Gokul Karuppiah
Chennai
Summary
Results-driven analyst with expertise in claims processing and customer service. Proven ability to resolve inquiries effectively, enhancing customer experiences while ensuring compliance with insurance regulations.
Overview
3
3
years of professional experience
Work History
Issue Resolution Analyst
Athenahealth Technology pvt ltd
Chennai
02.2025 - Current
- Analyzed customer inquiries to determine appropriate resolutions and next steps.
- Documented customer interactions in the CRM system accurately.
- Developed resources and guides for customers to enhance their experience.
- Assisted customers with inquiries and product information.
- Resolved customer complaints through effective communication and problem-solving.
- Maintained knowledge of company products and services to assist customers effectively.
AR Analyst
Guidehouse India Pvt Ltd
Chennai
11.2022 - 02.2025
- Evaluated insurance claims for accuracy and completeness.
- Investigated claim details by interviewing relevant parties.
- Processed claims using industry-standard software systems.
- Calculated benefit payments based on policy terms, coverage limits, and applicable regulations.
- Supported efficient handling of complex claims and followed up on open, denied, or suspended claims to complete required line items.
- Assisted in the development of training materials for new team members.
- Managed credit balance inquiries and resolved customer account discrepancies.
Education
Master of Science - Environmental Sciences
Bishop Heber College
Trichy04-2020
Skills
- Claims processing
- Data analysis
- Insurance compliance
- CRM management
- Benefit calculation
- Customer service
- Problem solving
- Conflict resolution
- Investigative skills
Accomplishments
Best Help desk template creator for Q2, 2025
Languages
English
Proficient (C2)
C2
Tamil
Native
Native
Hindi
Intermediate (B1)
B1
Timeline
Issue Resolution Analyst
Athenahealth Technology pvt ltd
02.2025 - Current
AR Analyst
Guidehouse India Pvt Ltd
11.2022 - 02.2025
Master of Science - Environmental Sciences
Bishop Heber College