Harish Chandra Nautiyal
Greater Noida
Summary
Dynamic Reimbursement Analyst with a proven track record at Metlife, leveraging expertise in claims appeals and denial resolution. Adept at ensuring HIPAA compliance while delivering exceptional customer service. Skilled in financial analysis, I effectively administered reimbursements for insured medical claims, enhancing operational efficiency and client satisfaction.
Overview
7
7
years of professional experience
Work History
Reimbursement Analyst
Metlife
2024.07 - Current
- Employed AI tools for automation in scanning invoice discrepancy identification.
- Administered reimbursements for insured medical claims, focusing on U.S. citizens aged over 60.
- Analyzed policy documents to clarify covered and uncovered medical charges.
- Verified Medicare/Medicaid eligibility through communication with nursing and rehabilitation facilities in the U.S.
- Discussed issues with medical power of attorney representatives to ensure clarity and justification of processes.
Personal Banker
Barclays
2022.01 - 2024.06
- Reduced risks by documenting fraudulent transactions on premium accounts.
- Maintained accuracy in records by verifying unusual charges with customers.
- Collected credit card payments while offering tailored suggestions.
- Guided U.S.-based customers towards suitable payment solutions through comprehensive support.
Retail Sales Associate
Vodafone Idea Ltd.
2018.08 - 2020.03
- Promoted sales of individual and corporate connections in retail setting.
- Mitigated customer issues concerning SIM cards, network disruptions, and handset configurations.
- Prepared weekly sales reports for tracking personal and team performance.
- Led on-site visits to support field sales efforts.
Education
Bachelor of Accountancy -
School of Open Learning(Delhi University)
New Delhi07.2018
Skills
- Claims appeals and denial resolution
- HIPAA regulations compliance
- Healthcare reimbursement processes
- Financial analysis and calculations
- Customer service excellence
- Excel proficiency in data management
- Insurance policy assessment
Timeline
Reimbursement Analyst
Metlife
2024.07 - Current
Personal Banker
Barclays
2022.01 - 2024.06
Retail Sales Associate
Vodafone Idea Ltd.
2018.08 - 2020.03
Bachelor of Accountancy -
School of Open Learning(Delhi University)