Summary
Overview
Work History
Education
Skills
Certification
Languages
Websites
Work Availability
Timeline
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Kishore Sanaboina

Kishore Sanaboina

Hyderabad,Telangna

Summary

Experienced professional with 7.7 years in US Healthcare and Insurance industries, specializing in BenefitFocus project management. Proficient in E-Benefit enrollments, Employee Benefits administration, Cobra processes, and personal & commercial insurance. Skilled in coordinating EDI implementations, ensuring data accuracy, and resolving complex issues. Knowledgeable in healthcare insurance claims. Committed to optimizing processes and driving excellence. Strong leadership and collaboration skills, focused on innovation and lifelong learning.

Overview

8
8
years of professional experience

Work History

Renewal Consultant/Module Lead

ValueLabs (BenefitFocus)
Hyderabad
08.2021 - 07.2023
  • Spearheaded Renewal Configuration for US employers, optimizing benefits administration.
  • Collaborated with clients to gather requirements, address issues, and provide customized solutions.
  • Managed tasks such as Insurance carrier updates, Plans, and Rates adjustments.
  • Led a team, overseeing work allocation and client issue resolution.
  • Proficiently managed payroll and EDI files.
  • Ensured client satisfaction through effective issue resolution.
  • Organized meetings between stakeholders to discuss project details and timelines.
  • Developed and implemented customized strategies to meet client needs.
  • Developed solutions tailored specifically to each client's unique needs while staying within their allocated budgets.

Team Lead

Infosys BPM
Hyderabad
04.2021 - 08.2021
  • Orchestrated a seamless transition for a client's business from the US to Hyderabad, India.
  • Led a team of 21 members, developed comprehensive training plans, and ensured project success.
  • Managed work assignments, tracked progress, and maintained client communication.
  • Coordinated with internal teams for the successful execution of the transition plan.
  • Prepared documentation related to transition tasks such as SOPs, user manuals.

Senior Software Engineer

ValueLabs
Huderabad
06.2018 - 04.2021
  • Specialized in E-Enrollments, Back End Application support, and client issue resolution.
  • Conducted quality checks on deliverables, managed requirements, and oversaw data exchange with clients.
  • Proficient in EDI and utilized tools like Jira, Salesforce, and Confluence.
  • Actively engaged with clients, ensuring exceptional support.
  • Collaborated with team members to ensure successful project completion within timeline constraints.
  • Analyzed business needs and created solutions that met customer expectations.

Claims Associate

Optum
Hyderabad
10.2016 - 02.2018
  • Adjudicated medical and dental claims with precision and efficiency.
  • Collaborated with providers to resolve issues and managed claims processing.
  • Conducted research on claim issues, utilizing available resources such as databases and other documentation.
  • Analyzed data and formulated decisions regarding the approval or denial of claims.
  • Reviewed medical records and documents submitted by claimants to ensure accuracy and completeness of information provided.
  • Processed payments for approved claims in a timely manner, adhering to established payment schedules and procedures.

Process Associate

Genpact
Hyderabad
03.2015 - 05.2016
  • Reviewed documentation for Personal & Commercial Insurance policies.
  • Assessed eligibility for premium discounts.
  • Conducted product re-underwriting process, ensuring regulatory compliance and industry standards.
  • Verified documents and analyzed data in response to queries regarding client applications.

Education

Master of Business Administration - MBA - Finance and Financial Management

JNTUH College of Engineering
Hyderabad
03.2015

Skills

  • 1 Cloud-Based Web Application Support and Configuration: Proficiency in providing support for cloud-based
  • Applications, ensuring smooth functionality and user satisfaction, Scrum, Business Analysis
  • 2 Mastery in tool usage: Skillful use of tools like ServiceNow, Salesforce, Vista, Power BI, Confluence
  • 3 Proficiency in reviewing HTML, XML, EDI & Payroll Files: Expertise in extracting various data formats and files for effective benefit administration
  • 4 Support UAT cases on Client Customized Tools: Skillful in conducting user acceptance testing
  • 5 Skilled in Visio Flowcharts, Client Consulting, configuration based on client requirement
  • 6 Enrollment Planning: Expertise in strategic planning for benefit enrollment processes, aligning offerings with organizational needs
  • 7 Third-Party Carrier Management: Experience in managing relationships and interactions with third-party benefit carriers, ensuring seamless collaboration

Certification

  • Career Essentials in Generative AI by Microsoft and LinkedIn - Microsoft
  • Prompt Engineering: How to Talk to the AIs - LinkedIn
  • Cyber Insurance for IT Professionals - LinkedIn
  • Be the Manager People Won't Leave - LinkedIn
  • Consulting Foundations: Client Management and Relationships -
    LinkedIn
  • Cert Prep: Scrum Master - LinkedIn
  • Studying for the Certified Business Analysis Professional (CBAP)® - LinkedIn
  • Agile Job Simulation - JPMorgan Chase & Co

Languages

Telugu
First Language
English
Proficient
C2
Hindi
Intermediate
B1

Websites

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Renewal Consultant/Module Lead

ValueLabs (BenefitFocus)
08.2021 - 07.2023

Team Lead

Infosys BPM
04.2021 - 08.2021

Senior Software Engineer

ValueLabs
06.2018 - 04.2021

Claims Associate

Optum
10.2016 - 02.2018

Process Associate

Genpact
03.2015 - 05.2016

Master of Business Administration - MBA - Finance and Financial Management

JNTUH College of Engineering

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Kishore Sanaboina