To handle a good position in the field of various technology and to achieve the target of the organization in an effective manner with creative ideas. I will be honest and hardworking towards the organization.
Overview
4
4
years of professional experience
3
3
Languages
Work History
BPO Claims Team Lead
Quality Assistance
01.2023 - 01.2024
Mentored and coached team members on QA topics and strategies.
Supported company in maintaining work environment focused on quality, communication, collaboration, integration, and teamwork.
Streamlined QA processes for increased efficiency and reduced time spent on redundant tasks.
Participated in regular meetings with cross-functional teams to discuss progress updates, communicate concerns or challenges, and ensure alignment of project goals.
Acted as a liaison between the QA team and other departments such as Development, Customer Support, and Product Management, ensuring effective communication throughout all stages of the project lifecycle.
Maintained comprehensive knowledge of relevant industry regulations and standards, ensuring compliance throughout the QA process.
Conducted training sessions for junior QA analysts, enhancing their skills and knowledge of industry best practices.
Reported progress, test metrics and results to project stakeholders.
Ensured customer satisfaction by verifying that products met specifications and functioned as intended before release.
Improved product reliability by executing rigorous test plans and ensuring software met established requirements.
Collaborated with development teams to identify, track, and resolve software defects in a timely manner.
Reduced defect rates through meticulous attention to detail during code reviews, working closely with developers to address any identified issues quickly.
Championed quality assurance initiatives within the organization by promoting a culture of continuous improvement and striving for excellence in all aspects of product development.
Enhanced team collaboration, sharing best practices and insights that led to refinement of testing protocols.
Pioneered integration of performance testing in development cycle, significantly improving product scalability and endurance.
Enhanced software quality by meticulously executing detailed test plans and identifying critical bugs before product releases.
Developed and maintained comprehensive documentation, including test cases, results, and improvement recommendations, for stakeholder review.
Increased stakeholder confidence by presenting detailed QA reports and insights during project review meetings.
Conducted comprehensive test scenarios to decrease downtime and elevate user satisfaction.
Customized testing environments to simulate real-world usage scenarios, ensuring product robustness and customer satisfaction.
Streamlined communication between QA and development teams, expediting bug fixes and feature enhancements.
Enhanced product compliance with industry standards by diligently verifying adherence to regulatory requirements.
Facilitated transition to Agile methodologies, enhancing team flexibility and project turnaround times.
Led training sessions for new QA analysts, increasing departmental efficiency and knowledge sharing.
Reduced number of customer-reported issues by establishing preemptive testing strategy that targeted common failure points.
Optimized user experience by conducting usability tests and providing actionable feedback to development team.
Streamlined QA processes, significantly reducing testing cycle time by implementing automated testing tools.
Collaborated closely with development teams to clarify requirements, resulting in more efficient bug resolution process.
Spearheaded adoption of cutting-edge testing software, keeping company at forefront of QA technology.
Improved product reliability with rigorous regression testing, ensuring software performance consistency across updates.
Identified and documented discrepancies between expected and actual outcomes, contributing to overall software quality improvement.
Fostered culture of continuous improvement by regularly reviewing and updating QA methodologies to adapt to new challenges.
Played key role in successful launch of multiple high-stakes projects by prioritizing critical test areas and resource allocation.
Documented testing procedures for developers and future testing use.
Monitored resolution of bugs, tested fixes, and helped developers tackle ongoing problems by providing QA perspective.
Kept scripts and test cases updated with current requirements.
Incorporated delivery requirements into planning of testing schedules.
Advised developers on problems with databases, performance and other issues.
Operated under Agile and Scrum frameworks to complete releases and well-organized sprints.
Authored and maintained well-organized, efficient and successful manual test cases for entire team.
Tested functional and compatibility of new programs or updates in comparison to existing applications.
Developed and maintained defect databases for known issues.
Gathered data on integration issues and vulnerabilities, reported findings and recommended improvements.
Evaluated function, performance and design compliance of every product against design standards and customer needs.
Built automated test scripts to handle repetitive software testing work.
Recommended changes and corrections to developers for optimal software performance and usability.
Completed in-depth usability testing on Windows, Android and iOS mobile devices.
Completed pre-implementation testing for new system modifications to assess potential impacts.
BPO Claims Team Lead
Salesperson
01.2020 - 01.2023
Ensured compliance with industry regulations and company standards by conducting regular audits of team''s work output.
Managed the daily operations of the claims team, ensuring adherence to guidelines and deadlines.
Assisted upper management in developing strategic plans for future growth within our BPO division.
Negotiated favorable terms with external vendors/providers that contributed to cost savings without compromising service quality or delivery.
Developed and maintained a positive work environment, fostering collaboration and teamwork among staff.
Streamlined communication channels between various departments, enhancing overall operational efficiency in the claims process.
Enhanced customer satisfaction with timely resolution of escalated claim issues.
Increased productivity by monitoring performance metrics and implementing continuous improvement initiatives.
Established clear performance expectations for all staff members, driving accountability for results across the claims department.
Promoted a customer-centric approach within the team, leading to improved policyholder satisfaction ratings.
Championed the adoption of new technologies and software tools that enhanced the team''s ability to process claims more quickly, accurately, and efficiently.
Coordinated internal resources effectively to ensure smooth functioning of daily processes while minimizing backlog buildup.
Oversaw the accurate and efficient processing of high-volume insurance claims, meeting all regulatory requirements.
Facilitated weekly meetings with team members to discuss ongoing challenges, share best practices, and monitor progress toward individual goals.
Implemented quality control measures for claim reviews, reducing discrepancies and improving overall accuracy rates.
Mentored junior staff members, promoting professional growth and skill development within the team.
Improved claims processing efficiency by streamlining workflows and implementing best practices.
Reduced claim errors by providing comprehensive training to team members on company policies and procedures.
Collaborated with cross-functional teams to identify trends in claims data and develop strategies for improvement.
Calculated adjustments, premiums and refunds.
Checked documentation for accuracy and validity on updated systems.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Notified insurance agents and accounting departments of policy cancellations and changes.
Generated, posted and attached information to claim files.
Determined appropriateness of payers to protect organization and minimize risk.
Coordinated with contracting department to resolve payer issues.
Processed and recorded new policies and claims.
Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Verified client information by analyzing existing evidence on file.
Modified, updated and processed existing policies.
Maintained confidentiality of patient finances, records, and health statuses.
Posted payments to accounts and maintained records.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Prepared insurance claim forms or related documents and reviewed for completeness.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Reviewed outstanding requests and redirected workloads to complete projects on time.
Collected premiums and issued accurate receipts.
Communicated effectively with staff members of operations, finance and clinical departments.
Education
Matriculation - undefined
C.B.S.E. Board
01.2014 - 12 2014
Intermediate - undefined
C.B.S.E. Board
01.2016 - 12 2016
Skills
Insurance coverage verification
Proficiency
Windows, Internet Explorer, Google Chrome, True
Personal Information
Father's Name: Late Pradeep Samant
Date of Birth: 07/25/99
Gender: Female
Nationality: Indian
Marital Status: Single
Accomplishments
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Documented and resolved Issue which led to Results.
Resolved product issue through consumer testing.
Supervised team of Number staff members.
Collaborated with team of Number in the development of Project name.
Achieved Result by completing Task with accuracy and efficiency.
Used Microsoft Excel to develop inventory tracking spreadsheets.
Achieved Result through effectively helping with Task.
Lead Fellow at Centers for Medicare and Medicaid Services (CMS), Office of Group Director Quality Improvement & Innovation Group, Center for Clinical Standards & QualityLead Fellow at Centers for Medicare and Medicaid Services (CMS), Office of Group Director Quality Improvement & Innovation Group, Center for Clinical Standards & Quality
Quality Control Inspector at Trigo Global Quality Solution - Quality InspectorQuality Control Inspector at Trigo Global Quality Solution - Quality Inspector