Summary
Overview
Work History
Education
Skills
Accomplishments
CLAIM RECOVERY UNIT
CLAIM ADJUDICATION
WORKING APPLICATION
TECHNICAL QUALIFICATION
Timeline
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Mahalakshmi K

Senior Process Executive
Coimbatore,TAMILNADU

Summary

Senior Process Executive with expertise in C++ and Oracle, honed at Cognizant Technology Solutions. Proven ability to enhance operational efficiency and drive process improvements. Strong analytical skills combined with effective communication enable successful collaboration across teams. Committed to delivering high-quality results and exceeding performance expectations.

Overview

4
4
years of professional experience

Work History

Senior Process Executive

COGNIZANT TECHNOLOGY SOLUTION PVT LTD
Coimbatore
06.2023 - Current

Process Executive

Rusan Medecisis
Coimbatore
06.2021 - 05.2023

Education

Bachelor of Arts - B.COM(CA)

Sri Nehru Maha Vidyala College Of Arts And Science
Coimbatore, India
04.2001 - 05.2019

HSC -

Keerthiman Matric Higher Secondary School
Coimbatore, India
04.2001 -

SSLC -

Charava Vidhya Bhavan Matriculation Higher Sec
Coimbatore, India
06.2013 - 04.2014

Skills

  • C LANGUAGE

  • C

  • VISUAL BASICS(VB)

  • ORACLE

Accomplishments

  • Participated in Sankara College arts and science (cloud banking)
  • Participated in a workshop on computerized accounting TALLY ERP9
  • Participated in national level conference on impact of start up on Indian economic growth
  • Completed courses in OFFICE AUTOMATION AND ACCOUNTING SOFTWARE

CLAIM RECOVERY UNIT

  • The process of seeking reimbursement for a loss or expense that is covered by an insurance policy.
  • The CRU is mainly used to resolve payment errors.
  • Ability to adjudicate, submit, payment, and process the claims as part of Illinois, Montana, New Mexico, Texas, and Oklahoma states.

CLAIM ADJUDICATION

  • This position is responsible for processing medical claims for individuals and assuring proper payment to keep the insurance benefit plan.
  • Following healthcare adjudication policies and procedures to make sure I did not disclose patients’ health information to others.
  • Ability to process claims for surgery, radiology, lab, and medicine for professional and facility claim forms.
  • In-depth knowledge of medical terminology in relation to diagnoses and procedures.

WORKING APPLICATION

  • Emulators Citrix sites and Client
  • Application: Microsoft Office.

TECHNICAL QUALIFICATION

  • General: Basic knowledge of computer hardware and software.

Timeline

Senior Process Executive

COGNIZANT TECHNOLOGY SOLUTION PVT LTD
06.2023 - Current

Process Executive

Rusan Medecisis
06.2021 - 05.2023

SSLC -

Charava Vidhya Bhavan Matriculation Higher Sec
06.2013 - 04.2014

Bachelor of Arts - B.COM(CA)

Sri Nehru Maha Vidyala College Of Arts And Science
04.2001 - 05.2019

HSC -

Keerthiman Matric Higher Secondary School
04.2001 -
Mahalakshmi KSenior Process Executive