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