Gowni Durga Prasad Goud - Claims Associate - carelon

Summary

To bring my strong dedication, responsibility, motivation and to utilize my accounting and financial skills to achieve the organizational goals.

A person who has grown in life with commitment, hard work dedication. Improvement is always my passion that makes me to learn from my previous experience and help me to grow inn.

Overview

2

years of professional experience

Work History

Claims Associate

carelon

Hyderabad

02.2023 - Current

Efficiently processed and adjudicated healthcare claims for accuracy and completeness with good quality.
Resolved claim issues and denials promptly, ensuring minimal delay in reimbursement.
Excellent attention to detail and ability to maintain accuracy under pressure.
Submitted the ideas for process automation.
Taken the role of Quality Analyst for 2 months to meet process requirements.
Collaborated with senior associates and auditors and Onshore Oe’s to resolve process related discrepancies.
Processed GBD Medicaid and Caremore claims with high accuracy and efficiency.
• Utilized Facets and WGS applications to analyze and resolve claims.
• Managed claims across multiple US healthcare markets, demonstrating adaptability and expertise.

Education

B.Com - Computers

Jagruti degree and PG college

INTERMEDIATE - MEC

Sri Gayatri Jr college

SSC -

Brilliant High School

01.2016

Skills

Positive Attitude: Creating a positive work environment
Critical Thinking: Decision making skills
Learning Agility: Quick learner
Creating Ideas: Creativity

MS Word
MS Excel
MS PowerPoint
Typing Speed 20 - 25WPM

Languages

Telugu, Hindi and English.

PERSONAL PROFILE:

Name : Gowni Durga Prasad Goud
Father's Name : Gouni Anand Goud
Date of Birth : 15/05/2000
Sex : Male
Nationality : Indian
Marital status : Single

Disclaimer

I here by declare that, the above furnished information is genuine to the best of my knowledge.

Timeline