Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Dhana Sowmya

Kakinada

Summary

Results-driven Claims Analyst with over two years of experience in efficient claims management and client satisfaction. Proven expertise in analyzing complex claims data, ensuring accuracy, and making informed decisions. Skilled in effective communication, problem-solving, and attention to detail. Excited to bring my skills to a dynamic team and contribute to the success of a company that prioritizes excellence in customer service

Overview

3
3
years of professional experience
1
1
Certification

Work History

Claims Adjudicator

Intel bpo services private limited
kakinada
12.2022 - Current
  • Adjudication of medical claims and issued payments, as per the policy terms and conditions.
  • Processed tasks per SLA guidelines, addressing claim denials effectively.
  • Communicated with customers and clients to escalate issues via email.
  • Highly experienced in handling, processing, and settling medical insurance claims.
  • Ability to comply with HIPAA and other applicable regulatory guidelines.
  • Ability to review and submit medical claims in a timely manner.
  • Resolved discrepancies in claims by conducting thorough investigations and audits.
  • Managed workflow by prioritizing tasks according to urgency.
  • Conducted training sessions for new claims examiners.
  • Provided excellent customer service, resolving claimant concerns and queries promptly.

Education

B.Tech/B.E. - Chemical

Andhra University College of Engineering
Visakhapatnam
05-2019

12th -

Aditya Junior College
Andhra Pradesh
04-2015

10th -

Sri Sadguru Vidyalayam
Andhra Pradesh
05-2013

Skills

  • Training development
  • Advanced Excel
  • Internet Explorer
  • Communication skills
  • Interpersonal skills
  • Analytical thinking
  • Workflow management
  • Claims audit analysis
  • Email etiquette
  • Microsoft power point, excel, and Word

Certification

Advanced Excel certification

Languages

English, Hindi, Telugu

Timeline

Claims Adjudicator

Intel bpo services private limited
12.2022 - Current

B.Tech/B.E. - Chemical

Andhra University College of Engineering

12th -

Aditya Junior College

10th -

Sri Sadguru Vidyalayam

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Dhana Sowmya