Megha Mishra
Claim Processing Expert
Gurgaon
Summary
Detail-oriented professional skilled in insurance communication and customer relationship management. Experienced in analyzing claims denials, collaborating with teams to resolve discrepancies, and maintaining accurate documentation for auditing purposes.
Overview
11
11
years of professional experience
2
2
Languages
Work History
Senior Analyst
R1 RCM
07.2018 - 01.2025
- Analyzed insurance denials to identify trends and root causes, enhancing claims processing accuracy.
- Developed appeals for denied claims, adhering to company protocols to improve approval rates.
- Communicated with insurance representatives to clarify claim issues.
- Maintained documentation of denial cases for auditing purposes.
- Collaborated with other departments to expedite processing of denials, ensuring compliance and timely resolution.
- Mentored junior analysts, fostering professional development while enhancing overall team performance.
- Collaborated with cross-functional teams to identify areas of improvement, leading to increased operational effectiveness.
Customer Service Representative
magus
08.2013 - 01.2017
- Resolved customer complaints through effective communication and problem-solving, enhancing customer satisfaction.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Assisted customers with product inquiries and service requests, ensuring timely and accurate responses.
- Answered customer inquiries and provided accurate information regarding products and services, fostering informed purchasing decisions.
- Processed orders and managed returns using company software systems.
- Maintained accurate records of customer interactions for future reference.
- Collaborated with team members to enhance customer service strategies.
Education
Bachelor of Arts - Arts Education
Daulat Ram College
Delhi05-2013
Skills
Data analysis
Client management
MS Excel
Process improvements
Performance monitoring}
Account reconciliation
Data visualizationInsurance communicationCustomer relationship managementProblem resolutionTime managementAdditional Information
Hobbies And Interests
. Music Lover
. Love to spend Time with family
. enthusiast traveler
Education and Training
other
Timeline
Senior Analyst
R1 RCM
07.2018 - 01.2025
Customer Service Representative
magus
08.2013 - 01.2017
Bachelor of Arts - Arts Education
Daulat Ram College