Playing Football
Raja Pandiyan
Associate - Provider Services
Chennai,India
Summary
Talented Associate skilled at mentoring and leading new team members on company procedures. Enables clients to receive optimal level of care while promoting available products and services. Dedicated Associate with extensive experience collaborating with clients, promptly identifying needs and recommending products and services to accomplish clients' goals. Strong communicator focused on delivering outstanding customer care. Experienced Associate with over 5 years of experience in Insurance industry, Excellent reputation for resolving problems and improving customer satisfaction.
Overview
2
2
Languages
4
4
years of post-secondary education
7
7
years of professional experience
Work History
Associate
Guardian India Operations Private Limited
Chennai, Tamilnadu
05.2016 - Current
- Maximized productivity by keeping detailed records of daily progress and identifying and rectifying areas for improvement.
- I have hands of experience in Dental Insurance company in my current organization.
- I have an exposure to the Dentist claims processing and analyze reason to process claims at earliest.
- I can setup a Contract for a provider with the agreed fee schedule in BAS system.
- I have a knowledge in the Cactus system(Symplr) where we add our Dentist based on the credentials done.
- I can stub a dentist information in the Cactus credential team with the required fields to be mentioned.
- I can handle with Client connect with their clarification and requirements.
- Im capable in handing the emails which are addressed by our clients.
- I have also experience in handling a team of 6 members with assigning the daily works which pile up to our team.
- I can handle on EDI(Electronic Data Interchange) for processing the claims, w9 processing, Associate Dentist (Add/erm), DB maintenance & Batching documents, Etc.,
- Re-credentialing a Dentist with required documents.
- I had trained 3 of our colleagues by mentoring them directly by staying from our Gurgaon office for a period of 3 weeks with our process.
- I have also gave some process improvement ideas to reduce the work time and FTE resource.
- Sending daily reports to Manager.
Copy Editor
TNQ Books and Journals Private Limited
Chennai, Tamilnadu
09.2014 - 11.2015
- Reviewed and edited content for correct grammar and style.
- Produced clear, concise and accurate content to reflect tone and level of authority appropriate to content.
- Proofread, edited, and evaluated final copy to verify content aligned with established guidelines.
Education
Bachelor of Engineering - Computer Science And Programming
Sakthi Mariamman Engineering College
Thandalam 08.2010 - 04.2014
Skills
Patient evaluation
Interests
Net Surfing
Timeline
Associate
Guardian India Operations Private Limited
05.2016 - Current
Copy Editor
TNQ Books and Journals Private Limited
09.2014 - 11.2015
Bachelor of Engineering - Computer Science And Programming
Sakthi Mariamman Engineering College
08.2010 - 04.2014
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