Gourav Chawla
Operations & Representative
New Delhi
Summary
Seeking an Opportunity to utilize my skills and abilities in an Organization that offers professional growth and allows me to contribute myself as part of their benchmarks growth.
Overview
10
10
years of professional experience
Work History
Senior Claim Benefit Specialist (US HEALTHCARE)
Concentrix Daksh Services India Private Limited
10.2022 - Current
- I am an ECHS (Electronic correspondence Handling System) processor. We receive Information from client side After reviewing Information regarding Claims that claim would be paid or denied it depends on its authentic information, If insufficient information received then it is sent to Call Center category, After having sufficient information. We process the claim and pay it .
- Also I handle the claim Regarding healthcare. We check five Points on the claim like Verification, Authorization, Member Responsibility , Contract and Duplicacy.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance throughout the claims process.
Assignment/Demand Fulfillment
RIVIGO SERVICES PVT LTD
11.2018 - 06.2019
- To make a deal between supplier and Transporter. We work like third party.
- Secure Transportation services from carriers, negotiate rates and coordinate freight pickup and delivery.
- resolve any logistics-related problems that arise, such asa transportation delays, damaged goods, or missing shipments.
Client Service Executive
Lehar Advertising Pvt Ltd
04.2014 - 05.2018
- Maintain all records of media wise file.
- Give detail to Client about the new Product / schemes in advertising package.
- Give Instructions/booking to Publishers through our release order.
- Handling Media Operations & Client Servicing –(Releasing, Scheduling, & Estimates)
Education
BBA - Business Administration
Guru Gobind Singh Indraprastha University
New Delhi, India 04.2001 -
Skills
Expertise in US health Insurance Provider complaints and Appeals
Expertise in Reporting and data Analysis
Good Communication skill for client Interaction
Working knowlede of MS Excel/Access/Power point for project delivery
Timeline
Senior Claim Benefit Specialist (US HEALTHCARE)
Concentrix Daksh Services India Private Limited
10.2022 - Current
Assignment/Demand Fulfillment
RIVIGO SERVICES PVT LTD
11.2018 - 06.2019
Client Service Executive
Lehar Advertising Pvt Ltd
04.2014 - 05.2018
BBA - Business Administration
Guru Gobind Singh Indraprastha University
04.2001 -