Divyanshu Patkar
New Delhi
Summary
I am a Biology graduate with experience in US healthcare claims processing at Concentrix. I handled end-to-end claim review and adjudication while maintaining high accuracy and productivity. My strengths are attention to detail, process compliance, and quick adaptability, expert in analyzing insurance policies and ensuring compliance with HIPAA guidelines
Overview
2
2
years of professional experience
1
1
Certification
Work History
Claims Representative
Concentrix
03.2024 - Current
- Processed and resolved customer claims efficiently, ensuring timely communication with clients.
- Followed HIPAA and data confidentiality guidelines while handling sensitive information.
- Handled claim denials, rework cases, and escalations with proper documentation.
- Performed claims adjudication by analyzing data, identifying discrepancies, and determining claim outcomes.
- Provided support for audits and quality checks when required.
Education
Bachelor of Science - Biology
Bundelkhand University
Jhansi 06.2023
Skills
- Claims Processing & Adjudication
- Insurance Policy Analysis
- Medical Billing Review
- Documentation & Compliance
- Attention to Detail
- MS Excel & Claims Management Systems
- Communication & Coordination
Certification
I have completed the Deloitte Job Simulation Program, which provided practical exposure to real-world business problem-solving and analytical tasks. Along with this, I have received on-the-job training in US healthcare claims processing and claim adjudication at Concentrix, including HIPAA compliance. I have also completed the McKinsey Forward Program, which strengthened my problem-solving and professional skills.
Languages
English
Intermediate (B1)
Hindi
Bilingual or Proficient (C2)
Timeline
Claims Representative
Concentrix
03.2024 - Current
Bachelor of Science - Biology
Bundelkhand University