Girish S U
SME-Ins Claims
Bengaluru
Summary
To secure a challenging position in a reputable organization where I can utilize my skills and experience to contribute to the success of the company while enhancing my own professional growth.
Overview
6
6
years of professional experience
1
1
Language
Work History
SME-Ins Claims
Cognizant Technology Solutions, CTS
10.2025 - Current
- Gathered, organized and input information into digital database.
- Observed packing operations to verify conformance to specifications.
Analyst
Sunlife Global Solutions
12.2023 - Current
- Key responsibilities :
- Evaluate and process disability insurance claims according to company policies and guidelines. This involves reviewing medical records, reports, and other documentation to determine the validity of each claim.
- Liaise with insured individuals, insurers, and healthcare providers to verify claimant eligibility and collect necessary documentation.
- Maintain regular communication with claimants, updating them on the status of their claims and addressing any issues that arise. Work closely with the Claims Examiner’s team to enhance claim processing workflows.
- Assist in training new hires on end-to-end processing of short term disability claims and share best practices.Conduct quality audits across the entire team to minimize escalations and ensure accuracy.
- Implement process enhancements that lead to a 20% increase in claim processing efficiency.
- Consistently delivering comprehensive quality reports to senior management, along with recommendations for error reduction.
Specialist Quality
Sagility India Pvt.Ltd.
11.2022 - 12.2023
- Roles and Responsibilities
- Handling multiple clients.
- Team Huddle & MOM.
- Audit the bills.
- Preparing & compiling various weekly/ Monthly reports
- Identifying the quality improvements for achieving continual improvements in the service Levels for the team.
- Motivate, mentor and train the team members to deliver the best service.
- Handled escalations and high priority cases.
Senior Process consultant – Claim Adjudication
HGS Healthcare
09.2019 - 10.2022
- Roles and Responsibilities
- Claims Adjudication.
- Handling Provider and Member claims.
- Assigning codes to diagnosis using ICD 10 codes.
- Follow up with provider on any documentation that is insufficient or unclear.
- Monitoring and updating company procedures.
- Managing the inventory on claims.
- Handled escalation by interacting with clients and customers through email.
- Ensured that claims were handled within TAT.
Education
B.Com - Accounting and Business/Management
University Of Mysore
Hassan01.2019
Skills
Good Communication Skills (Written & Spoken)
COMPUTER PROFICIENCY
- Platforms:
- Windows
- Microsoft Excel
- Microsoft Word
- Microsoft PowerPoint
- Internet Explorer
STRENGTHS
- Self-motivated and Proactive leader.
- Giving 100% Quality Assurance .
- Giving Proper Training to the New joiners
- Awareness of Quality & Standards.
Interests
Interests and Hobbies: Listening to Songs, Travelling, Playing Games
DECLARATION
I confirm that the information provided by me is true to the best of my knowledge and belief. Place Date Girish S U
Timeline
SME-Ins Claims
Cognizant Technology Solutions, CTS
10.2025 - Current
Analyst
Sunlife Global Solutions
12.2023 - Current
Specialist Quality
Sagility India Pvt.Ltd.
11.2022 - 12.2023
Senior Process consultant – Claim Adjudication
HGS Healthcare
09.2019 - 10.2022
B.Com - Accounting and Business/Management
University Of Mysore