Lalita Doni
claim associate
Gadag
Summary
Seeking a career opportunity to fully utilize skills and contribute to the growth and profits of the company. Driven by a strong work ethic, self-confidence, and a passion for learning. Committed to pursuing a challenging career aligned with academic and technical expertise. Effective time management skills, seamless collaboration abilities, and clear communication style. Brings valuable assets to any team. Solution-driven individual with integrity, approachability, and a consistent desire to assist others throughout professional journey.
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
2
2
years of professional experience
2021
2021
years of post-secondary education
4
4
Certifications
4
4
Languages
Work History
Claim Associate
Full Time Employer
07.2022 - 10.2024
- April 18th, 2024, to oct 2024
* We move the HDC team below 250k Dollar
- November 20th, 2023, to April 17th, 2024 (Support to junior)
* Worked in auditing 94 status claim sand provided feedback to associates on errors/workflow using audit tracker.
* Worked as an auditor for the vendor company and provided feedback to associates on errors/workflow using audit template and sending documents.
- January 10th 2023 to November 20th, 2023
- Maintained confidentiality of patient finances, records, and health statuses.
* Processed all types of claims for Anthem with the help of process related applications.
- Maintained comprehensive knowledge of insurance products and regulations to provide informed guidance during the claims process.
- Calculated adjustments, premiums and refunds.
* Worked as a trainer for fresher ‘s to direct them in handling claims in CIW E2E.
* Processing claims/developing projects as per process guidelines and adhering to the SLA, maintaining Quality and auditing parameters.
Ensure all the queries are auctioned on a timely basis by maintaining the accuracy at a good rate.
- Oct 20th, 2022, to January 10th, 2022
* Completed the Nesting period
- Training period July 20th 2022 to October 2022
Education
HCES Art Science and Commerce College
undefined
HCES INSP PU College
undefined
Morarji Desai Residential School
Skills
Responsibility
Knowledge on auditing samplings
Good communication skills
Processing claims
Navigation claims
Claims review
Problem-solving
Time management
Insurance claim forms review
Claims adjustment
Quality control
Certification
Tally ERP 9
Achievement and awards
- Received R&R (Rewards and Recognitions) award in Legato Health Technologies 2022 for the last quarter and two times in 2023.
- Received certificate of completion of CIW E2E process in July 2023.
hobbies
watching movie and listing songs
Tools
- WGS
- WCF
- PCMP
- ACMP
- MEMBER 360
- CIW E2E
- Outlook
Knowledge library
Timeline
Claim Associate
Full Time Employer
07.2022 - 10.2024
undefined
HCES INSP PU College
undefined
Morarji Desai Residential School
HCES Art Science and Commerce College
Similar Profiles
Denise BrownDenise Brown
Design Consultant at Selections By Denise (Full Time/Part Time)Design Consultant at Selections By Denise (Full Time/Part Time)
Camron MickeyCamron Mickey
EMT at Exceptional Medical Transportation (Full Time)EMT at Exceptional Medical Transportation (Full Time)
Shelbi SmithShelbi Smith
Staff Accountant II at EnviroTech Services, LLC, Full-TimeStaff Accountant II at EnviroTech Services, LLC, Full-Time