Dhanraj Jaganathan
Senior Process Executive
Namakkal,TN
Summary
Master of Computer Applications graduate with 10+ years of experience, including 7 years in industry roles and 3 years at Optum. Currently working as Senior Process Executive in Global Shared Services, driving service quality and operational excellence. Skilled in managing end-to-end claims processing, data analysis, and global service coordination. Proven expertise in process optimization, compliance with HIPAA standards, and enhancing operational efficiency. Recognized for analytical thinking, precision, and a proactive approach to problem resolution.
Overview
2
2
Languages
2
2
Certifications
14
14
years of professional experience
Work History
Senior Process Executive – GSS
Optum Health and Technology (India) Private Limited
08.2022 - Current
- Handle end-to-end processing of healthcare claims and provide member/provider support.
- Coordinated with cross-functional teams to ensure compliance and optimize daily workflow.
- Ensure HIPAA compliance and maintain data confidentiality in all healthcare workflows.
- Handled end-to-end processing of healthcare claims, supporting members and providers effectively.
- Performed data validation, reporting, and escalation handling.
- Performing data validation, reporting, and escalation handling as per business needs.
- Analyze operational data to identify discrepancies and enhance workflow efficiency.
- Supporting Global Shared Services operations with process optimization and service.
- Ensuring quality control, documentation, and timely completion of assigned tasks.
- Coordinate with global teams for timely issue resolution and effective escalation management.
- Demonstrate strong analytical skills, attention to detail, and a proactive approach to problem-solving.
- Utilize advanced tools like MS Excel, SQL Server, and Power BI to manage and validate healthcare data.
Administrator
Park Public School (CBSE), Namakkal
01.2022 - 06.2022
- Coordinated daily school administration, managing student records and facilitating staff collaboration.
- Managed examination-related activities and ensured timely reporting.
- Acted as a liaison between school management and faculty for operations.
- Served as liaison between school management and faculty, streamlining operational communication.
- Oversaw school communication and provided technical resource support, enhancing information flow.
Smart Class Co-Ordinator & CBSE Related Work
Trinity International School (CBSE), Namakkal
06.2016 - 12.2021
- Coordinated CBSE tasks including school affiliation, upgrades, renewals, and official communication to ensure compliance and operational efficiency.
- Supervised execution of board exams and NEET practical/theory exams, ensuring adherence to schedules and protocols.
- Handled smart board content updates, technical support, and student attendance for NEET/IIT prep.
- Updated smart board content, provided technical support, and tracked student attendance for NEET/IIT prep to enhance learning experiences.
- Reported school activities and updates directly to the Principal.
Technical Support Admin
Educomp Solutions
10.2014 - 06.2016
- Delivered smart class technical support, ensuring uninterrupted system uptime during sessions.
- Troubleshot hardware and software issues in classrooms to ensure functionality. in classrooms and supported faculty in digital usage.
- Trained staff on usage of Edu comp tools and troubleshooting techniques.
- Instructed staff on effective use of Edu comp tools and troubleshooting techniques to improve user competency.
- Collaborated with regional team for tech implementation.
System Administrator
Muthoot Fincorp Limited
06.2012 - 07.2013
- Ensured internal systems and server uptime, facilitating uninterrupted office operations.
- Monitored IT infrastructure and resolved user-level issues.
- Monitored IT infrastructure and addressed user-level issues, enhancing overall user experience.
- Installed and configured software, hardware, and network connections, supporting seamless network functionality.
Education
MCA - Master of Computer Application
Anna University
Coimbatore01-2011
Skills
SQL
Advanced Excel concepts
Unix Commands
Data Analytics
Business Analysis
Process Improvement
Process Documentation
Agile Methodologies
Data modelling
Standard Operating Procedures
Data Visualization
Cross-functional Coordination
Certification
Tableau Tutorial for Beginners from Great Learning.
PERSONAL DETAILS
- Date of Birth: 6th July 1987
- Languages known: English and Tamil
- Address: Namakkal
Timeline
Senior Process Executive – GSS
Optum Health and Technology (India) Private Limited
08.2022 - Current
Administrator
Park Public School (CBSE), Namakkal
01.2022 - 06.2022
Smart Class Co-Ordinator & CBSE Related Work
Trinity International School (CBSE), Namakkal
06.2016 - 12.2021
Technical Support Admin
Educomp Solutions
10.2014 - 06.2016
System Administrator
Muthoot Fincorp Limited
06.2012 - 07.2013
MCA - Master of Computer Application
Anna University