P. SANDHIYA
Chennai
Summary
Having total 10 years of work experience.
Pursuing an experience where I will be able to utilise my organizational as well as my interpersonal skills to firmly contribute towards the achievement of mission.
Overview
10
10
years of professional experience
Work History
Senior Associate
Wipro Services India Pvt Ltd
04.2017 - Current
- Project: OCP (Ongoing client processing)
- Domain: HM Edits and File Verification
- Playing key role in administering Health and Wealth solutions.
- Maintained healthy backup ratio for all the process within given timelines.
- Creating SOP's and keeping a track on updating them by time.
- Participating in client calls to identify and minimise issues regarding daily deliverables.
- In-depth knowledge and experience in all the process.
- Having responsible for mentoring and providing ongoing training and support for new team members.
- Handling critical clients with 60 process and successfully delivering it with quality.
Process Associate
ACCENTURE SOLUTIONS PVT. LTD
09.2015 - 04.2017
- Assisted Quality team in developing and maintain quality control methodologies.
- Responsible for Verifying coverage and benefits for providers and claimants.
- Claims such as commercial, Medicaid reinsurance and Medicare are prepared and reviewed.
- Done other duties as assigned.
- Produced Claims as per standard Productivity.
- Ensure the claims processed are meeting the Customer Quality.
- Validate and process the pend claims as per the approved training material and requirements.
- Handling a team of 25 people.
- Give Training to newly joining associates.
- Beginning of the day conducting Huddle.
- Sending daily reports to Supervisor.
- Handling support interactions on phone/email/chat with Onsite.
- Environment: CITRIX and FACETS
Education
BA - ECONOMICS
A.M.JAIN COLLEGE
01.2015
HSC -
SHRI VENKATESHWARA HIGHER SECONDARY SCHOOL
01.2012
SSLC -
SHRI VENKATESHWARA HIGHER SECONDARY SCHOOL
01.2010
Skills
- Adjudicating Insured claims
- Training and mentoring
- Time management
- Standard operating procedures
- Reporting
- Client relationship
- Word
- Excel
Accomplishments
- Building excellent rapport with clients, internal team members, and various support groups
Technical Exposure
Word, Excel
Typewriter: Lower in English
Languages
- English
- Tamil
Disclaimer
I am in great pleasure to forward my application with related particulars for a suitable post.
Area Of Expertise
- Adjudicating insured claims
- Training newly joined associates
- Sending daily reports to supervisors
- Maintaining healthy client relationships
Personal Information
- Total Experience: 10 years
- Father's Name: K.Prakasam
- Date of Birth: 11/14/94
- Gender: Female
- Marital status: Married
Timeline
Senior Associate
Wipro Services India Pvt Ltd
04.2017 - Current
Process Associate
ACCENTURE SOLUTIONS PVT. LTD
09.2015 - 04.2017
BA - ECONOMICS
A.M.JAIN COLLEGE
HSC -
SHRI VENKATESHWARA HIGHER SECONDARY SCHOOL
SSLC -
SHRI VENKATESHWARA HIGHER SECONDARY SCHOOL