Mahesh kuamr
insurance (finance and accounts)
bengalore,Karnataka
Summary
Adept Senior Executive with a proven track record at Dr. Agarwal H
ospital, showcasing expertise in operations management and staff leadership. Excelled in enhancing operational effectiveness through cross-functional team coordination and robust report preparation. Known for exceptional analytical abilities and interpersonal skills, significantly improving customer satisfaction and team performance. Skilled Executive with 7 years of business development and strategic planning expertise. Adept at implementing improvements to optimize efficiency in business operations. Dedicate health care professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
3
3
years of professional experience
Work History
Senior Executive - Finance & Accounts
Dr Agarwal Hospital
Bengaluru, Karnataka
08.2021 - 12.2023
- collecting documents from patient to preauth process
- preauth process
- For patient providing insurance approval status
- Excellent problem-solving and communication skills.
- insurance queries replying
- collecting copayment and diffrence amount
- Collaborate with cross-functional teams to enhance overall operational effectiveness.
- for final approval sending the enhancement
- final validation (covering letter,approval letter,final bill,discharge summary,a scan,preauth form,declaration form,other investigation report,goverment id proof,
- as per Tpa instructions with 7 dispatching the final bills
- payment follow ups
- maintaining monthly report and weekly report
- for patient provide accurate inform as per there queries
Senior Executive
Adithya Birla insurance
bengalore, Karnataka
11.2017 - 06.2021
- Receive and check claim documents for completeness and advise employees regarding pending documents, if any.
- Track and control documents to ensure TAT of claims/cards as per SLA.
- Feedback from Insurers and Corporates.
- Additional revenue opportunities from existing Corporates
- Respond to queries from the employees of the corporates through e-mails and calls.
- Maintain weekly reports on claims and queries and the TAT of the same
- Escalate issues as per the escalation matrix.
- To attend to any other assignments assigned to you from time to time.
- Self-motivated, with a strong sense of personal responsibility.
- Skilled at working independently and collaboratively in a team environment.
Education
Bachelor of Science - Computer Application BCA
Loyola Degree College
Bengaluru, India05.2017
Skills
- Operations Management
- Report Preparation
- Cross-functional Team Coordination
- Staff Management
Languages
English
Upper intermediate (B2)
Hindi
Upper intermediate (B2)
Tamil
Elementary (A2)
Timeline
Senior Executive - Finance & Accounts
Dr Agarwal Hospital
08.2021 - 12.2023
Senior Executive
Adithya Birla insurance
11.2017 - 06.2021
Bachelor of Science - Computer Application BCA
Loyola Degree College
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