Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

MANU K L

Bangalore

Summary

A Dynamic Individual with 2years Experience in Risk Management and Claim Adjudication Environment. Seeking a challenging and responsible position by assisting and fulfilling organizational needs and requirements.

Overview

1
1
Certification

Work History

Associate

Carelon Global Solution
  • Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures
  • Handling Million Dollar Claims
  • Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc)
  • Primary duties may include but are not limited to: Able to handle more complex claims
  • Good understanding of the application of benefit contracts, pricing, processing, policies, procedures, govt regs, coordination of benefits, & healthcare terminology
  • Good working knowledge of claims and products, including the grievance and/or reconsideration process
  • Reviews, analyzes and processes claims/policies related to events to determine extent of company liability and entitlement
  • Researches and analyzes claims issues
  • Process trainings and assisting for new joiners and responsible for Certifying them.

Education

Bachelor of Commerce (BCom) - Finance

PES University
06-2022

PUC -

PES PU College
04-2019

Skills

  • M S Package (Word, Power Point, Office)
  • Advance Excel
  • Presentation and Interaction Skills

Certification

  • NCC B And C certificate
  • GTT Foundation ( Barclays LifeSkills Programme)
  • Diploma in Advance accounting (11/2019 - 02/2021)

Timeline

Associate

Carelon Global Solution

Bachelor of Commerce (BCom) - Finance

PES University

PUC -

PES PU College

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MANU K L