Summary
Overview
Work History
Education
Skills
Websites
Software
Languages
Timeline
Generic

Lovenish Verma

Jaipur

Summary

Worked on EDI 834 file format that must abide by HIPAA 5010 standards Developed successful EDI implementations, mapping and product integrations with various trading partners Monitored and maintained EDI transactions, ensuring timely and accurate processing of orders Knowledge of Custom, XML and Limra/Ldex Layout Trained endusers on EDI mapping, format, and processing Researched and resolved EDI related issues with trading partners Developed EDI X12 communication standards and B2B solutions Worked with different carriers like Anthem, Metlife and Cigna Have Knowledge of SFTP, FTP, SSH key Transactions. Analyzed and translated EDI requirements into detailed technical designs Managed EDI translation software and related tools I have working experience on Ldex/Limra Layout of various carriers life Prudential, The Standard and The Hartford Developed and implemented EDI performance metrics and provided ongoing analysis Coordinated with internal and external stakeholders to ensure successful EDI implementations Skilled in data mapping, data translation, testing and implementation of EDI systems Procient in analyzing and troubleshooting EDI transaction errors and validating EDI transactions Developed and maintained EDI standards, processes, and procedures. Analyzed, interpreted, and implemented Electronic Data Interchange (EDI) transactions with partners. Collaborated with external trading partners to ensure data accuracy and timely exchange of data. Developed and executed test plans for EDI transactions.

Dedicated professional with three years of Experience in the EDI Healthcare Domain. I have sound Knowledge of EDI Ansi X12 834 le formats and various other custom le formats. I have working experience in Ldex/Limra XML le formats. I have experience working on various le Layouts and created mapping Documents for many New Custom le layouts using the Clearing House Tool. My day-to-day tasks include Working on the EDI les under the Service Level Agreements and using problem-solving and analytical skills to perform any Task within a specied time limit. I have a degree in BTech in Electrical Engineering where I learned various Concepts of Electrical Engineering and developed Problem Solving and Analytical Skills.

Overview

4
4
years of professional experience

Work History

Implementation Representative III

Kronos Solutions
Noida
01.2024 - Current
  • Dedicated professional with more than three years of experience in the EDI Healthcare Domain
  • I have sound Knowledge of EDI Ansi X12 834 file formats and various other custom file formats
  • I have working experience in Ldex/Limra XML file formats
  • I have experience working on various file layouts and created mapping Documents for many New Custom file layouts using the Clearing House Tool
  • My day-to-day tasks include Working on the EDI files under the Service Level Agreements and using problem-solving and analytical skills to perform any Task within a specified time limit.
  • Provided customer service by answering product and service related questions.
  • Consistently met daily performance goals set by management team members.
  • Escalated unresolved issues to appropriate departments for further investigation.
  • Conducted market research to better understand customer needs and preferences.

EDI Analyst

A3logics ind pvt ltd
Jaipur
09.2020 - 12.2023
  • Track Time using the inbuilt feature of Salesforce Tool
  • Worked on EDI 834 file that must abide by HIPAA 5010 standards
  • Developed successful EDI implementations, mapping and product integrations with various trading partners
  • Developed EDI X12 communication standards and B2B solutions
  • I have working experience on Ldex/Limra Layout of various carriers life Prudential, The Standard and The Hartford
  • Analyzed, interpreted, and implemented Electronic Data Interchange (EDI) transactions with partners.
  • Developed and executed test plans for EDI transactions.

Education

B.tech in Electrical Engineering - Engineering

Poornima College of Engineering
Sitapura, Jaipur
06.2018

Skills

  • EDI Healthcare Domain
  • Knowledge of EDI Ansi X12 834 file formats
  • Knowledge of custom file formats
  • Ldex/Limra XML file formats
  • File layouts
  • Mapping documents
  • Problem solving
  • Communication
  • Analytical skills
  • HIPAA
  • Disciplined
  • Patience
  • Maintain Service Level Agreement
  • Intermediate level knowledge in Core Java
  • Knowledge of OOPs Concepts
  • Basics of Python
  • SFTP
  • FTP
  • SSH key Transactions
  • EDI 834 file
  • HIPAA 5010 standards
  • EDI implementations
  • Product integrations
  • Monitoring and maintaining EDI transactions
  • Custom, XML, and Limra/Ldex Layout
  • Training end users on EDI mapping, format, and processing
  • Resolving EDI related issues
  • EDI X12 communication standards
  • B2B solutions
  • Working with carriers like Anthem, Metlife, and Cigna
  • Analyzing and translating EDI requirements
  • Managing EDI translation software and tools
  • Working on Ldex/Limra Layout of carriers like Prudential, The Standard, and The Hartford
  • Implementing EDI performance metrics
  • Coordinating with internal and external stakeholders
  • Data mapping
  • Data translation
  • Testing and implementation of EDI systems
  • Analyzing and troubleshooting EDI transaction errors
  • Validating EDI transactions
  • Developing and maintaining EDI standards, processes, and procedures
  • Analyzing and implementing EDI transactions with partners
  • Collaborating with external trading partners
  • Executing test plans for EDI transactions
  • Customer Support
  • Needs analysis
  • Performance Tracking
  • Records Management
  • Performance Improvement
  • Client Relationship Building
  • Customer Relations
  • Client Services

Software

  • Benets Administration
  • Everything Benefits Tool
  • Ready Benefits Tool
  • UKG Pro Tool
  • Knowledge in Salesforce
  • FileZilla
  • Basics of Excel
  • Knowledge of 834 le Validation using Optum
  • MS Excel

Languages

Hindi
First Language
English
Proficient (C2)
C2

Timeline

Implementation Representative III

Kronos Solutions
01.2024 - Current

EDI Analyst

A3logics ind pvt ltd
09.2020 - 12.2023

B.tech in Electrical Engineering - Engineering

Poornima College of Engineering
Lovenish Verma