Sameer Khan
Health Insurance
Bengaluru,KA
Summary
As an experienced team leader, I bring a wealth of knowledge in U.S. health insurance and industry-specific auditing to the table. My career is marked by a proven track record of driving business development and adeptly steering day-to-day operations, with a particular emphasis on effective people management. I have a history of successfully managing extensive portfolios for U.S. health insurance companies, demonstrating my capability to not only lead, but also deliver tangible results. My expertise is underpinned by a strong foundation in both the strategic and operational facets of the health insurance sector.
Overview
17
17
years of professional experience
Work History
Team Leader
COGNIZANT TECHNOLOGY SOLUTIONS PVT LTD
Bengaluru
06.2016 - Current
- Acting as a client relationship manager by dealing with clients and top-level management.
- Handle all Health Insurance related communication directly with USA clients, providers, intermediaries, and other internal and external stakeholders.
- Ensuring the team delivers the timely result on each client with highest standard of quality.
- Audit claims to ensure the claim procedures are correct and if payments are accurate based on company policy and regulation.
- Review, investigate, and adjudicate claims using CMS guidelines.
- Maintaining allocation within the team efficiently to maintain strong margins and complete the deliverables in line budget agreed with the top management.
- Effectively prioritize assignments and handle multiple projects.
- Work closely with team to investigate and execute claims handling process in accordance with departmental standards and procedures.
Senior Technical Support Executive
CONVERGYS INDIA SERVICES PVT LTD
Bengaluru
04.2012 - 03.2016
- Handling customer inquiries via phone email and chat relating to complex technical issues for Avaya UC Products Globally supporting (USA, EMEA and APAC locations).
- Solving complex issues which involve interpreting the needs of the customer, determining the solution to the problem, and assessing any downstream impact.
- Preparing Pricing quotations and Estimates for Avaya clients on Avaya UC Products (Communication Manager (servers, gateways and IP endpoints), Messaging), Contact Center (Voice Portal, CMS, Dialers and Contact Recorders).
- Assist new team members in learning the processes and procedures required to deliver excellent customer service.
- Involved in creation of documentation for implemented processes & provide continuous process improvement feedback.
- Effective completion of assigned cases within the specified time.
- Conduct presentation and instant tests to ensure good product knowledge amongst peers and within team.
Technical Support Associate
AMAZON
Bengaluru
04.2011 - 01.2012
- Resolving all the email and technical queries written by the sellers selling on Amazon.com.
- Mentoring new hires right after their training to help associates in understanding the process and minimize the process gaps with main operations.
- Cascading all the new updates to the team and assisting them with accurate resolutions.
- Research detail page discrepancies and assist sellers with display corrections and transmit the cases to appropriate departments if necessary.
- Worked on Quality Improvement projects using various Quality techniques, identifying trend patterns, selecting appropriate models forecasting future demand of the sellers.
Associate
Cross Domain Solutions Pvt Ltd
Bengaluru
06.2008 - 03.2011
- Validate and review insurance documents for policyholders to ensure accuracy.
- Processed requests from customer service representatives, maintaining high standards of precision.
- Assisted underwriting and quoting teams by generating reports for risk valuation.
- Managed loss run document processing for various locations across USA.
- Facilitated clients' policy renewal preparation by providing timely loss runs and obtaining reports from insurers.
- Delivered Summary and Stratification documents efficiently for USA operations.
- Trained new team member to enhance overall team performance.
- Prepared documents and communicated management information systems to Team Lead.
Education
Bachelor of Business Management -
BANGALORE UNIVERSITY
Skills
- Health insurance expertise
- Business development strategies
- Relationship management
- Process improvements
- Operations management
- Client relationship management
- Insurance claims auditing
- Work Planning and Prioritization
- Client support
- Risk management
- Quality improvement
- Leadership
Languages
KANNADA, HINDI, ENGLISH, URDU
LINKS
LinkedIn: https://www.linkedin.com/
Timeline
Team Leader
COGNIZANT TECHNOLOGY SOLUTIONS PVT LTD
06.2016 - Current
Senior Technical Support Executive
CONVERGYS INDIA SERVICES PVT LTD
04.2012 - 03.2016
Technical Support Associate
AMAZON
04.2011 - 01.2012
Associate
Cross Domain Solutions Pvt Ltd
06.2008 - 03.2011
Bachelor of Business Management -
BANGALORE UNIVERSITY
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