Summary
Work History
Education
Skills
Timeline
Languages
Contactaddress
Personal Information
Workexperience
Disclaimer
Intern
Neeraj Kumar

Neeraj Kumar

Sr. Appeal Representative
Delhi

Summary

To be a part of an Organization, which has the goal of becoming the leader in business analytics and contribute my Knowledge, Skills and Energy towards the organization’s journey and simultaneously achieving my goal.

Work History

Provider Data Loading Analyst

Optum
  • Benefits installation as per sold policy.
  • Implemented numerous business optimization projects and reporting tools that improved efficiency, reduced expenses, labor costs, and maximized profit by automating outdated manual processes.
  • Creating legal documents and contractual documents of the policy holder.
  • Mentoring new hires and providing them with appropriate training.

Claims processer

Optum
  • To process claims. To solve provider's query.
  • To handle escalations.
  • Worked on different projects.
  • Doing internal audit for my team.

Appeals representative

Optum
  • Responsible for receiving appeal letter and medical records. Analyzing and processing policies associated with claims.
  • Reviewing FLNs and routing them to the appropriate teams.
  • Sending final determination to the member or provider.
  • Doing internal audit for my team.

Education

B.Com - undefined

Shivaji college of Delhi university, Delhi University

12TH - undefined

CBSE Board

10TH - undefined

CBSE Board

Skills

Self Confidence

Timeline

Provider Data Loading Analyst

Optum

Claims processer

Optum

Appeals representative

Optum

B.Com - undefined

Shivaji college of Delhi university, Delhi University

12TH - undefined

CBSE Board

10TH - undefined

CBSE Board

Languages

English
Hindi

Contactaddress

j-1/2 chanakya place part-1, janakpuri, delhi, 110059

Personal Information

  • Father's Name: Ram Khilari
  • Date of Birth: 08/11/88
  • Gender: Male
  • Nationality: Indian
  • Marital Status: Single

Workexperience

10 years

Disclaimer

I hereby declare that all the information provided here are correct to the best of my knowledge and belief.
Neeraj KumarSr. Appeal Representative