PRIYADARSHINI TRIVEDY
Leamington Spa,
Summary
Postgraduate majored in Healthcare management with 2.5+ years of experience in the insurance and healthcare industry combined. Well versed in handling customers, investigating injury claims, medical terminologies handing patient records, CQC compliances in accordance with NHS and stakeholder management. I am also quick learner with excellent interpersonal skills and would be more than willing to learn any new skills required for the job I am hired for.
Overview
3
3
years of professional experience
Work History
Senior Associate Operations
WNS Global Services
09.2020 - 01.2023
- Worked productively in a fast-moving work environment to process large volumes of claims.
- Demonstrated leadership skills by implementing strategies to reduce quality errors by 75%.
- Collaborated with internal departments and external stakeholders such as doctors, nurses, and other members of the clinical department.
- Managed administrative responsibilities such as handling excellent inbound and outbound calls and email distribution regarding booking patient appointments and treatments.
- Researched and analyzed complex claims to determine the next steps, faster resolutions, and possible outcomes.
- Maintained confidentiality of patient finances, records, and health statuses.
- Negotiated to achieve settlement agreements by 50% every month to resolve disputes.
- Updated claims system by generating, posting, and attaching information to track claim status.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims to prevent leakage, and control costs for maximum profitability.
Healthcare Assistant
Heart of England , Mencap
09.2019 - 03.2020
- Delivered high standard of holistic care to patients to promote equality and dignity.
- Communicated effectively with patients and families to provide information about care and treatment.
- Involved in planning, coordinating, organizing healthcare operations, and crisis interventions for service users.
- Ensuring all healthcare and administrative needs of healthcare users diagnosed with Epilepsy, Autism, Cerebral Palsy, Down Syndrome and other mental health disorders are met in complex day-care service are maintained.
- Involved in dealing with clinical data such as generating patient's accident and incident reports.
- Worked in compliance with risk assessment, health and safety , infection controls and disability policies by Care Quality Commission in accordance with National Health Service, NHS.
Education
Master of Science - Healthcare Operational Management
University Of Warwick
Coventry, United Kingdom01.2020
Bachelor of Engineering - Biotechnology
Visvesvaraya Technological University
Bangalore, India06.2017
Skills
- Claims handling, investigation and settlement
- Attention to detail
- Stakeholder management
- Medical records review
- Qualitative analysis
- Computer knowledge and Microsoft tools
- Interpersonal skills
- Leadership
- Operational Improvements
- Compliance Requirements
- Customer support and client Relationship Management
- Crisis Intervention
- Employee Performance Evaluations
Hobbies:
Some of my hobbies or areas of interest would be travelling, listening to podcasts, swimming and volunteering for organizations that support differently abled people with special needs.
Timeline
Senior Associate Operations
WNS Global Services
09.2020 - 01.2023
Healthcare Assistant
Heart of England , Mencap
09.2019 - 03.2020
Master of Science - Healthcare Operational Management
University Of Warwick
Bachelor of Engineering - Biotechnology
Visvesvaraya Technological University
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