Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
CustomerServiceRepresentative

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
Pallavaram

Skills

    Flexible and Adaptable

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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

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SANJEEV HSenior Process Associate