HEMANTH MOHAN
Claims Associate
Hyderabad,TG
Summary
Hardworking and results-driven professional with experience in HR, Finance, Accounting, Healthcare, and Customer Service. Skilled in creating policies, handling finances, ensuring compliance, and improving customer experiences. Passionate about building strong teams, making workplaces more efficient, and finding solutions that support growth. Known for being adaptable, solving problems, and always striving for excellence.
Overview
1
1
years of professional experience
Work History
Customer Service
7-Eleven
MacKenzie
10.2024 - 02.2025
- I have worked as a console operator at 7-Eleven, Mackenzie, for almost seven months.
- Provided technical support for customer service representatives.
- Trained new customer service representatives on product knowledge and customer service skills.
- Provided customer service support to internal departments.
Claims Associate
Carelon Global Solutions
Hyderabad
12.2022 - 03.2024
- Processed complex and high-dollar claims using the Facets system, and utilized CareMore applications to adhere to applicable department guidelines.
- Analyzed and processed GBD (Government-Based Division) and DBG (Diversified Business Group) claims by investigating and gathering information to determine exposure.
- Researched and investigated to verify coverage and review complicated insurance claims to prevent fraud.
- Handled high medical claims (in-patient and out-patient) with a strong attention to detail.
- Conducted training sessions for new hires on claims processing procedures and best practices.
Intern
Leads Flick
11.2020 - 12.2020
- I helped create and brief the customer about various technical courses under different specializations and streams offered by the company, and I motivated them to take such courses, as it adds a technical skill for those specializing in a specific area.
- Determined consumers need to provide products and services appealing to a larger market.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
Intern
Sakhi Creations
Hyderabad
10.2020 - 11.2020
- Helped the organization in modifying its existing policies and adopting a comprehensive strategy that best suits the needs of the organization.
- Monitored operations and reviewed records and metrics to understand company performance.
- Implemented strategies to take advantage of new opportunities.
Education
BBA - HR
Badruka College of Commerce & Arts
Hyderabad07-2022
Intermediate - Commerce
Avinash College of Commerce
India04-2019
Matriculation - SSC
Vijay’s Vibgyor International School
India04-2017
Skills
- MS Office – EXCEL
- Database management
- Basics of HTML
- Analytical skills
- Organizational skills
- Good communication
- Writing
- Editing
- Computer abilities
- Attention to detail
- Deadline management
- Multi-tasking
- Financial planning
- Risk assessment
- Problem-solving
- Interpersonal skills
- Customer service expert
Accomplishments
- IMPACT AWARD in Carelon for processing High dollar claims twice in 12 months after joining.
- Rewarded for Overall Co-Ordinator for 'PRATIBIMBH 5.0' A Two-Day intercollegiate management meet for the year 2022 and (student coordinator) 2020.
- Vice-president of Hyderabad District LEO Club 320A Bhagya Nagar Pride Hyderabad (2020 -2022).
Strengths And Weaknesses
Quick Learner, Hard working, Assertive with enthusiasm to work well independently and handle assignments., Good team spirit and zeal to work., Seeks out opportunities to go beyond basic assignments which positively impact the team., Self-confidence, determination, and loyalty towards commitment., Ability to work under pressure., Hesitant to say 'NO' when it comes to work.
Languages
- English
- Telugu
- Hindi
- Tamil
- Malayalam
Hobbies and Interests
- Listening to Music
- Travelling
- Cooking
- Dancing
- Outdoor sports
Disclaimer
I hereby declare that the above-written particulars are true and correct to the best of my knowledge and belief.
Projects And Publications
- A Study on implementing technical skills as a subject of curriculum for management students, 07/01/22, SPSS, EXCEL, GOOGLE Docs
- A study on implementing technical skills as a subject of curriculum for management students, NOLEGEIN Journal of Advertising and Brand Management, MBA journals, 09/01/22
Personal Information
- Father's Name: Kulasekaran Mohan
- Mother's Name: Srivalli Mohan
- Date of Birth: 03/16/00
- Gender: Male
- Nationality: Indian
- Marital Status: Single
- Religion: Hindu
Affiliations
- IMPACT AWARD, Carelon – Awarded twice for outstanding performance in processing high-dollar claims within six months of joining.
- Overall Coordinator, PRATIBIMBH 5.0 (2022) – Led a two-day intercollegiate management event, ensuring smooth execution and engagement. Also served as a Student Coordinator (2020).
- Vice President, Hyderabad District LEO Club 320A (2020-2022) – Played a key leadership role in organizing community service initiatives and leadership programs.
Timeline
Customer Service
7-Eleven
10.2024 - 02.2025
Claims Associate
Carelon Global Solutions
12.2022 - 03.2024
Intern
Leads Flick
11.2020 - 12.2020
Intern
Sakhi Creations
10.2020 - 11.2020
BBA - HR
Badruka College of Commerce & Arts
Intermediate - Commerce
Avinash College of Commerce
Matriculation - SSC
Vijay’s Vibgyor International School
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