K. Hemendra Suraj
Quality Analyst/ Subject matter expert
Summary
Industry Subject Matter Expert providing advanced technical knowledge and analysis of highly specialized applications and operational environment. Perform complex functional systems analysis, design, training and implementation advice on complex problems, including esoteric problems requiring extensive knowledge of subject matter.
Overview
4
4
years of professional experience
Work History
Human Resources Intern
TT Hub
07.2020 - 10.2020
- Completed Internship with TT Hub by taking Human resource as elective.
- Assisted in payroll processing, ensuring accurate and timely compensation for all employees.
- Participated in job fairs and recruitment events to attract top talent.
- Compiled and analyzed employee feedback to improve organizational policies.
Claims Associate
Carelon Global Solutions
11.2020 - 04.2021
- Started my career as claims associate by processing claims for west region.
- Optimized resource allocation by regularly monitoring workload distribution among team members.
- Increased customer satisfaction rates through empathetic handling of customer concerns and timely resolutions.
- Improved team performance by providing ongoing training and support for Claims Associates on best practices and procedures.
- Assigning inventory and consolidation of production is also part of my work on daily basics.
- Collaborated with team members to develop strategies for efficient claims processing and improved customer experiences.
Senior Claims Specialist
Carelon Global Solutions
04.2021 - 04.2022
- Reduced claim resolution time by effectively collaborating with internal teams, clients, and third-party professionals.
- Supported continuous improvement initiatives within the department through regular feedback sessions, process reviews, and targeted training programs.
- Managed a caseload of complex claims, ensuring timely settlements and maintaining client satisfaction.
- Enhanced team productivity by providing ongoing training to junior claims specialists on best practices and industry trends.
Quality Analyst ( Subject Matter Expert )
Carelon Global Solutions
04.2022 - Current
- Conducted thorough root cause analyses on recurring defects, resulting in the implementation of effective corrective actions.
- Provided detailed reports on quality metrics to senior management, enabling informed decision-making regarding process improvements.
- Monitored KPIs to proactively address bottlenecks and quality issues.
- Collaborated with cross-functional teams to develop and implement targeted solutions for identified quality issues, ensuring continuous improvement.
- Developed training materials, SOPs and work instructions to supplement new team member onboarding.
- Analyzed quality and performance data to support operational decision-making.
- Compiled and distributed weekly feedback to team leaders and managers to improve service time and quality while increasing productivity.
Education
Central Board of Secondary Education (CBSE) -
Atomic Energy Central School, ECIL
Intermediate (MPC) - undefined
Sri Chaitanya Junior College ECIL
BBA - undefined
Anish College of Commerce
Skills
Continuous Improvement
Accomplishments
- Played National Level Cricket at Warangal and secured Silver Medal
- Played State Level Cricket at Nizamabad and secured Gold Medal
- Banking certification from Tata Institute of Social Service
- Financial Modelling Workshop from IBM
- Digital Marketing Workshop
- NCC Annual Training Camp at Bison Grounds
Personal Information
- Father's Name: K. RAMLAL
- Date of Birth: 02/18/00
- Gender: Male
- Nationality: Indian
- Marital Status: Unmarried
- Religion: Hindu
Languages
English, Hindi and Telugu
Work Profile
Started my career as claims associate by processing claims for west region. Later I moved to adjustments and worked in adjustment team for 6 months, then I moved to Claims Sweep process.Presently I am working as a senior associate (SME) for Provider Escalations in HART Data base since two and half years and providing training to nesting associates and auditing the claims on daily basics. Assigning inventory and consolidation of production is also part of my work on daily basics.
Disclaimer
I hereby declare that the above furnished particulars are true to the best of my knowledge and belief.
Interests
Cricket
Movies
Travelling
Timeline
Quality Analyst ( Subject Matter Expert )
Carelon Global Solutions
04.2022 - Current
Senior Claims Specialist
Carelon Global Solutions
04.2021 - 04.2022
Claims Associate
Carelon Global Solutions
11.2020 - 04.2021
Human Resources Intern
TT Hub
07.2020 - 10.2020
Central Board of Secondary Education (CBSE) -
Atomic Energy Central School, ECIL
Intermediate (MPC) - undefined
Sri Chaitanya Junior College ECIL
BBA - undefined
Anish College of Commerce
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