Summary
Overview
Work History
Education
Skills
Languages
Personal Information
Timeline
Generic
Naveen Kumar Damara

Naveen Kumar Damara

Hyderabad

Summary

Experienced Claims Processor with a deep understanding of insurance processes and claims procedures. Possesses exceptional attention to detail and strong time management skills, enabling successful handling of high volumes of claims. Known for accuracy and thoroughness, consistently delivering error-free work in accordance with processing guidelines. Detail-oriented Quality Control Analyst adept at both qualitative and quantitative analysis techniques. Demonstrates extensive knowledge of scientific principles and expertise in [Area of expertise]. Brings a solid background in collecting and analyzing quality measures, providing valuable recommendations for process and quality enhancements.

Overview

5
5
years of professional experience

Work History

Quality Control Analyst

Firstsource Solutions Pvt.Ltd
07.2024 - Current
  • Reported problems and concerns to management.
  • Analyzed quality and performance data to support operational decision-making.
  • Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
  • Reviewed production processes and identified potential quality issues.
  • Collected and analyzed data to measure effectiveness of quality control processes.
  • Inspected incoming products for adherence to labeling laws and company quality standards.

Associate

Carelon Global Solution
08.2020 - 01.2024
  • Communicated verification and authorization status updates with department to facilitate decision-making for patient admissions and insurance coverage
  • Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes
  • Managed workload and priorities to meet claims processing meet deadlines
  • Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards
  • Developed strong relationships with healthcare providers and insurance agents to facilitate seamless communication during claims process
  • Maintained strict confidentiality when dealing with sensitive information about patients' medical histories or personal details
  • Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism
  • Provided support during internal and external audits, ensuring accurate representation of the company's claim history

Associate

Hinduja Global Solutions
07.2019 - 01.2020

Maintained strict adherence to HIPAA regulations, ensuring patient privacy and data security during all communication efforts
Demonstrated exceptional attention to detail in reviewing EOBs and identifying errors affecting claim approvals
Assisted in training new AR Callers, providing guidance on department protocols and procedures for effective claim followup
Reduced outstanding account receivables by diligently following up on unpaid claims with payers

Education

MBA -

KGR Institute of Technology & Management
05-2018

B.COM - Computers

ST MARY'S CENTENARY DEGREE COLLEGE
04-2016

Vikas Jr College
04-2013

SRI KRISHNAVENI TALENT SCHOOL
04-2010

Skills

  • Problem-Solving
  • Team handling
  • Claims review
  • Accuracy and Precision
  • SQL
  • Power BI
  • EXCEL
  • MS office

Languages

Telugu
Hindi
English

Personal Information

  • Date of Birth: 07/17/1995
  • Gender: MALE
  • Nationality: Indian
  • Marital Status: Married
  • Religion: Hindu
  • Visa Status: NO

Timeline

Quality Control Analyst

Firstsource Solutions Pvt.Ltd
07.2024 - Current

Associate

Carelon Global Solution
08.2020 - 01.2024

Associate

Hinduja Global Solutions
07.2019 - 01.2020

MBA -

KGR Institute of Technology & Management

B.COM - Computers

ST MARY'S CENTENARY DEGREE COLLEGE

Vikas Jr College

SRI KRISHNAVENI TALENT SCHOOL
Naveen Kumar Damara