RATNA S MANGALI
Thane
Summary
Health Administration Service Associate :
processing healthcare insurance claims, data verification and claim adjudication in high-volume operations. Reviews claim details against client guidelines and policy requirements to reduce settlement errors and support accurate processing. Maintains confidential patient data, resolves stakeholder requests, and escalates complex exceptions to protect SLA compliance and service quality.
Overview
5
5
Languages
2
2
Certification
11
11
years of professional experience
Work History
Health Administration Service Associate
Accenture
06.2015 - 03.2026
- Performed claims adjudication, data verification, and validation to ensure accurate claim settlements and minimize processing errors.
- Processed and reviewed healthcare insurance claims in accordance with established client guidelines, policy requirements, and quality standards.
- Updated and maintained healthcare systems and internal databases, ensuring accuracy and confidentiality of sensitive patient information.
- Conducted quality reviews of healthcare claims, identifying discrepancies for further investigation and correction.
- Escalated complex claims and process exceptions to supervisors, ensuring compliance with operational SLAs and regulatory requirements.
- Collaborated with cross-functional teams to enhance claims processing efficiency and uphold high service quality.
- Assisted in on-boarding and training new team members on claims processing procedures, system navigation, and quality standards.
- Consistently demonstrated strong attention to detail while managing multiple priorities within a high-volume claims environment.
- Quality Assurance
- Training & Development
Education
SSC - Commerce
Jai Bharat High School , SSC
India 04.2001 -
HSC - HSC
Jai Bharat High School
Thane, India 04.2001 -
Bachelor of Commerce - Commerce
Jai Bharat College of Commerce
Thane, India 04.2001 -
Skills
Healthcare Administration Systems
MS Office (Excel, word and PowerPoint)
Complaint Handling & Resolution
Claims Processing
Data Handling & Confidentiality
Analytical & Critical Thinking
Customer Service Excellence
HIPAA/GDPR Awareness
Cross-Functional Team Collaboration
Verbal & Written Communication
Risk Identification
Additional Information
Name: Ratna Satyanarayan Mangali
Date of Birth: 17th Nov 1990
Gender: Female
Marital Status: Unmarried
Nationality: Indian
Hobbies: Listen to music,Watching Movies
Languages Known: English,Hindi,Marathi, Telugu,Tamil
Certification
MNC
Interests
Listening music
watching movies
travelling
reading books
Accomplishments
I hereby declare that the above-furnished information is true & correct to the best of my knowledge.
Place: Mumbai
Date: __/__/____
Timeline
Health Administration Service Associate
Accenture
06.2015 - 03.2026
SSC - Commerce
Jai Bharat High School , SSC
04.2001 -
HSC - HSC
Jai Bharat High School
04.2001 -
Bachelor of Commerce - Commerce
Jai Bharat College of Commerce
04.2001 -