Purushothaman V
Quality Analyst
Summary
Hardworking Process Executive adept at working with customers to resolve issues, collecting paperwork and processing applications. Well-organized and detail-oriented with excellent verbal and written communication skills.
Overview
9
9
years of professional experience
Work History
SR. PROCESS EXECUTIVE – Quality Analyst (CIGNA)
Cognizant Technology Solutions
12.2014 - 06.2023
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
- Developed and maintained quality assurance procedure documentation.
- Performed standard first article inspections and random sampling inspections to verify adherence to customer standards.
- Recorded findings of inspection process, collaborating with quality team to implement corrective actions.
- Generated monthly metric reports, interpreted results and developed processes and solutions.
- Determined change management needs and defined behaviors for effective program management.
SR.PROCESS EXECUTIVE - ANTHEM WGS CLAIMS
Cognizant Technology Solutions
Chennai, Taminadu
- Perform verification and reconciliation of accounts.
- Electronically and manually reconcile and balance all Insurance and Medicaid payment received.
- Processing all medical claims document verification and complete billing Circle related to Customer invoices.
- Insurance claims process, Inspected apt allocation of deductibles,Co-pay,Co-Insurance and Reimbursements.
- Research and process claims according the processing guidelines and benefits.
- Determine if claim submission was completed correctly,verified data and entered into system for adjudication.
- Preparing final consolidated file and uploading into client database
Education
Bachelor of Arts - Accounting
TMG College of Arts & Science
Manimangalam, Sriperumbudur 04.2001 -
Skills
Account Updates
undefinedTimeline
SR. PROCESS EXECUTIVE – Quality Analyst (CIGNA)
Cognizant Technology Solutions
12.2014 - 06.2023
Bachelor of Arts - Accounting
TMG College of Arts & Science
04.2001 -
SR.PROCESS EXECUTIVE - ANTHEM WGS CLAIMS
Cognizant Technology Solutions
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