Nadeem Akram B
Bangalore
Summary
Subject Matter Expert and trusted advisor skilled in research, analysis and examination of company technology and standard operating procedures. Interface and collaborate with clients and internal team members, providing consultative enhancement recommendations based on industry research. Improve existing processes, procedures, technical enhancements, resource requirements, and stakeholder engagement procedures to align with strategic goals.
Overview
11
11
years of professional experience
Work History
Subject Matter Expert
PricewaterhouseCoopers
05.2026 - Current
- Working as a Subject Matter Expert (SME) for end-to-end Claims Adjudication processes, providing expert guidance on complex claims and process-related issues.
- Support Quality and Operations teams in improving claim accuracy, productivity, turnaround time (TAT), and SLA performance.
- Identify process gaps, recurring errors, and knowledge gaps through claim analysis, and recommend appropriate corrective and preventive actions.
- Conducted team huddles, refresher training, knowledge-sharing sessions, and coaching sessions based on identified gaps.
- Assisted in the preparation of technical documentation and training materials.
- Develop and update SOPs, process documents, job aids, FAQs, and other knowledge-management materials based on process changes.
Subject Matter Expert
Cognizant Technologies Solutions
11.2023 - 11.2025
- Act as the first point of contact for process queries, escalations, and complex claim scenarios, ensuring accurate and timely resolution.
- Perform a detailed review and adjudication of claims based on member eligibility, benefits, provider contracts, plan guidelines, and payer-specific rules.
- Conduct regular knowledge-sharing and refresher training sessions to improve team understanding of claims processes and client-specific requirements.
- Perform root-cause analysis (RCA) for claim errors, denials, payment discrepancies, and quality defects, and drive corrective actions.
- Monitor error trends, claim-processing performance, and provide insights to management for continuous process improvement.
Senior Associate
Omega Healthcare
07.2021 - 03.2023
- Led optimization of revenue cycle processes, enhancing efficiency and reducing claim denials.
- Mentored junior associates in best practices for data analysis and reporting accuracy.
- Analyzed performance metrics, identifying trends to drive operational improvements and strategic initiatives.
- Implemented process improvements that led to significant time savings and increased accuracy in deliverables.
Process Excutive
Cognizant Technologies Solutions
07.2015 - 07.2021
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Education
Bachelor of Commerce -
05.2001 -
Skills
Creative solutions
Strategic thinking
Innovative mindset
Time management
Teamwork and collaboration
Process improvement
Analytical thinking
Timeline
Subject Matter Expert - PricewaterhouseCoopers
05.2026 - Current
Subject Matter Expert - Cognizant Technologies Solutions
11.2023 - 11.2025
Senior Associate - Omega Healthcare
07.2021 - 03.2023
Process Excutive - Cognizant Technologies Solutions
07.2015 - 07.2021
Sambharam Academy of Management of Studies - Bachelor of Commerce,
05.2001 -