Summary
Overview
Work History
Education
Certification
Accomplishments
Additionalresponsibilities
Applicationskillsets
Personal Information
Languages
Roles And Responsibilities
Disclaimer
Timeline
Generic

Makeshwaran B

Senior analyst (SME) , Transaction quality Assurance - senior associates (Grade ID)
New Perungalathur

Summary

I would like to work with an organization whose work culture and corporate goals commensurate with my goals and values. My role in the organization should be such that I develop skills and have adequate learning and will lead to very clear thinking and effective decision-making. To establish myself as a committed team player and to achieve the corporate goals with the best of my potential in this competitive arena. Subject Matter Expert and trusted advisor skilled in research, analysis and examination of company technology and standard operating procedures. Interface and collaborate with clients and internal team members, providing consultative enhancement recommendations based on industry research. Improve existing processes, procedures, technical enhancements, resource requirements and stakeholder engagement procedures to align with strategic goals.

Overview

12
12
years of professional experience
10
10
years of post-secondary education
1
1
Certification

Work History

SME (SUBJECT MATTER EXPERT)

Cognizant Technology Solutions India Private Limited
Chennai
7 2019 - Current
  • Cigna Bamboo provider data analysis.
  • Maintaining and manipulating provide data for the Leading Third-party Insurance Company in the US.
  • Accessing the Provider's Database.
  • Validating the Provider's History for Eligibility in terms of Name, Age, Dollar Limit, Lifetime Maximum, and other specific Benefits with respect to the Plan the provider has chosen processes received by the Customer.
  • If all details are correct and perfect, then approve the provider to tie up with Cigna Health Insurance.
  • If any discrepancies are found in the provider data, then reject with the appropriate reasons and send it back to the related team.
  • Understanding provider requests and giving correct solutions by taking necessary actions, such as adding terms and updates.
  • Track inventory for all LOBs (Lines of Business).
  • Consolidation of my team reports and preparing daily MIS.
  • Update daily bulletin to junior associates.
  • Conducting team huddle on a daily basis and giving updates to the team.

Transaction Quality Assurance - Senior Associate (Grade - ID)

NTT Data (Dell International)
Chennai
04.2013 - 07.2019
  • Company Overview: Blue Cross and Blue Shield of RI, a division of Health Care Service Corporation, a Mutual Legal Reserve Company, an independent licensee of the Blue Cross and Blue Shield Association
  • For more than 80 years, we have forged alliances with local nonprofit organizations to show our commitment to help build healthy communities
  • Maintaining and manipulating provide data for the Leading Third party Insurance Company in US
  • Accessing the Provider's Database
  • Validating the Providers History for Eligibility in terms of Name, Age, Dollar Limit, Lifetime Maximum, and other specific Benefits with respect to the Plan the provider has chosen processes received by the Customer
  • If all details are correct & perfect then Approve the provider to tie up with Cigna Health insurance
  • If any discrepancies are found in the provider data then reject with the appropriate reasons and send it back to the related team
  • Understanding provider requests and giving correct solutions by taking necessary actions such as Add terms and updates
  • Track inventory for all LOB (Line of Business)
  • Consolidation of my team reports and preparing daily MIS
  • Update daily bulletin to Junior associates
  • Blue Cross and Blue Shield of RI, a division of Health Care Service Corporation, a Mutual Legal Reserve Company, an independent licensee of the Blue Cross and Blue Shield Association
  • For more than 80 years, we have forged alliances with local nonprofit organizations to show our commitment to help build healthy communities
  • Certified as ON THE SPOT AWARD Winner for best & outstanding performance in Dell Services for the year 2014 Q4
  • Certified as TTT (Train The Trainee) trainer

Education

Bachelor of Computer Technology -

SRM University
Kattankullathur, Chennai
01.2011 - 01.2014

Diploma in Computer Science and Engineering - undefined

SRM Polytechnic College
Kattankulathur, Chennai
01.2008 - 01.2010

SSLC -

Corely HR.Sec.School
Tambaram, Chennai
05.2001 - 01.2006

Certification

HARDWARE & NETWORKING, Accel IT Acadamy, T Nagar, 2011

Accomplishments

  • Certified as ON THE SPOT AWARD Winner for best & outstanding performance in Dell Services for the year 2014 Q4.
  • Certified as TTT (Train The Trainee) trainer.
  • Certified for the outstanding performance in Q1- 2023 in cognizant

Additionalresponsibilities

  • Track inventory for all LOB (Line of Business)
  • Consolidation of my team reports and preparing daily MIS
  • Update daily bulletin to Junior associates

Applicationskillsets

  • Facets
  • Citrix Maces/Imax
  • Lotus notes
  • Remote Desktop
  • MS Office
  • Operating System - Windows 98, 2000, 2003 server, XP, Vista, Window7

Personal Information

  • Date of Birth: 09/17/90
  • Gender: Male

Languages

Tamil
English

Roles And Responsibilities

  • Maintaining and manipulating provider data for the Leading Third party Insurance Company in US.
  • Accessing the Provider's Database.
  • Validating the Providers History for Eligibility in terms of Name, Age, Dollar Limit, Lifetime Maximum, and other specific Benefits with respect to the Plan the provider has chosen processes received by the Customer.
  • If all details are correct & perfect then Approve the provider to tie up with Cigna Health insurance.
  • If any discrepancies are found in the provider data then reject with the appropriate reasons and send it back to the related team.
  • Understanding provider requests and giving correct solutions by taking necessary actions such as Add terms and updates.

Disclaimer

I hereby declare that all the information furnished above is true to the best of my knowledge.

Timeline

Transaction Quality Assurance - Senior Associate (Grade - ID)

NTT Data (Dell International)
04.2013 - 07.2019

Bachelor of Computer Technology -

SRM University
01.2011 - 01.2014

Diploma in Computer Science and Engineering - undefined

SRM Polytechnic College
01.2008 - 01.2010

SSLC -

Corely HR.Sec.School
05.2001 - 01.2006

SME (SUBJECT MATTER EXPERT)

Cognizant Technology Solutions India Private Limited
7 2019 - Current
Makeshwaran BSenior analyst (SME) , Transaction quality Assurance - senior associates (Grade ID)