Corrected Claims Toolbox (CCTB)
JEEVA K
SENIOR PROCESS EXECUTIVE
Coimbatore,TN
Summary
I am seeking a challenging position in a dynamic organization where I can leverage my skills and enhance my knowledge for the growth of the organization. With experience in claims processing and a proven track record of maintaining quality and productivity, I am committed to contributing to team success and continuous improvement
Overview
3
3
years of professional experience
Work History
Senior Process Executive
Cognizant Technology Solution
03.2024 - 05.2025
- Company Overview: Cognizant Technology Solution is a multinational technology company that provides IT services and consulting
- Detail Oriented in processing Claims like Mancal claims on application, COB, Prepay claims, Denying claims, Maintaining letters and Project Claims
- Experienced in handling various claim denials including eligibility, authorization, COB, TFL, and duplicate claims. Proficient in analyzing EOBs/ERAs, resolving denials, and submitting corrected claims using payer portals like Availity.
- Well versed on handling and reporting shared trackers like Quality report, Production details for Team
- Consistently met and exceeded performance targets for claims processing and adjudication, contributing to overall department success
- Assisted team members by providing trainings and facilitate query call for clarifications
- Interacted with clients through mails and sending reports of daily basis
- Responsible for certain activities to ensure the quality of the team and helps to achieve the requirement
Process Executive
Cognizant Technology Solution
02.2022 - 03.2024
- Processing claims in a timely manner, maintained quality and productivity as per the SLA and continuously met and exceeded the assigned target
- Analyze and understand various prompts, application benefits, pricing, coordination of benefits, medical policy, authorization
- Reduced errors in claim adjudication through diligent review of policies and through investigation of Claims
- Skilled in balancing customer service and support objectives with innovative process improvement and executive
- Possess good presentation skills and anchored team meetings and received appreciation from senior management
- Checking for possibilities and processing Medicare and Medicaid claims
Education
B.Com - Corporate Secretaryship
Sri Krishna Adithya College of Arts & Science
Coimbatore 08.2018 - 5 2021
Higher Secondary Certificate - undefined
CSI Matric Higher Secondary School
Coimbatore 06.2015 - 5 2017
Secondary School Leaving Certificate - undefined
Motherland Matric Higher Secondary School
Coimbatore 06.2012 - 5 2014
Skills
Adaptability
Problem Solving
Quick learner
Focused on performance optimization
Decision Making
Time Management
Accomplishments
- Spotlight Award: Recognized for consistently maintaining accuracy and productivity in healthcare claim adjudication, ensuring process quality.
- Amber Award: Awarded for dedication, excellent work ethic, and outstanding contribution to team projects and performance.
- Unicorn Award: Honored for effectively guiding new team members, displaying leadership, and easily adapting to dynamic workflow challenges.
Software
Emulators
Prompt Pay
Mancal Excel
Accums UI
Real Time Benefit (RTB)
Provider Inquiry
Member Inquiry
Declaration
I hereby declare that the information given above is true to the best of my knowledge.
Timeline
Senior Process Executive
Cognizant Technology Solution
03.2024 - 05.2025
Process Executive
Cognizant Technology Solution
02.2022 - 03.2024
B.Com - Corporate Secretaryship
Sri Krishna Adithya College of Arts & Science
08.2018 - 5 2021
Higher Secondary Certificate - undefined
CSI Matric Higher Secondary School
06.2015 - 5 2017
Secondary School Leaving Certificate - undefined
Motherland Matric Higher Secondary School
06.2012 - 5 2014