with supporting documents provided by healthcare providers to make informed decisions on claims approvals or denials.
  • Conducted thorough investigations of medical claims to ensure proper payment or denial.
  • Managed high volume caseloads, prioritizing urgent and sensitive cases for immediate attention.
  • Identified patterns of fraudulent activities through meticulous analysis of medical claims data.

Hospital Training

Combined District Hospital
Ghaziabad
06.2022 - 07.2022
  • Processed and dispensed medications andtransferred prescriptions.
  • Maintained pharmacy stock.
  • Injection practice.

Team Lead

Sunya IAS
Delhi
02.2022 - 04.2022
  • Governed and managed the work of the finance and marketing team.
  • Assigning the daily task to the team and getting the report at EOD.

Education

Bachelors in Pharmacy -

KIET Group of Institutions
U.P
06-2023

Senior School Examination -

BLS International School
Hathras, U.P
01.2019

Secondary School Examination -

BLS International School
Hathras, U.P
01.2017

Skills

  • Claims processing
  • Knowledge of medical terminology
  • Management skills
  • Decision-making
  • Client relationship management

Affiliations

International conference for artificial intelligence (2020)

Have written an abstract on retinitis pigmentosa (RP).

AAKRUTI (2021)

Made a design and prototype on affordable products on health care systems for Dassault systems. Worked as an ideator and analyst and cleared the zonal levels.

INNOTECH (2021)

Have made biodegradable plastic which is derived from naturally occurring plants.

International Conference: Natural Products and Human Health (ICNPHH-22)

Review article publication and poster presentation on topic advancement in herbal and synthetic entities as potent anti-tb agents.

INNOTECH (2022)

Have made biodegradable film soap which is used as paper soap made from cereal crops.

Accomplishments

  • Prominent pharmacist award 2022.
  • Review article and abstract publication in an international conference.
  • Student coordinator in IEAW 2022.
  • Represented the German Society in international education awareness week 2022.
  • 2nd Runner up in labeling competition on world pharmacist day.
  • 2nd position in inter-department Innotech project competition.
  • 3rd Position in face painting.

Languages

Hindi
First Language
English
Intermediate (B1)
B1
German
Beginner
A1

Timeline

Medical Claims Adjudicator

Care Health Insurance
07.2023 - 03.2024

Hospital Training

Combined District Hospital
06.2022 - 07.2022

Team Lead

Sunya IAS
02.2022 - 04.2022

Bachelors in Pharmacy -

KIET Group of Institutions

Senior School Examination -

BLS International School

Secondary School Examination -

BLS International School
CHESHTA GARG