Golla Shanmukhi
Hyderabad
Summary
Detail-oriented professional with over 6.5 years in U.S. payroll tax compliance and healthcare claims operations. Expertise in regulatory research, fraud prevention, and risk analysis, with a strong record in managing complex cases and ensuring compliance. Demonstrated ability to improve processes and deliver timely resolutions within stringent regulatory frameworks.
Overview
8
8
years of professional experience
Work History
Senior Tax Researcher
ADP Private Limited
Hyderabad
07.2024 - Current
- Conducted in-depth research and analysis of U.S. federal, state, and local tax laws, IRS regulations, and administrative guidance to identify tax planning opportunities, credits, and compliance strategies; delivered tax-efficient solutions achieving an average 12% reduction in clients’ effective tax rates while ensuring full regulatory compliance.
- Led payroll tax compliance and quality reviews in alignment with IRS, state regulations, internal control frameworks, and ADP audit standards; proactively identified compliance gaps, assessed risk exposure, and implemented corrective actions to mitigate penalties and recurring errors.
- Served as subject-matter expert (SME) for payroll tax discrepancies, amended returns, and regulatory compliance risks; collaborated with internal stakeholders and external agencies to investigate issues and facilitate timely resolution.
- Managed multi-state payroll tax portfolios, ensuring accurate preparation, reconciliation, and filing of federal and state returns including Forms 940, 941, W-2, W-3, and 1099; resolved discrepancies to achieve zero-defect filings.
- Mentored and coached junior associates by delivering hands-on technical training, workflow guidance, and quality feedback; supported onboarding, skill development, and performance improvement to maintain high accuracy and service standards across the team.
- Led process improvement initiatives, streamlining workflows and enhancing data accuracy to reduce turnaround times.
Escalations Specialist
Wells Fargo International Solutions Pvt Ltd
Hyderabad
04.2023 - 03.2024
- Managed companywide escalated customer complaints, including high-risk, sensitive, and complex cases requiring specialized handling, ensuring timely and compliant resolution.
- Ensured all escalations were resolved in alignment with service level agreements (SLAs), standard operating procedures (SOPs), and internal risk controls, minimizing repeat complaints and operational exposure.
- Collaborated cross-functionally with internal departments, operations teams, and bank branches to resolve escalations efficiently while balancing customer experience, regulatory compliance, and business risk.
- Conducted comprehensive case research and investigation, analyzing customer history, transactional data, policies, and regulatory requirements to identify root causes and determine appropriate corrective actions.
- Identified recurring issues and escalation trends, providing actionable insights that enhanced processes and strengthened customer service outcomes.
- Executed and processed complex online and financial transactions during investigations, ensuring accuracy and adherence to policies while maintaining thorough documentation.
- Liaised with stakeholders, fostering positive customer relationships and effectively managing expectations through clear communication during escalated interactions.
Claims Specialist
Legato Health Technologies
Hyderabad
11.2020 - 01.2023
- Managed end-to-end (full-cycle) adjudication of high-dollar Inpatient and Outpatient claims, applying complex benefit structures, pricing methodologies, and contractual rules.
- Processed and adjudicated a broad range of healthcare claims, including ITS and Non-ITS, Professional, Facility, and Member-Submitted claims, ensuring accuracy, compliance, and timely resolution.
- Reviewed and validated member eligibility, benefits, accumulators, pricing, CPT, ICD-10 diagnosis codes, place of treatment (POT), and policy guidelines to ensure compliant claim outcomes.
- Handled high-priority inventories, including Prompt Pay, Fully Insured, DCR, Adjustments, and IQT claims, ensuring compliance with turnaround time and regulatory requirements.
- Identified discrepancies and conducted root-cause analysis to initiate claim corrections, preventing rework and payment errors.
- Ensured adherence to SLA, payer guidelines, and quality benchmarks, enhancing claim accuracy and minimizing processing delays.
Claims Specialist
Hinduja Global Solutions
Hyderabad
06.2018 - 01.2020
- Promoted to Subject Matter Expert (SME) in recognition of strong performance, domain expertise, and ability to support team operations and process excellence.
- Processed, keyed, reviewed, and adjusted health insurance claims, ensuring compliance with payer policies and regulatory guidelines for accurate and timely resolution.
- Managed appeals to payers by preparing documentation and justifications that supported claim corrections and recovered unpaid or underpaid amounts.
- Performed root-cause analysis on claim denials and discrepancies; collaborated with insurance representatives to resolve outstanding obligations, minimize revenue leakage, and reduce rework.
- Specialized in professional and behavioral health (mental health) billing, serving as project lead for the billing function, ensuring adherence to billing standards and quality benchmarks.
- Addressed process-related queries and provided on-the-job guidance to team members.
- Assisted team leads with operational reporting and performance tracking to streamline day-to-day team management and decision-making.
- Partnered with Talent Acquisition and Compliance teams to support assessment activities, assist the compliance head, and ensure new hires met process and quality standards.
- Achievements: Best SME- HGS- Hinduja Global Solutions, Jan 2020.
- SPOT- Best Performer- HGS- Hinduja Global Solutions, Sep 2018.
Education
Bachelor of Business Management and Technology (BBMT) - BUSINESS, MANAGEMENT, MARKETING, AND RELATED SUPPORT SERVICES
RBVRR College For Women
Hyderabad01.2018
Skills
- US payroll tax compliance
- IRS form management
- Multi-state payroll reconciliation
- Tax research and interpretation
- Risk assessment strategies
- Escalation and resolution handling
- Root cause analysis techniques
- Fraud and abuse prevention
- Compliance governance practices
- SLA and SOP adherence
- Audit compliance standards
- Healthcare claims operations
- Claims adjudication processes
- CPT and ICD-10 coding
- Eligibility and benefits review
- Appeals and denial management
- Behavioral health billing oversight
- Mentoring and feedback facilitation
Accomplishments
- Best SME, HGS- Hinduja Global Solutions, 01/01/20
- SPOT- Best Performer, HGS- Hinduja Global Solutions, 09/01/18
- IMPACT- Best Performer, Legato Health Technologies, 04/01/22
- IMPACT- Performer of the Month, Legato Health Technologies, 12/01/21
- IMPACT- Rising Star, Legato Health Technologies, 09/01/21
Timeline
Senior Tax Researcher
ADP Private Limited
07.2024 - Current
Escalations Specialist
Wells Fargo International Solutions Pvt Ltd
04.2023 - 03.2024
Claims Specialist
Legato Health Technologies
11.2020 - 01.2023
Claims Specialist
Hinduja Global Solutions
06.2018 - 01.2020
Bachelor of Business Management and Technology (BBMT) - BUSINESS, MANAGEMENT, MARKETING, AND RELATED SUPPORT SERVICES
RBVRR College For Women