Experienced with process analysis, identifying areas for improvement, and implementing streamlined workflows. Utilizes strategic approach to optimize business operations and enhance overall performance. Strong understanding of project management and continuous improvement methodologies.
Overview
12
12
years of professional experience
Work History
Business Process Lead
Tata Consultancy Services
07.2023 - 03.2025
Company Overview: Project - U.S Based Life Insurance company.(BFSI DOMAIN)
Overseeing the entire claims adjudication process: This Includes ensuring that claims are processed accurately, and efficiently, and within established timeline
Managing a team of claim adjudication polices and supervising team members as well as assigning work and monitoring performance
Developing and implementing claims adjudication policies and procedures: this involves creating and revising work flows, setting standards for claims review, and ensuring compliance with relevant regulations
Analyzing claims data and identifying trends: this information can be used to improve the claim Adjudication process, identify the potential fraud and inform business decision
Communication with stakeholders: This includes interacting with policy holders, providers, legals council and other eternal and external patties
Staying abreast of industry changes and regulatory updates: This ensures that the claim Adjudication process remains complaint and effective
In addition to these core responsibilities a claims adjudication process lead i AM also responsible for implementing and maintaining claim adjudication software and system
Developing and delivering training programs for claims adjudicators
Improving customer satisfaction
Overall A lead plays a critical real ensuring that claims are processed accurately and efficiently, which is essential for the financial health of any organization that handles insurance claim
Continuously sought ways to improve procedures, providing feedback and suggestions that contributed to long-term efficiency gains within the claim adjustment process.
Project: Trans America Life Insurance Company
Sr. Quality Analyst
Tata Consultancy Services
07.2020 - 03.2025
Company Overview: Project - U.S Based Life Insurance company.(BFSI DOMAIN)
Improved product quality by implementing rigorous testing protocols and identifying areas for improvement.
Reduced production errors by training team members on best practices in quality control and continuous improvement techniques.
Streamlined quality assurance processes through the development of comprehensive test plans and checklists.
Collaborated with Product Development teams to establish performance baselines for new products, setting high standards that guided ongoing QA efforts from inception through release.
Leveraged strong analytical skills in monitoring performance statistics against established benchmarks, identifying opportunities for targeted improvements in specific areas.
Spearheaded implementation of new software tools designed to streamline QA workflows and simplify data management processes for improved efficiency gains.
Collaborated with cross-functional teams to establish quality standards, ensuring alignment with organizational goals and objectives.
Evaluated competitor offerings as part of ongoing market analyses, identifying areas where company''s products could be further differentiated through superior quality or innovation.
Project Name: Transamerica Life Insurance Company
Senior Payroll Officer
Tata Consultancy Service
01.2019 - 01.2020
Company Overview: Project - Us Based Retails Business(HRO Domain)
Data Entry and Maintenance
Payroll Calculations
Tax Fillings and Compliance
Payroll Disbursement
Employee Support
Resolve payroll issues
System maintenance
Reporting And Analysis
Benefit Administration
By effectively carrying out these responsibilities I as a payroll associate ensure that employees are paid accurately and on time, while also maintaining compliance with all relevant laws and regulations
Project - 99 Cents only stores(HRO Domain)
Talent Acquisition Specialist
Tata Consultancy Services
01.2017 - 01.2019
Company Overview: Project: U.S Based Retail Service Provider (HRO Domain)
Data entry and maintenance
HR operations Support
Compliance and Regulations
System Administration
Process Improvements
Overall I as EDM team member play a critical role in supporting the HR function and ensuring that employee data is managed accurately and efficiently
Project: U.S Based Retail Service Provider (HRO Domain)
Company Overview: Forever 21 Inc.- U.S Based Payroll process (HRO Domain)
Process Associate
Tata Consultancy Service
01.2013 - 01.2016
Company Overview: Project: U.S Based Insurance Service Provider (BFSI Domain)
Followed up with insured individuals regarding premium and deductible amount
Calculated co pay, deductible, coins amounts in medicate bills
Followed up on potential fraudulent claims initiated by claims representative
Provide support to the junior associate by knowledge sharing
Project: U.S Based Insurance Service Provider (BFSI Domain)
Education
BSC -
Utkal University
Skills
Analytical skills
Strong decision maker
Complex problem solver
Strong attention to detail
Work efficiently under pressure
Ability to meet deadlines
Excellent Communication skill
Excellent Organizational skills
Ability to take ownership of task
Team building and motivation
Accomplishments
BPS Awards, BPS Champions League - Team, Star Awards - 2015
BPS Awards, BPS Star Performer, Star Award - 2015
Service Awards, Service & Commitment Award, Service Awards - 2016
Service Awards, Service & Commitment Award, Service Awards - 2018
BPS Awards, BPS Stars Performer, Star Awards - 2018
Awards for Excellence, On The Spot Award, On The Spot Awards - 2022
Languages
English - Read, Write & Speak
Bengali - Read, Write & Speak
Hindi - Read, Write & Speak
Odia - Read, Write & Speak
Technical Qualifications
Microsoft Office
Ceridian
Dayforce
Hirerirght
Talent Dashboard
Service Now Application
AWD
Mainframe
Business Reporting Application
Hobbies and Interests
Photography
Video Games
Football
Movies
Disclaimer
I hereby declare that all statements mentioned above are true, complete and correct to the best of my knowledge and belief.