MUHAMMED SHAJITH S
Palakkad
Summary
Experienced Operation Associate with 2.8 years in claims adjudication and quality management. Demonstrates problem-solving skills and effective training of new team members. Possesses strong communication and team management abilities to maintain high-quality standards. Committed to utilizing skills for organizational growth while actively seeking professional development opportunities in the field.
Overview
3
3
years of professional experience
Work History
Operation Associate
NTT DATA Information Processing
03.2023 - 09.2024
- Organized error review sessions to develop effective solutions.
- Facilitated training for newcomers while maintaining quality performance.
- Collaborated with IT team to resolve issues related to larger files.
- Ensured privacy and confidentiality when addressing sensitive issues.
- Supervised generation of production and quality reports on a daily basis.
- Maintained high standards in audit team operations.
- Enhanced efficiency by reducing manual intervention in claim handling using BOT.
- Enhanced accuracy in payer's claims processing.
Process Executive
Cognizant Technology Solutions
06.2021 - 09.2022
- Confirmed coverage eligibility through consultations with insurers and care facilities.
- Ensured all payment submissions were accurate.
- Secured necessary billing authorizations for medications exceeding the contracted price.
- Sustained highest standards in production output.
- Handled all claims swiftly to ensure timely resolution.
- Ensured correctness of all information submitted in medical claims.
Education
Bachelor of Computer Application - Computer Applications Development
SREE SARASWATHI THYAGARAJA COLLEGE
POLLACHI05.2020
Diploma in Mechanical Engineering - Mechanical Engineering
PA POLYTECHNIC COLLEGE
POLLACHI05.2016
Skills
- EXCEL
- Operating System
- Microsoft Office
- Power BI
- Claims
Languages
Tamil
Bilingual or Proficient (C2)
Malayalam
Intermediate (B1)
English
Intermediate (B1)
Accomplishments
Enhanced Adjudication Efficiency: Reduced manual adjudication by 30% using BOT cob claims.
Effective Team Training: Trained 15 new team members, boosting team productivity by 25%.
Claims Accuracy Management: Managed a portfolio of over 500 claims, maintaining 98% accuracy rate.
Improved Quality Assurance: Supported audit team, reduced QA issues by 15% in 6 months.
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 - Computer Applications Development
SREE SARASWATHI THYAGARAJA COLLEGE
Diploma in Mechanical Engineering - Mechanical Engineering
PA POLYTECHNIC COLLEGE
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