Summary
Overview
Work History
Education
Skills
Languages
Personal Information
Internship
Certification
Accomplishments
Timeline
Generic

Dr.Aarathy M. L

Kakkanad

Summary

Detail-oriented Ayurveda Physician with over 9 years in hospital and clinical settings, specializing in preventive healthcare and claims investigation. Expertise in analyzing claims, identifying risks, and ensuring accurate processing. Seeking to leverage extensive experience in a role focused on claims investigation, underwriting, or processing.

Overview

1
1
Certification
9
9
years of professional experience

Work History

Customer Service Manager

ICICI Lombard GIC
Cochin
05.2024 - Current

Conducted thorough audits of medical bills to ensure admissibility and accuracy.

Verified claims and negotiated with hospitals to secure optimal outcomes.

Engaged customers to resolve service-related issues effectively.

Identified fraudulent claims and policy exclusions through detailed analysis.

Investigated pre-existing conditions and other fraudulent activities diligently.

Deputy Manager-Hospital Network and Quality

OKSY Healthcare
Malappuram
09.2021 - 05.2024

Conducted quality checks for Kasp-Ayushman Bharat Medisep and private insurance schemes.

Managed pre-authorization processes to ensure thorough verification before discharge.

Performed detailed analyses and follow-ups on pre-authorization requests.

Submitted post-discharge claims while maintaining compliance with all regulations.

Provided awareness sessions for doctors on scheme limitations and operational guidelines.

Resolved grievances through meticulous case verification and follow-up procedures.

Addressed query justifications to support timely approvals and disbursements.

Streamlined pre-authorization management to enhance process efficiency.

Consulting Physician-Medical officer

Rithu Ayurveda
Calicut
01.2020 - 08.2021
  • Diagnosed and examined patient medical histories, tailoring treatment plans to meet individual health needs.
  • Prepared classical formulations, ensuring adherence to quality standards and patient safety.
  • Provided lifestyle coaching and yoga therapy, enhancing clients' overall wellness and promoting healthier lifestyles.

Consulting Physician-Medical officer

Ayur Vaidyam Care Clinic & Panchakarma Centre
Pathanamthitta
12.2017 - 10.2019
  • Diagnosed and examined patient medical histories to determine appropriate treatments.
  • Developed personalized Ayurvedic formulations, addressing individual health needs for improved treatment efficacy.
  • Prescribed Ayurvedic preparations and therapies, enhancing patient recovery and satisfaction.
  • Counseled patients on wellness, integrating posture, nutrition, sleep habits, and stress management for holistic health improvements.
  • Provided lifestyle coaching and spiritual counselling to improve patient wellbeing.
  • Educated patients regarding conditions and treatment options.
  • Maintained accurate medical records and documented patient case histories in detail.

Education

Post Graduate Diploma - Applied Yogic Science

Annamalai University
Chennai
01-2020

BAMS Bachelor - Ayurvedic Medicine and Surgery

Mannam Ayurvedic Co-operative Medical College
Pathanamthitta, Kerala
01-2016

Skills

  • Healthcare management
  • Claims processing knowledge
  • Claim management
  • Data Analysis
  • Customer inquiry resolution
  • Billing inquiry management
  • Compliance monitoring
  • Problem solving
  • Leadership and teamwork
  • Interpersonal skills
  • Customer service
  • Bill negotiation with provider

Languages

  • English
  • Malayalam
  • Hindi
  • Tamil

Personal Information

  • Date of Birth: 05/18/89
  • Marital Status: Married

Internship

  • Mannam Ayurvedic Co-operative Medical College, Pathanamthitta, Kerala, 07/01/2016 - 03/01/2017
  • Govt-Ayurveda Dispensary, Kanjiramkulam, Trivandrum, Kerala, 04/01/2017 - 06/01/2017

Certification

  • Code Maroon Certification, CICI Lombard

Accomplishments

  • Highfliers Certification-2026
  • South 2 Top Performer Overall April To June

Timeline

Customer Service Manager

ICICI Lombard GIC
05.2024 - Current

Deputy Manager-Hospital Network and Quality

OKSY Healthcare
09.2021 - 05.2024

Consulting Physician-Medical officer

Rithu Ayurveda
01.2020 - 08.2021

Consulting Physician-Medical officer

Ayur Vaidyam Care Clinic & Panchakarma Centre
12.2017 - 10.2019

Post Graduate Diploma - Applied Yogic Science

Annamalai University

BAMS Bachelor - Ayurvedic Medicine and Surgery

Mannam Ayurvedic Co-operative Medical College
Dr.Aarathy M. L