Sadhvi Malli
Claims Operations Associate
Mangalore
Summary
Accomplished project management professional with over 3 years of experience. Skills include leading operations management, data analysis, and client communication. Proven ability to collaborate with cross-functional teams and clients for on-time and within-budget project delivery. Strong focus on effective communication and meticulous attention to detail. Consistently surpass expectations and drive successful project outcomes.
Overview
3
3
years of professional experience
5
5
years of post-secondary education
1
1
Certificate
3
3
Languages
Work History
Claims Operations Associate
United Healthcare
Bangalore
02.2022 - 12.2022
- Workflow Management: Lead coordination with internal teams to manage inventory, consistently ensuring over 85% of workflow items are completed within the set Turnaround Time (TAT) and within quality benchmarks.
- Data Analysis: Analyzed inventory weekly reports, providing critical insights to leadership that supported senior management in strategic planning and inventory management and contributed to a 15% improvement in operational efficiency.
- SLA Compliance: Proactively managed inventory, ensuring that it remained within the Service Level Agreement (SLA) 95.8% of the time, which significantly enhanced the department's performance and customer satisfaction.
- Excel Proficiency: Utilized Microsoft Excel for comprehensive data analysis, efficiently processing and managing an average of the Employee Performance reports weekly with precision and accuracy
- Team Leadership: Ensured that the assigned tasks and claims were completed by a team of Data entry processors under specified time slots, contributing to achieving departmental targets and objectives by 95% or higher
- Implemented quality assurance measures to ensure accuracy and consistency in all aspects of claim handling.
- Collaborated with cross-functional teams to develop strategies for reducing fraudulent claims and improving overall operations efficiency.
- Escalation Handling: Handled escalations monthly, resolving client issues and concerns proficiently, ensuring timely resolution with a success rate of over 90%.
- Improved claim processing efficiency by streamlining workflows and implementing new software tools.
- Reduced claim disputes by providing clear communication and thorough documentation during the claims process.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
Claims Representative Associate
United Healthcare
Bangalore
08.2019 - 01.2022
- Resolved client issues and concerns per month through effective escalation handling and communication, achieving over 92% client satisfaction
- Leveraged advanced data analysis tools, including Microsoft Excel, to develop, organize, and manage comprehensive datasets and reports
- This initiative optimized data-driven decision-making processes. Specifically, it improved claims processing, risk assessment, and customer service operations, ensuring a more efficient and data-informed approach to healthcare insurance management
- Worked collaboratively in a team environment, ensuring 98% adherence to quality standards and contributing to the team's overall performance
- Developed strong communication channels with providers, updating them regularly on the progress of claims, and ensuring their satisfaction through the timely and accurate processing of settlements
- Delivered informative presentations during team meetings, sharing knowledge about emerging trends within the insurance industry.
- Managed accounts receivables aspects of client-focused revenue cycle operations, demonstrating in-depth knowledge of processes and executing all standard operating procedures (SOPs)
- Increased efficiency by automating routine tasks using proprietary software systems.
- Contributed to company-wide initiatives aimed at improving overall performance metrics related to claim handling.
- Streamlined communication between departments to expedite the claims process.
- Worked closely with medical providers to ensure accurate billing and payment processes for healthcare-related claims.
Education
MBA - Finance And Operations
08.2017 - 05.2019
- Thesis Paper: Income Smoothing: Legality and Process
- Summer Internship, Mangalore Chemicals & Fertilizers, Completed 2018
- Elected to Vice President for VSO (Voluntary Services Org) in 2018
Bachelor of Commerce - Finance
06.2014 - 04.2017
Skills
Analytical Skills
Microsoft office
Risk Management
Data organization
Time Management
Attention to Detail
Project management
Client communication
Operations management
Adaptability and flexibility
Teamwork and collaboration
Quality Assurance & Control
Problem Solving & Decision Making
Process Improvement & Optimization
Accomplishments
- Received the Extra Miler Award (2020) for exceptional performance and leadership, resulting in a 10% increase in team productivity.
- Recognized for the successful delivery of an internal macro that improved data processing efficiency, saving approximately 15 hours per week.
Certification
Google Project Management, Professional Certificate – Coursera and Google.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeInternshipPart TimeContract WorkGig WorkLocation Preference
On-SiteRemoteHybridImportant To Me
Career advancementWork from home optionPersonal development programsCompany CultureFlexible work hoursLanguages
English
Kannada
Hindi
Timeline
Google Project Management, Professional Certificate – Coursera and Google.
05-2023
Claims Operations Associate - United Healthcare
02.2022 - 12.2022
Claims Representative Associate - United Healthcare
08.2019 - 01.2022
School of Management, MAHE - MBA, Finance And Operations
08.2017 - 05.2019
St. Aloysius College - Bachelor of Commerce, Finance
06.2014 - 04.2017