Sankaran MS
Trivandrum,KL
Summary
Experienced Quality Analyst who conducts stability tests with good eye for noticing deviations from expected trends. Brings expertise in complex data analysis and data delivery to team. Successfully maintains compliance with company standards to improve efficiency. Excellent team player with expertise in delivering great coaching sessions to new and existing advisors. Reliable member to the QC team, supporting work prioritization, organization and improvement. Brings proven interpersonal skills in communicating theoretical procedures and concepts across departments. Results-driven professional with vast experience in maintaining relationships with U.S. clients and rich experience in voice processes and quality analysis. Works effectively in a team to deliver effective customer service through the display of communication and problem-solving skills. Has proven results in the maintenance of standards of performance, initiatives for service quality analysis, and process improvement. Can use data-driven insights to drive optimized interactions with clients and operational efficiency.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Quality Analyst(voice Process)
Good Method Globals
05.2023 - 09.2024
- Auditing all insurance verification to make sure that patient's account is correctly verified.
- Help dental health care practices to avoid claim resubmission, reduce eligibility -related rejection and denials which leads to improved client satisfaction and revenue generation
- Fee schedule audit done to make sure the correct charges for each dental procedure code has been updated in the system
- Monthly quality feedback for individual/team is provided to have a clear idea of the Team goals and work towards attaining the same.
- Ensuring all the communication sent by the team is accurate and is communicated in a proper way.
- Identify and remedy defects within the production process.
- Ensure that user expectations are met during the testing process.
- Recommend, implement, and monitor preventative and corrective actions to ensure that quality assurance standards are achieved.
- Identify and fix errors with products and software before they are shipped to consumers to help identify ways to improve product quality and meet the organization's quality standards.
Insurance Claim Specialist(voice Process)
Good Method Globals
10.2021 - 05.2023
- Addressing customer queries, resolving issues, providing information about products/services, and
ensuring customer satisfaction. - Handled confidential information inline with data security protocol, minimizing risks regarding customer
information. - Collected evidence through investigations, verified documentation from claim submissions and
opened new cases in company systems to initiate claim processing activities. - Retrieved claim records to verify policyholder information and coverage before processing claims.
- Managing incoming and outgoing calls to provide customer service, support, and solutions.
- Maintaining accurate records of customer interactions, transactions, comments, and complaints.
- Meeting targets related to call handling time, customer satisfaction scores.
- Providing information about billing, processing payments, and handling billing inquiries or disputes.
- Updating and maintaining accurate patient records and appointment details.
- Providing patients with necessary pre-treatment guidelines and answering any preparatory questions.
- Adhering to HIPAA guidelines and other regulatory requirements to ensure patient information.
Education
B.Tech - Computer Science And Programming
PRIST College of Engineering And Technology
Chennai01.2021
High School -
Christ Nagar Hr Secondary School
Trivandrum, India01.2016
Skills
- MS Office
- Google Workspace
- Investigation management
- Quality control management
- Quality assurance policy development
- Communication Skill
Certification
HIPPA Certified BPO specialist
Languages
Malayalam
Bilingual or Proficient (C2)
English
Bilingual or Proficient (C2)
Hindi
Intermediate (B1)
Tamil
Upper intermediate (B2)
Timeline
Quality Analyst(voice Process)
Good Method Globals
05.2023 - 09.2024
Insurance Claim Specialist(voice Process)
Good Method Globals
10.2021 - 05.2023
B.Tech - Computer Science And Programming
PRIST College of Engineering And Technology
High School -
Christ Nagar Hr Secondary School
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