Summary
Overview
Work History
Education
Skills
Accomplishments
Languages
Timeline
Generic

JASKARAN SINGH

Gurgaon

Summary

Dynamic Senior Cancer Claims Specialist at Coforge Pvt Ltd, adept at claims processing and benefit calculations. Proven track record in analyzing medical records and resolving complex claims issues. Skilled in data analytics and problem-solving, ensuring compliance and accuracy while delivering exceptional customer service. Committed to optimizing claim outcomes and enhancing operational efficiency.

Overview

9
9
years of professional experience

Work History

Senior Cancer Claims Specialist

Coforge pvt ltd.
Gurugram
03.2024 - Current
  • Processed insurance claims efficiently within established guidelines.
  • Reviewed claim documentation for accuracy and completeness.
  • Ensured compliance with company policies and regulatory requirements.
  • Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
  • Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
  • Provided customer service by responding promptly to inquiries from claimants regarding their benefits or coverage.
  • Researched medical records to evaluate claim validity and verify the existence of pre-existing conditions.

Senior-Claims Adjudicator

Concentrix Daksh India, Services Pvt LtdGurugram
Gurgaon
05.2018 - 03.2024
  • Purpose of Role: The primary responsibility is to analyze the claim, whether it is processed correctly or incorrectly, and issues related to payment or check.
  • Investigated and processed behavioral health insurance claims for policyholders.
  • Examined claims forms and other records to determine insurance coverage.
  • - Perform a comprehensive analysis of medical claims in accordance with established guidelines and procedures.
  • Maintain detailed documentation and provide regular reports to management.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Used critical thinking to break down problems, evaluate solutions, and make decisions.
  • Reviewed claims for accuracy and compliance with regulations.
  • Investigated discrepancies in claims to determine validity.
  • Communicated with claimants to gather necessary information.
  • Analyzed documentation to assess claim eligibility and benefits.
  • Collaborated with internal teams to resolve complex claims issues.
  • Ensured timely processing of claims according to established guidelines.
  • Trained new staff on claim processing procedures and best practices.
  • Provided customer service support by responding promptly to inquiries regarding claim status or coverage issues.
  • Researched policy language, relevant laws, and regulations to ensure accurate adjudication of claims.
  • Utilized various software programs, databases, and other resources to obtain necessary information for claim processing.

Sales associate

Gurugram
01.2017 - 02.2018
  • Role: The primary responsibility was to sell loan by generating leads though retail distribution model and serving existing customers or leads that received from the channel apart from sourcing business.

Education

B. Com -

Hapur university
Hapur

XII - Commerce

U.P
Board

Skills

  • Excel
  • Data entry
  • Telly
  • Tableau
  • Power BI
  • Claims processing
  • Benefit calculations
  • Medical records analysis
  • Data analytics
  • Problem solving
  • Policy interpretation
  • Claims analysis

Accomplishments

Long association award.

Languages

Punjabi
First Language
English
Proficient (C2)
C2
Hindi
Proficient (C2)
C2

Timeline

Senior Cancer Claims Specialist

Coforge pvt ltd.
03.2024 - Current

Senior-Claims Adjudicator

Concentrix Daksh India, Services Pvt LtdGurugram
05.2018 - 03.2024

Sales associate

Gurugram
01.2017 - 02.2018

B. Com -

Hapur university

XII - Commerce

U.P

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