Pugazhendhi V
Chennai
Summary
Detail-oriented and analytical Claims Adjudication Specialist with over 2 years of experience in reviewing, processing, and resolving insurance claims in compliance with company policies and regulatory guidelines. Proven ability to accurately interpret benefit plans, apply coding standards (ICD, CPT, HCPCS), and ensure timely adjudication of medical, dental, or disability claims. Strong understanding of healthcare terminology, EOBs, and HIPAA regulations. Recognized for excellent communication skills, cross-functional collaboration, and commitment to delivering high-quality service in fast-paced environments.
Overview
2026
2026
years of professional experience
Work History
Claims Adjudicator
Cognizant Technologies
Chennai
2023 - Current
- Process healthcare claims by verifying eligibility and reviewing documentation.
- Assess claims for accuracy and compliance with ICD and CPT codes.
- Interpret Explanation of Benefits (EOBs), patient records, and provider notes.
- Resolve data discrepancies and ensure high standards of accuracy.
- Coordinate with healthcare providers and internal teams for clarifications.
- Adhere strictly to HIPAA regulations and confidentiality standards.
- Exceed performance metrics and contribute to audit-ready reporting.
Education
BACHELOR OF COMMERCE - Commerce with computer science
Patrician College of Arts & Science
Chennai01.2022
Vallal S. I. Alagar Samy Chettiar Hr. Sec. School - Commerce with computer science
Chennai01.2019
Skills
- Billing analysis
- Microsoft Office
- Adjudication software
- ICD/CPT coding
Personal Information
- Date of Birth: 01/03/00
- Gender: Male
- Nationality: Indian
- Marital Status: Single
Languages
- English, fluent
- Tamil, native
Timeline
Claims Adjudicator
Cognizant Technologies
2023 - Current
BACHELOR OF COMMERCE - Commerce with computer science
Patrician College of Arts & Science