Summary
Overview
Work History
Education
Skills
Personal Information
Languages
Disclaimer
Mobile Numbers
Other Qualified Activities - G P A T
Timeline
Generic

POOJA MANOJ SARDAR

Pune

Summary

Accomplished claims specialist with over 6 years of experience, including at Infosys BPM Ltd., excelling in claim processing and policy compliance. Proven track record in effective communication and customer service, ensuring accurate claim adjudication and medical scrutiny. Adept at leveraging ICD-10 and CPT coding expertise to enhance operational efficiency and client satisfaction.

Overview

10
10
years of professional experience

Work History

Claim Processing

Infosys BPM Ltd.
08.2023 - Current
  • Death claim process
  • Policy termination Process
  • 2 years of experience

Claim Billing, Claim Audit, Claim Registration

Future Generali Health Insurance
Pune
09.2021 - Current
  • Review and process medical claims in accordance with policies, procedures, and regulatory requirements
  • Verify eligibility and coverage for services rendered using online tools and resources
  • Determine correct coding for diagnosis and procedures using ICD-10 and CPT manuals
  • Enter data into claim system and attach supporting documentation
  • Forward claims to appropriate payer for adjudication
  • 2 years experience in claim billing, claim audit, claim registration

Claim Processing

MD INDIA TPA LTD
Pune
01.2019 - 01.2021
  • Review and process medical claims in accordance with policies, procedures, and regulatory requirements
  • Verify eligibility and coverage for services rendered using online tools and resources
  • Determine correct coding for diagnosis and procedures using ICD-10 and CPT manuals
  • Enter data into claim system and attach supporting documentation
  • Forward claims to appropriate payer for adjudication

Hospital Pharmacy

Nobel hospital
Hadapsar
01.2016 - 01.2018
  • 2 Years experience (In hospital pharmacy)

Education

MBA (Banking & finance) -

NMIMS University
08.2025

B.pharmacy -

Dr. bamu University
12.2014

H.S.C -

Latur Board
12.2010

S.S.C. -

Latur Board
12.2008

Skills

  • Claim processing
  • Policy compliance
  • Effective communication
  • Customer service
  • claim adjudication
  • medical scrutiny

Personal Information

  • Date of Birth: 01/09/93
  • Gender: Female
  • Nationality: Indian
  • Marital Status: Married

Languages

  • Marathi
  • Hindi
  • English

Disclaimer

I hereby declare that all Statement made in this application are true complete and correct to the best of my knowledge and behalf.

Mobile Numbers

  • 8421065869
  • 7798433349

Other Qualified Activities - G P A T

137 (Qualified)

Timeline

Claim Processing

Infosys BPM Ltd.
08.2023 - Current

Claim Billing, Claim Audit, Claim Registration

Future Generali Health Insurance
09.2021 - Current

Claim Processing

MD INDIA TPA LTD
01.2019 - 01.2021

Hospital Pharmacy

Nobel hospital
01.2016 - 01.2018

MBA (Banking & finance) -

NMIMS University

B.pharmacy -

Dr. bamu University

H.S.C -

Latur Board

S.S.C. -

Latur Board

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POOJA MANOJ SARDAR