Jyoti Bhagat
Noida
Summary
To succeed in an environment of growth and earn a job that provides me job satisfaction, self development and helps me to achieve personal as well as organizational goals.
Overview
3
3
years of professional experience
Work History
Specialist
Marsh McLennan
Noida
06.2022 - Current
- Supported and aligned efforts to gather, document and interpret client requirements to drive system development and clients' needs.
- Working on staff movement details monthly or ad-hoc basis and updation of record on portal accordingly.
- Terminating employees on portal as well as from insurance policy upon HR request.
- Generating monthly and ad-hoc payrolls as per given cutoff dates.
- Utilising process data to generate reports and articulate ideas and viewpoints to senior management.
- Uploading payroll files and panel claims on Benefits Asia as well as Darwin portal.
- Liaising with onshore, brokers and underwriters.
- Handling email inquiries form clients for health insurance products.
- Preparing and updating process SOPs (Standard Operation procedure) and Admin Manual.
- Performing quality checks on claims adjudication performed by the peers i.e. New hires.
- Developed dashboards to track productivity and expedite remediation of issues.
- Ensuring SLAs are met in terms of turnaround time and quality.
- Mentoring and resolving queries within the Team whenever required.
- Reconciliation of records that needs to be updated on clients system.
- System testing to check if all the functionalities are working.
Associate
Optum Global Solutions
Noida
05.2021 - 06.2022
- Handled Onshore Assistance.
- Daily data analysis of medical billing prior to TPA payments.
- Prepared claims production report for all team member.
- Determined client's eligibility for medical insurance payouts by coordinating with hospitals.
- Provided expertise on general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
- Reviewed, analysed and researched complex health care claims in order to identify discrepancies, verify pricing and confirm prior authorizations.
- Navigated across various Software for finding critical information, mainly ensure accuracy for timely processing of the members claims.
- Processed Itemized Bill.
- Utilised specialized knowledge of organization's business activities to optimize operations.
Education
Bachelors of Commerce (B.Com) -
Dyal Singh College, Delhi University
Lodhi Road, New Delhi2019
12th - Commerce
Modern School
Noida 2016
10th -
Modern School
Noida2014
Skills
- Process Improvement
- Client Management
- Financial Modeling
- Advanced knowledge of MS Excel
- Data collection and Data analysis
- Attention to Detail
Accomplishments
- Spotlight Award for smooth Transition of new clients.
- Worked directly with senior leadership.
- Rewarded for maintaining SLAs.
Timeline
Specialist
Marsh McLennan
06.2022 - Current
Associate
Optum Global Solutions
05.2021 - 06.2022
Bachelors of Commerce (B.Com) -
Dyal Singh College, Delhi University
12th - Commerce
Modern School
10th -
Modern School
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