Girish B

• Identifying excessive payments on claims while supporting customers in optimizing dollar savings
• Knowledge of relevant process documents (Job Aid, Policy & Procedure, Reimbursement policy) critical for thorough data analysis and assessment of overpayment recovery from provider
• Executed regular performance evaluations for staff members, delivering constructive feedback and identifying areas for improvement.
• Enhanced team member performance through tailored training programs and personalized coaching sessions.
• Executed projects within deadlines, guaranteeing on-time delivery to clients while maintaining quality standards.
• Elevated team performance through implementation of effective communication strategies and frequent feedback sessions.
• Contribute concepts and recommendations for eliminating false positives as part of analytical team
• Increasing stakeholder satisfaction through business enhancement
• Proposed various ideas and suggestions for process enhancement, including reduction of aged inventory and elevation of $$ identification
• Coordinated monthly inventories to ensure accurate stock levels and reporting. Collaborated with managers to establish and achieve revenue targets. Monitored key performance indicators to evaluate operational efficiency.
• collaborating with team to generate process enhancement ideas that benefit client company
• Maintaining harmonious and efficient relationships with clients to facilitate flawless project delivery and optimal client contentment.
• Diagnosed skill gaps within team and formulated targeted training plans to address deficiencies effectively.
• Conducted regular performance evaluations for staff members, providing constructive feedback and outlining areas of improvement.
• Successfully completed projects within deadlines, ensuring timely delivery to clients without compromising quality standards.

Consolidated multiple member records to eliminate duplicate entries and enhance data accuracy. Streamlined data management processes within loyalty programs and organizational databases. Addressed inaccuracies in member information to maintain up-to-date records. Implemented strategies for efficient member account merging across financial systems.

• Review the patient's duplicate chat and merge it with the original chat.
• Organise the work and allocate it to group members. Quality control assessment of a team member's job.
• Contact stakeholders to provide an update on study progress.
• Prepare the study for tablet and smartphone use.
• Transfer knowledge to the team and demonstrate for clients.
• Share real-time data with stakeholders by exporting it.

The project is called "Electronic Clinical Outcome Assessments" (eCOA).

Building mobile iOS and Android application functioning as electronic assessment library

Implement tests during phase 1–4 clinical trials, featuring PROMIS and MOS, for clients associated with IQVIA.

Construct assessments through application of IQVIA Internal tools

• Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
• Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
• Interacted with clients and employees, which helped cultivate positive working relationships.
• Maintained strict confidentiality with all personal data as per company guidelines.
• Reduced claims processing time by implementing efficient analytical techniques and strategies.
• Conducted thorough investigations into each claim, gathering relevant data and documentation to support decision-making processes.
• Seeking discount from the provider for claims over $5 K
• Examined claims forms and other records to determine insurance coverage.
• Researched claims and incident information to deliver solutions and resolve problems.
• Analyzed information gathered by investigation and reported findings and recommendations.

• Enhanced customer satisfaction by resolving inquiries effectively and efficiently.
• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Reduced customer complaints with proactive issue identification and resolution strategies.