Muhammed Shajith S
Palakkad
Summary
Operation Associate with 2.8 years of experience in adjudicating claims and maintaining the utmost confidentiality. I am dedicated and looking for an opportunity to expand my professional career.
Overview
3
3
years of professional experience
Work History
Operation Associate
NTT DATA Information Processing
Coimbatore
03.2023 - 09.2024
- Scheduled error discussions and finding a solution
- Trained new joiners and provide support in maintaining quality
- Discussed with IT team on larger files and find a solution with updated automated software
- Maintain utmost discretion when dealing with sensitive topics
- Managed the daily production and quality reports
- Supported audit team to maintain quality from team members
- Worked on BOT cob claims to reduce manual adjudication
- Supporting payer on claims payment process
Process Executive
Cognizant Technology Solutions
Coimbatore
06.2021 - 09.2022
- Verified eligibility and covered benefits with insurance company's and long-term care facilities
- Checked the accuracy of charges submitted for payment
- Obtained billing authorizations, when required, for all medications being billed to the facility that exceeds the contracted price
- Maintained utmost quality in production
- Resolved all claims within a timely manner
- Validated the information on all medical claims received
Education
Bachelor of Computer Application -
SREE SARASWATHI THYAGARAJA COLLEGE
POLLACHI05.2020
Diploma in Mechanical Engineering -
PA POLYTECHNIC COLLEGE
POLLACHI05.2016
Skills
- Microsoft Office
- Process Improvements
- Installing OS (Windows and Linux)
- Problem Solving
- Creativity
- Adaptability
- Leadership
- Decision making
- Team work
Hobbies and Interests
- Automobile Detailing
- Travelling
Languages
Tamil
First Language
English
Intermediate (B1)
B1
Malayalam
Intermediate (B1)
B1
Declaration
I'm Muhammad Shajith S, hereby declare that all the details provided above are true to the best of my knowledge.
Timeline
Operation Associate
NTT DATA Information Processing
03.2023 - 09.2024
Process Executive
Cognizant Technology Solutions
06.2021 - 09.2022
Bachelor of Computer Application -
SREE SARASWATHI THYAGARAJA COLLEGE
Diploma in Mechanical Engineering -
PA POLYTECHNIC COLLEGE
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