Hemanth Kumar K
Bengaluru
Summary
Senior Claims Representative with extensive experience at CIGNA Healthcare Solutions India, specializing in claims processing and team leadership. Consistently met service level agreements while significantly improving client satisfaction. Demonstrated ability to quickly adapt and communicate effectively in complex situations, resulting in enhanced operational efficiency.
Overview
6
6
years of professional experience
Work History
Senior Claims Representative
CIGNA Healthcare Soulutions India
Bengaluru
12.2023 - Current
- Managed end-to-end claims processing to ensure accuracy and efficiency.
- Facilitated a supportive work environment by resolving team queries on claim processes.
- Assigned claims in lead's absence, maintaining steady team production levels.
- Updated knowledge base to reflect current procedural standards.
Senior Process Consultant/Specialist
Hinduja Global Solutions Limited/ Sagility, Bangalore
Bangalore
09.2019 - 09.2022
- Managed claim evaluation processes, ensuring timely payment of health insurance invoices.
- Achieved service level agreement targets while prioritizing client satisfaction.
- Received awards for outstanding performance in US health insurance operations.
- Processed claims according to guidelines, including re-adjudication and validation tasks.
- Collected and reviewed medical billing information for accurate invoicing.
- Monitored checks, stop payments, and cancellations as required.
- Mentored junior team members on resolving complex scenarios effectively.
- Prepared daily and monthly production and quality reports.
Education
BBA -
SDHR Degree And PG College
Tirupati01.2018
INTER -
Vijayawada Narayana JR College
Tirupati01.2015
SSLC -
Venkatagiri High School
Tirupati01.2013
Skills
- Quick learner
- Team Handling
- Effective communication
- Adaptability to challenges
- Results-oriented approach
Languages
English, Telugu, Kannada, Tamil
Disclaimer
I hereby declare that the particulars given above are true to best of my knowledge and belief.
Timeline
Senior Claims Representative
CIGNA Healthcare Soulutions India
12.2023 - Current
Senior Process Consultant/Specialist
Hinduja Global Solutions Limited/ Sagility, Bangalore
09.2019 - 09.2022
BBA -
SDHR Degree And PG College
INTER -
Vijayawada Narayana JR College
SSLC -
Venkatagiri High School
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