JESUDASS R
Chennai,TAMIL NADU
Summary
I am a highly motivated person, enthusiastic and ambitious with excellent interpersonal and communicative skills. In the course of my academic studies and work experience I have used these skills to work well on my own initiative. I am seeking an opportunity where I'll be able to use my experience and skills to contribute to the organization.
Overview
9
9
years of professional experience
Work History
Senior Associate (Payment Dep)
Wipro HR Service Pvt Ltd
04.2020 - 03.2025
- "Health and Welfare" Analyzing medical documents to determine whether the eligibility requirements and claim-filing requirements are met for processing
- Handling the copay's , coinsurance ,deductible, in-network , out of network, COB cases.
- Review and resolved the denial cases through tickets.
- Have to determine the CPT, CDT, HCPS case into the Submission forms.
- Handling and involved the JIRA task as per requirements like( Guidelines updates, Confirming Sop's steps ,Aqua cases, overpayment cases, Plan Not popup cases and most important cases manual processing cases ).
- Involved the Medicare related receipt.
- Involved authorization and duplicate claim cases.
- Handle the escalation cases and provide root cause for the errors.
- To Generate the claims as per TAT wise and allocate to team in every start of the shift
- Always maintain the SLA's as per organizations policy.
- Have to processing CPT cases , modifiers, premium receipts.
- Having hands on experience in WCA platform which is future adjudication tool.
- Trained and supported new team members, maintaining culture of collaboration.
- Mentored junior associates, fostering professional growth and helping them reach their full potential.
Senior Customer Representative
HCL Pvt Ltd
09.2018 - 01.2020
- Performing regular check on products of Online marketing compared with Office Depot and promoting the business and attracting new customer to buy our products
- Mentoring junior processors and providing the required training to them
- Ensuring to meet the SLA timeframe and perform periodical reports on the same
Assistant Administrator
Make Easy Logistics Pvt Ltd
05.2017 - 05.2018
- Managed daily schedules and appointments for senior staff, ensuring timely attendance and optimal productivity.
- Preparing Run sheet and updating Software.
- Handling incoming receipts and outgoing expenses which includes Fuel expenses, Vehicle Payment and Administration expenses.
- Regularly conducting meeting team to discuss about status and for future sales target improvement.
- Daily sending daybook report and Vehicle report to head office.
- Tracked expenses, processed invoices and completed other related accounting tasks.
- Arranged conference rooms and facilities to prepare for meetings.
Process Associate (8 Months)/Quality Analyst (Last 6 Months)
Accenture
12.2015 - 02.2017
- Quality Verification for Flipkart products
- Complete review of product information and identify the missing information
- Sending incomplete product details to client
- Maintain and track individual work flow during production
- Supporting inventory control during peak times when needed
- Extracting TAT report on daily basis to have a track on products
Education
Bachelor of Commerce - General
Alpha Arts & Science College. Madras University
Chennai01-2015
Skills
- Strong interpersonal and
Communication skills at
All levels - Multiple denial codes
Experience - A positive and
Enthusiastic team worker - Good administration,
Organizational, analytical
And co-ordination skills
- A high level of
Professionalism,
Discipline And dedication
To achieving tasks on time
And to a high standard - Multiple tool experience
In healthcare industry like
MAINFRAME, TBA, WCA,
EWAT, ICN NAVIGATOR - Handling the JIRA for the
Support issue - Have experience on
Mentoring New hires
LANGUAGES
English, Tamil, Telugu
Timeline
Senior Associate (Payment Dep)
Wipro HR Service Pvt Ltd
04.2020 - 03.2025
Senior Customer Representative
HCL Pvt Ltd
09.2018 - 01.2020
Assistant Administrator
Make Easy Logistics Pvt Ltd
05.2017 - 05.2018
Process Associate (8 Months)/Quality Analyst (Last 6 Months)
Accenture
12.2015 - 02.2017
Bachelor of Commerce - General
Alpha Arts & Science College. Madras University
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