Summary
Work History
Education
Skills
Hobbies and Interests
Disclaimer
Languages
Personal Information
Accomplishments
Languages
Timeline
Generic

K Chandana Priya

Hyderabad

Summary

Dedicated and detail-oriented Claims Associate with over 3.5 years of experience in claims processing, appeals handling, and team leadership. Adept at resolving complex claim issues, mentoring team members, and implementing process improvements. Passionate about delivering high-quality service while maintaining accuracy and efficiency in claims adjudication.

Work History

PDMS Team Lead | Appeals Representative | [Current Role]

Sutherland Global Solutions
- Current
  • Lead a team in processing and resolving claims with high accuracy
  • Mentor and support team members while managing escalated claim issues
  • Ensure compliance with guidelines, benefit plan documents, and policies
  • Monitor and analyse claims trends, providing insightful reports for process improvement
  • Coordinate with internal stakeholders and clients to streamline operations
  • Conduct team meetings and training sessions to enhance efficiency

Claims Associate

Optum Global Solutions (UHG)
- Current
  • Processed and reviewed claims while ensuring compliance with insurance policies
  • Assisted in the resolution of escalated claims, reducing backlogs and increasing efficiency
  • Maintained a high level of accuracy to prevent duplicate claims and discrepancies
  • Collaborated with cross-functional teams to improve claims management processes

Education

Master’s in HR & Finance -

Balaji Institute of IT & Management
12.2022

Bachelor of Commerce -

Sri Vidya Degree College
12.2019

Intermediate - Commerce

Sri Padmavathi Women’s Junior College
12.2015

SSC -

Zilla Parishad High School
12.2013

Skills

  • Claims Processing & Adjudication
  • Claims processing
  • Team leadership
  • Process improvement
  • Performance monitoring
  • Appeals & Dispute Resolution
  • Team Leadership & Mentorship
  • Process Improvement
  • Data Analysis & Reporting
  • Insurance Policy Compliance
  • Client & Stakeholder Coordination
  • MS Excel
  • MS Word
  • Salesforce
  • FACETS
  • NDB
  • CSP
  • Rumba Tools

Hobbies and Interests

  • Social Servicing
  • Book Reading
  • Writing Telugu Poetry
  • Social Service

Disclaimer

I hereby declare that the above written information is true to the best of my knowledge and belief.

Languages

  • English
  • Telugu
  • Hindi

Personal Information

  • Father's Name: K. Pothuluri Achari
  • Date of Birth: 05/22/98
  • Gender: Female
  • Nationality: Indian
  • Marital Status: Unmarried

Accomplishments

I have been awarded best employee for the months of February and May

I've been complimented by my manager and co-workers

Perfect Attendance Award

Awarded as Rising Star for the month of September

Languages

English
First Language
Telugu
Beginner
A1
Hindi
Beginner
A1

Timeline

PDMS Team Lead | Appeals Representative | [Current Role]

Sutherland Global Solutions
- Current

Claims Associate

Optum Global Solutions (UHG)
- Current

Master’s in HR & Finance -

Balaji Institute of IT & Management

Bachelor of Commerce -

Sri Vidya Degree College

Intermediate - Commerce

Sri Padmavathi Women’s Junior College

SSC -

Zilla Parishad High School
K Chandana Priya