POOJA CHANDRA
Bengaluru,Karnataka
Summary
Results-oriented Patient Care Relations Executive with expertise in managing cashless insurance claims and enhancing patient experiences. Skilled in TPA coordination and relationship management, driving effective communication and operational efficiency. Experienced in setting policies and improving performance to support business sustainability and growth.
Overview
7
7
years of professional experience
Work History
Patient Care Relations & Insurance/TPA Executive
Koshy's Multispecialty Hospital
Bengaluru
02.2019 - 04.2021
- Coordinated end-to-end cashless insurance claim processing, pre-authorization forms, query responses, and final bill settlements for corporate and private insurance providers.
- Oversaw TPA & insurance pre-authorization, claims processing, IPD/OPD billing & coordination, and cashless claim approvals.
- Inpatient (IP) & Outpatient (OP) Support: Handled IP/OP admission formalities, cost estimation, insurance documentation checks, and resolved patient queries regarding claim status and coverage limits.
- Patient & Hospital Coordination: Liaised between patients, doctors, medical staff, and insurance company desk representatives to ensure smooth hospital admission and discharge procedures.
- Led operations for inbound/outbound calls, ensuring timely appointment scheduling and priority services for VIP patients.
Operations Specialist
Nira Fintech
Bengaluru
08.2023 - 11.2024
- Performed KYC verification and background checks to ensure compliance during user onboarding.
- Executed operational tasks and conducted data integrity checks to maintain process quality.
- Managed digital payment operations for Nira Fintech lending platform.
- Reviewed transaction records and resolved payment discrepancies.
- Monitored account activity for fintech compliance checks.
Merchant Trainer Support & Sales Executive
Playo - The Sports Community Application
Bengaluru
12.2024 - 12.2025
- Facilitated subscription upselling and retention efforts for venue merchants, contributing to revenue growth.
- Onboarded and trained service partners and registered trainers on app functionalities to enhance user adoption.
- Resolved partner queries through Freshdesk and direct email support, ensuring timely assistance.
- Collaborated with technical teams for bug fixes and app performance upgrades.
- Operations & Customer Support: Client Onboarding, Dispute & Query Resolution, Process Compliance, Relationship Management.
- Tools & Software: Freshdesk, MS Office (Excel, Word), Internal CRM & Healthcare Management Systems.
Education
Diploma - Aviation
Bachelor of Arts (BA) -
Pre-University Course (PUC) -
Secondary School Leaving Certificate (SSLC) -
Bachelor of Arts (BA) -
Pre-University Course (PUC) -
Secondary School Leaving Certificate (SSLC) -
Skills
- Claims Management
- Insurance Coordination
- Client onboarding
- Customer support
- Process compliance
- Query resolution
- Relationship management
- Freshdesk
- CRM systems
- CRM tools
- MS Office (Word, Excel)
- Backend operations
- Critical thinking
- Communication & Coordination
Personal Information
- Date of Birth: 1999-02-12
- Nationality: Indian
- Marital Status: Married
LANGUAGES KNOWN
English | Hindi | Kannada | Telugu | Tamil
HOBBIES
Fitness (Gym) | Dance | Travelling
DECLARATION
I hereby declare that the above information is true to the best of my knowledge and belief.
PERSONAL DETAILS
Father's Name: Chandrashekar
Timeline
Merchant Trainer Support & Sales Executive
Playo - The Sports Community Application
12.2024 - 12.2025
Operations Specialist
Nira Fintech
08.2023 - 11.2024
Patient Care Relations & Insurance/TPA Executive
Koshy's Multispecialty Hospital
02.2019 - 04.2021