Summary
Overview
Work History
Education
Skills
Hobbies and Interests
Languages
Timeline
Generic
Prem Salve

Prem Salve

Pune

Summary

Diligent contact centre professional careful to follow procedures and handle issues in full. Balances customer desires with organisational standards to create mutually beneficial solutions to diverse problems. Consistently exceeds performance and service quality targets.

Overview

4
4
years of professional experience

Work History

Customer Service Executive

EXL
Pune
02.2024 - Current
  • Handled inbound calls from providers and members to verify if prior authorization (precertification) was required for procedures using CPT and diagnosis codes.
  • Accurately assessed medical services against insurance policy guidelines to determine if precert was needed.
  • Initiated prior authorization requests in the system when required, ensuring timely processing to avoid service delays.
  • Interpreted clinical and procedural codes (CPT/ICD-10) to confirm service eligibility under plan benefits.
  • Maintained high level of accuracy and compliance with HIPAA regulations and company protocols.
  • Provided clear, professional communication to healthcare providers regarding authorization status and next steps.
  • Collaborated with internal teams to resolve escalated or complex authorization cases.

Customer Support Executive

Tech Mahindra
Pune
10.2022 - 01.2024
  • Provided real-time support to customers via chat and phone for billing inquiries, order status, SIM replacement, and account restrictions.
  • Investigated and resolved high bill concerns by analyzing usage, charges, and plan details.
  • Assisted customers in removing 18+ content restrictions based on account verification and eligibility.
  • Processed SIM card replacement requests and guided customers through the locking process for lost or stolen phones.
  • Tracked and communicated order status for devices and services purchased through the Three UK website.
  • Maintained accurate customer records and ensured compliance with data protection (GDPR) and internal policies.
  • Delivered excellent service by resolving issues efficiently, contributing to improved customer satisfaction scores.

Sales Executive

Sumasoft
Pune
12.2020 - 03.2022
  • Conducted outbound sales calls to customers who visited the website, promoting and selling motor insurance policies including Third-Party, Comprehensive, and Zero Depreciation (Bumper-to-Bumper) coverage.
  • Educated customers on policy features, premium benefits, and legal requirements to support informed decision-making.
  • Consistently achieved and exceeded monthly sales targets, contributing to team and organizational performance.
  • Analyzed customer data to segment leads and assisted in plotting high-potential customer groups for targeted outreach.
  • Maintained accurate records of customer interactions, quotations, and policy conversions in CRM systems.
  • Provided end-to-end assistance from quotation to policy issuance, ensuring smooth onboarding and customer satisfaction.

Education

Bachelor of Science - BSC

MIT WPU
Kotharud
12.2022

12th - secondary school

SNBPJrcollege Rahatani
Rahatani
12.2019

10th - schooling

St Alphonsa high school
Pimpri chinchwad
12.2016

Skills

  • Prior authorization
  • CPT coding
  • ICD-10 coding
  • Insurance verification
  • HIPAA compliance
  • Customer relationship management
  • Issue resolution
  • Billing support
  • Team collaboration
  • Time management

Hobbies and Interests

Listening Music

Languages

  • English, First Language
  • Hindi, First Language
  • Marathi, First Language

Timeline

Customer Service Executive

EXL
02.2024 - Current

Customer Support Executive

Tech Mahindra
10.2022 - 01.2024

Sales Executive

Sumasoft
12.2020 - 03.2022

Bachelor of Science - BSC

MIT WPU

12th - secondary school

SNBPJrcollege Rahatani

10th - schooling

St Alphonsa high school
Prem Salve