NUPUR SHARMA

Senior Analyst at DXC Technology with expertise in developing training materials and optimizing service delivery processes. Skilled in analyzing complex claims and promoting team collaboration to enhance operational efficiency. Experienced in managing client interactions during high-pressure situations to address benefits needs and navigate agency structures. Proven ability to work within regulatory frameworks and departmental standards while generating new business through diverse insurance plan sales.

• Received certificate of appreciation for employee engagement activities.
• Received Venus award for quality of products and service delivery on all performance metrics.

• Expertise including ability to work independently, take initiative, adapt to change with ease and decision making and coordination for improved quality
• Comprehensive involvement in cementing healthy relationship with the Clients, combining strong leadership skills, expert process knowledge, communication skills and multitasking capabilities to positively contribute to organizational growth.

• As a claim processor I was involved in Medical claims processing in UNET and (CPS) claim processing system in UHG.
• As a service specialist, updating data as per client request and responding them according to their queries via email.

• Payments, denial, correction of the claim.
• Adjusting those claims that were erroneously denied closed or wrongly processed.
• Escalation management of the claims received through onshore.
• Expertise in handling UB and HCFA claims for Medicare, Medicaid, other insurance or as prime.
• Verifying HCFA 1500 and UB 04 claim billing form.
• Handle and resolve critical quality problems using research abilities.
• Investigating, evaluating and making liability decisions on assigned claims.
• Manage quality, time management and giving efficient production on the given deadline.

• Updating data as per client need through mainframe coding.
• Assigning groups to the company and to take care of joining and termination of employee as per the request.
• Processing the request orders of US based customers, updating customer information in database as per client request and updating through mainframe coding.
• Applying premium on group level / employee level policy
• Meeting daily production targets on different work types.
• Providing enrollment and EOI status to the requestor through email.
• Updating records periodically on the request of client or customer for any applicable changes through coding like termination, salary change, name change, address change with the use of diverse application.
• Releasing payment of credit billed amount on their coverage of employees in case we require more information then we have to request accordingly.
• Providing schedule A 500 forms to the broker.
• Process ACH payment and response accordingly they are electronic payment made through automated clearing house network.