Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Mahesh Patlolam

Hyderabad

Summary

Results-driven Claims Associate experienced in claims processing, compliance auditing, and medical record analysis. Enhanced team performance through effective training and streamlined processes for improved operational efficiency. Delivered accurate resolutions and negotiated settlements that satisfied all parties involved.

Overview

3
3
years of post-secondary education
10
10
years of professional experience

Work History

Claims Associate

Carelon global solutions
Hyderabad
09.2023 - 07.2026
  • Processed insurance claims for accuracy and compliance with company guidelines.
  • Reviewed medical records and documents submitted by claimants to ensure accuracy and completeness of information provided.
  • Reviewed documentation to ensure completeness and resolve discrepancies promptly.
  • Communicated with clients to gather information and clarify claim details effectively.
  • Processed payments for approved claims in a timely manner, adhering to established payment schedules and procedures.
  • Assisted in training new associates on claims procedures and best practices.

Claims Associate as contractual basis

SP SOFT GLOBAL SOLUTIONS
Hyderabad
08.2022 - 08.2023
  • Analyzed claims data to identify trends and recommend process improvements.
  • Conducted research on claim issues, utilizing available resources such as databases and other documentation.

Claims Adjudicator

Sutherland health care solutions
Hyderabad
11.2018 - 05.2022
  • Reviewed and processed claims for accuracy and compliance with policies.
  • Coordinated with healthcare providers to obtain necessary documentation for claims.
  • Analyzed claim data to identify trends and potential fraud indicators.
  • Negotiated and settled claims according to information presented through reports, research, and data verification.

Banking Operations Specialist

ICICI BANK LTD
Hyderabad
06.2016 - 08.2018
  • Assisted clients with account inquiries and resolved issues promptly.
  • Reviewed and validated loan applications for compliance with banking regulations.
  • Maintained up-to-date knowledge of banking products and industry trends for client support.
  • Created reports detailing daily transactions and other financial activity.
  • Identified opportunities for process improvements within the bank's operations.

Education

B.COM - Commerce

Vijay Nagar College of Commerce
Hyderabad
06.2012 - 04.2015

Vijay Nagar Junior College
Hyderabad

Arya Kanya Vidhyalaya High School
Hyderabad

Skills

  • Claims processing
  • Documentation review
  • Compliance auditing
  • Medical record analysis

Languages

English
First Language
English
Elementary (A2)
A2

Timeline

Claims Associate

Carelon global solutions
09.2023 - 07.2026

Claims Associate as contractual basis

SP SOFT GLOBAL SOLUTIONS
08.2022 - 08.2023

Claims Adjudicator

Sutherland health care solutions
11.2018 - 05.2022

Banking Operations Specialist

ICICI BANK LTD
06.2016 - 08.2018

B.COM - Commerce

Vijay Nagar College of Commerce
06.2012 - 04.2015

Vijay Nagar Junior College

Arya Kanya Vidhyalaya High School
Mahesh Patlolam