Summary
Overview
Work History
Education
Skills
Timeline
Generic

Prasad Babu Vanniya

US Health care - Senior process executive
Bangalore

Summary

Proactively identified and mitigated potential risks to stakeholders, ensuring project success Dynamic Claims Processor with proven expertise at Cognizant, recognized for enhancing claim processing efficiency and accuracy. Adept in claims review and data entry, I foster team collaboration and support compliance initiatives. My commitment to quality and attention to detail significantly improved customer satisfaction and streamlined operations. Successfully managed a major organizational change initiative, ensuring stakeholder buy-in and minimizing disruption. Proactively identified and mitigated potential risks to stakeholders, ensuring project success. Successfully managed a major organizational change initiative, ensuring stakeholder buy-in and minimizing disruption

Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.

Skilled claims processing professional with extensive experience in reviewing and validating insurance claims. Strong focus on accuracy, problem-solving, and effective communication. Known for collaborative approach and adaptability to changing needs. Proficient in claims software, data entry, and customer service. Recognized for reliability and achieving results in team environments.

Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.

Experienced P&C Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 5 years of experience and willingness to take on any challenge.

Overview

11
11
years of professional experience
5
5
years of post-secondary education

Work History

Claims Processor and P&C Insurance

Cognizant
Bengaluru
12.2021 - Current
  • Successfully handled numerous claims while maintaining quality standards.
  • Identified and reported potential fraud or abuse related to claims to protect system's integrity.
  • Identified fraudulent claims through thorough investigation and documentation of findings.
  • Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
  • Assisted in updating company guidelines for consistent application of policies across all claims processed.
  • Managed workload and priorities to meet claims processing meet deadlines.
  • Trained new employees on claims processing procedures, contributing to a well-prepared workforce.
  • Collaborated with claims department and industry anti-fraud organizations to resolve claims.
  • Reduced processing times for claims, employing advanced software tools for data management.
  • Supported team members in achieving their personal and professional goals, fostering collaborative and supportive work environment.
  • Increased team productivity by leading training sessions on best practices for claims processing.
  • Successfully handled numerous claims while maintaining quality standards.
  • Modified, updated and processed existing policies.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.
  • Processed and recorded new policies and claims.
  • Successfully handled numerous claims while maintaining quality standards.
  • Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
  • Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
  • Prepared clear and concise reports for management review, showcasing insights into trends within the industry or department performance metrics.
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.

Claims Processor

Axa Business Services
Bengaluru
03.2014 - 08.2021
  • Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
  • Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
  • Participated in ongoing training programs to stay current on industry developments and maintain a strong understanding of relevant laws and regulations affecting the claims process.
  • Supported internal audit initiatives by providing detailed documentation of claims handling procedures as required for compliance purposes.
  • Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
  • Contributed to the development and implementation of new procedures, policies, or guidelines that improved claim processing efficiency across the organization.
  • Developed strong relationships with healthcare providers and insurance agents to facilitate seamless communication during the claims process.
  • Improved operational efficiency, conducting regular reviews of claims processes and implementing necessary adjustments.

Education

MBA - Marketing

Sri Venkateshwara University
Tirupati
08.2010 - 07.2012

Bachelor of Arts - Economics, Political Science, History

Govt Degree College
NAGARI
06.2007 - 05.2010

Skills

  • Insurance coverage verification

  • Claims adjustment

  • Insurance claim forms review

  • Customer service

  • Insurance regulations

  • Professionalism and ethics

Claims

Timeline

Claims Processor and P&C Insurance

Cognizant
12.2021 - Current

Claims Processor

Axa Business Services
03.2014 - 08.2021

MBA - Marketing

Sri Venkateshwara University
08.2010 - 07.2012

Bachelor of Arts - Economics, Political Science, History

Govt Degree College
06.2007 - 05.2010
Prasad Babu VanniyaUS Health care - Senior process executive