SANJEEV H
Senior Process Associate
3/24 Ponniyamman Kovil Street, Cantonment Pallavaram Chennai,TN
Summary
To work in an environment which encourages me to succeed and grow professionally where I can utilize my skills and knowledge appropriately.
Overview
2
2
years of professional experience
5
5
years of post-secondary education
Work History
Senior process associate
Accenture Solutions Pvt Ltd.
chennai, Tamil Nadu
08.2019 - Current
- Independently respond to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity
- May perform outbound calls to clients to obtain information
- Performs second reviews of work performed by others while helping resolve problems and difficult situations
- Actively follow up and collect on all electronic claims, including resolution of any billing errors assigned following established procedures
- Ensured to process assigned claim forms and inspect allocation of pays
- Complied with all judgmental policies and processes to assure appropriate claim payments
- Researched and analyzed claim overpayments and funds requirements
- Ensured to take minimum assistance for processing complex claims
- Researched and processed different sets of medical plans as well as benefits
- Entered medical claim related information into HCP application
- Performed and managed routine follow up activities
- Pricing identification of errors and management of resolution with provider contracting/maintenance internal teams
- Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality and attendance
- Met month-end reporting objectives and deadlines.
- Identified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth.
- Assisting with continuous improvement
Education
MBA - Human Resources Management
Loyola College PU-LCS
Nungambakkam 08.2019 - 08.2021
Bachelor of Science - Computer Science
Patrician College of Arts And Science
Adayar 06.2016 - 06.2019
High School Diploma -
St. Sebastian Matriculation School
PallavaramSkills
Flexible and Adaptable
MS Office
Inventory management
Client confidentiality
Problem-Solving
Training and Development
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Achieved 100% through effectively helping the team with daily task.
- Achieved 100% by handling inventory to meet the SLA(TAT) with accuracy and efficiency.
Timeline
MBA - Human Resources Management
Loyola College PU-LCS
08.2019 - 08.2021
Senior process associate
Accenture Solutions Pvt Ltd.
08.2019 - Current
Bachelor of Science - Computer Science
Patrician College of Arts And Science
06.2016 - 06.2019
High School Diploma -
St. Sebastian Matriculation School