MENAKA M
Chennai
Summary
A results-oriented professional with over 5 years of experience in the U.S. healthcare process. Team player with effective communication skills, and proven abilities in resolving complex issues. Resourceful in maintaining excellent relations with clients to achieve quality product and service norms by resolving service-related issues.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Senior Process Consultant
Sagility India Private Limited
Chennai
11.2019 - 01.2024
- Processing medical claims. Ensuring accuracy and adhering to insurance policies while responsibilities include verifying eligibility, reviewing claims, and making payment decisions.
- Eligibility verification to determine the eligibility of the member before processing the claims
- Adjudicate the claim and deny service that is not eligible for payment, as per the process instructions.
Customer Service Executive
Hinduja Global Solution
Chennai
02.2019 - 11.2019
- Managed incoming customer inquiries and provided accurate information promptly.
- Resolved customer issues efficiently while ensuring a positive experience.
- Documented interactions in CRM system for future reference and analysis.
- Collaborated with team members to enhance service quality and performance.
Education
M.SC-CS -
SDNB Vaishnav College
Chennai01.2018
B.SC-CS -
Prince Shri Venkateshwara Arts and Science college
Chennai01.2016
H.S.C -
Fatima Girls Higher secondary school
The Nilgiris01.2013
S.S.L.C -
Fatima Girls Higher secondary school
The Nilgiris01.2011
Skills
- Computer skills and Microsoft Office proficiency
- Customer service and CRM management
- Claims adjudication
- Team collaboration
- Data entry accuracy
Accomplishments
- Received Top Gun award for outstanding performance in product delivery.
- Recognized as Workaholic for consistent dedication to project completion.
- Awarded spot award for exceptional contributions to team success.
Strengths
- Flexibility and adaptability to work in any environment
- Hard Worker & Quick learner.
- Good team player
- Willingness to learn about new ideas and information
Personal Information
- Date of birth : 22-3-1996
- Gender : Female
- Father's name : Manivel K
- Nationality : Indian
- Languages known : Tamil and English
- Marital status : married
- Address : 25/1 Karumariamman Koil 1st Street, Allah Basha Colony, Kamaraj Nagar, Avadi, Chennai - 71
Disclaimer
I hereby declare that the details furnished above are true to the best of my knowledge, and I will put all of my knowledge and skills into the development of the company
Certification
- Salesforce administration - from Oct 2024 to Feb 2025 at AJ Skill Development
Languages
Tamil
First Language
English
Advanced (C1)
C1
Timeline
Senior Process Consultant
Sagility India Private Limited
11.2019 - 01.2024
Customer Service Executive
Hinduja Global Solution
02.2019 - 11.2019
M.SC-CS -
SDNB Vaishnav College
B.SC-CS -
Prince Shri Venkateshwara Arts and Science college
H.S.C -
Fatima Girls Higher secondary school
S.S.L.C -
Fatima Girls Higher secondary school
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