Summary
Overview
Work History
Education
Skills
Additional Information
Working Area
Strength
Timeline
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Janvi Pal

Janvi Pal

HR
Mumbai

Summary

As a seasoned claims processing professional, I bring a wealth of experience in guiding, training, and directing team members to achieve excellence in our field. My expertise lies in handling high-ageing accounts and navigating client escalation cases with ease, ensuring complex queries are resolved and timely solutions are delivered. I take pride in my role in creating a collaborative work environment, where I actively assist and support my colleagues to keep them updated on the latest process and product knowledge. My proficiency extends to generating detailed daily quality reports, actively participating in quality meetings, and providing constructive feedback, all aimed at boosting team performance and efficiency. Additionally, I possess strategic insight into enhancing company profitability and growth, both organically and inorganically, by advising on optimal capital structure leverage.

Overview

4
4
years of professional experience

Work History

LINER TRAINER

GEBBS HEALTHCARE SOLUTION PVT LTD, Mumbai
  • Responsibilities:
  • Develop training materials and deliver sessions to onboard new employees or upskill existing staff members.
  • Provide hands-on demonstrations to ensure trainees understand practical aspects of their job roles.
  • Monitor trainee progress through assessments and offer feedback and coaching to address areas of improvement.
  • Address trainee questions and concerns to ensure clarity and support throughout the learning process.
  • Maintain accurate training records and collaborate with stakeholders to align training objectives with organizational goals.

QUALITY ANALYST

GEBBS HEALTHCARE SOLUTION PVT LTD, Mumbai

Responsibilities:
• As a Quality Analyst, responsibilities include conducting audit reports to assess adherence to quality standards, providing feedback to team members based on audit findings, and facilitating quality meetings to discuss improvement strategies. Additionally, they oversee Quality Assurance Testing (QAT), ensure client calibration for consistency in evaluations, handle client calls related to quality concerns, and lead team huddles to address performance issues and share best practices for quality improvement.
• Analyze and evaluate the quality of claims processing operations to ensure adherence to company standards and regulatory requirements.
• Provide guidance, training, and feedback to team members to enhance performance and ensure consistent quality output.
• Handle high-priority accounts and address client escalations effectively to maintain customer satisfaction.
• Prepare daily quality reports and participate in quality meetings to discuss improvement strategies and best practices

CUSTOMER SERVICES EXECUTIVE

INTELENET PVT LTD, Mumbai
  • Analyze and evaluate the quality of claims processing operations to ensure adherence to company standards and regulatory requirements.
  • Provide guidance, training, and feedback to team members to enhance performance and ensure consistent quality output.
  • Handle high-priority accounts and address client escalations effectively to maintain customer satisfaction.

AR SPECIALIST IN MEDICAL BILLING

GEBBS HEALTHCARE SOLUTION PVT LTD, Mumbai
09.2019 - Current

Responsibilities:
• Managed accounts receivable processes for medical billing operations, including claim submission, payment posting, and denial management.
• Identified and resolved billing discrepancies and coding errors to expedite claim reimbursement and minimize revenue loss
• Collaborated with cross-functional teams to implement process improvements and enhance overall efficiency.

Education

PGDA&M - DIPLOMA IN ADVERTISING & MEDIA

Gaware Institute of Education & Development
Mumbai
04.2001 -

BMM - BACHELOR OF MASS MEDIA IN ADVERTISING & MEDIA

VPM R.J Shah College
Mumbai
04.2001 -

HSC 12th Board -

Friend's Jr. College
Mumbai
04.2001 -

SSC 10th Board -

Vani Vidalaya High School
Mumbai
04.2001 -

MBA - HR

Parle Tilak Institute Of Management
Mumbai
04.2001 -

Skills

    MS Word

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Additional Information

PROJECT:

A STUDY ON STRESS MANAGEMENT ON THE EMPLOYEES WORKING IN GEBBS HEALTHCARE SOLUTIONS PVT LTD

  • This study seeks causes of stress management for the employees working in GeBBS Healthcare Solution Pvt Ltd. Today, stress has developed into a global epidemic that is hurting workers in practically every industry. Employees' physical and mental health is affected, and the organization's competitiveness and productivity are also negatively impacted. One of the most stressful industries is the outsourcing business. This study was conducted to determine the amount of stress experienced by outsourcing industry employees and to identify potential causes of stress. The results of this study may assist management in developing stress coping mechanisms that will improve employee morale, productivity, and wellbeing.
  • A mixed-methods technique is used in this study, mixing quantitative surveys with qualitative interviews. Employees will receive a thorough survey to determine their stress levels, pinpoint common stressors, and evaluate current stress management programs. Furthermore, qualitative insights into the complex facets of workplace stress will be obtained through in-depth interviews with a sample of workers and management.
  • Stress at work, which can be both beneficial and harmful, can be difficult for outsourcing professionals everywhere. Positive stress increases productivity, while negative stress causes the firm high number of attrition . There is already lot of stress in the professional life of the employees, and this stress is increased by the workload pressure that Outsourcing employees experience at work.

Working Area

  • Providing guidance, training, direction and feedback to other team members in claims process.
  • To Work on High Ageing accounts, Client Escalation Accounts.
  • Assisted & supported colleagues with process/product knowledge, updates & resolved queries.
  • Daily Quality Reports, Feedback, Quality Meet.

Strength

• Ability to work efficiently under pressure and face challenge’s.

• Good interpersonal relationship

• Good listener & learner

Timeline

AR SPECIALIST IN MEDICAL BILLING

GEBBS HEALTHCARE SOLUTION PVT LTD, Mumbai
09.2019 - Current

PGDA&M - DIPLOMA IN ADVERTISING & MEDIA

Gaware Institute of Education & Development
04.2001 -

BMM - BACHELOR OF MASS MEDIA IN ADVERTISING & MEDIA

VPM R.J Shah College
04.2001 -

HSC 12th Board -

Friend's Jr. College
04.2001 -

SSC 10th Board -

Vani Vidalaya High School
04.2001 -

MBA - HR

Parle Tilak Institute Of Management
04.2001 -

LINER TRAINER

GEBBS HEALTHCARE SOLUTION PVT LTD, Mumbai

QUALITY ANALYST

GEBBS HEALTHCARE SOLUTION PVT LTD, Mumbai

CUSTOMER SERVICES EXECUTIVE

INTELENET PVT LTD, Mumbai
Janvi PalHR