Seema Bano
Noida
Summary
Driven professional with excellent customer service experience and a background in managing complex claims. Strong organizational skills and a high level of attention to detail.
Overview
8
8
years of professional experience
Work History
Senior Executive
EXL Service.com
Noida
01.2025 - 07.2025
- Performed source document verification of patient information collected at the investigative sites.
- Verified documents and associated records to catch and resolve discrepancies.
- Ensured that all necessary documents were completed before any payment was made out.
- Verified accuracy of invoices, receipts, payments and other financial documents.
Senior Analyst
R1
Noida
07.2024 - 10.2024
- Processed medical claims using advanced billing software systems.
- Reviewed patient accounts for accuracy and completeness before submission.
- Communicated with insurance providers to resolve billing issues efficiently.
- Maintained compliance with healthcare regulations and billing practices.
Claims Associate
Optum Global Solutions (India) Private Limited
Noida
12.2017 - 08.2023
- Provide timely processing and adjudication of claims.
- Prepare documents and other paper work related to claims.
- Take responsibilities of payment of all claims in compliance with rules.
- Respond to queries and resolve claim specific issues.
- Coordinate with other teams and departments processing the claims.
- Assisted colleagues in investigating and troubleshooting problem claims, using expert knowledge to find and fix problems.
- Followed internal claims processing procedures to prevent fraudulent payments, guaranteeing high-quality assurance standards.
- Retrieved claim records to verify policyholder information and coverage before processing claims.
Technical Support Officer
Digical Teleservices Pvt. Ltd.
Noida
05.2017 - 11.2017
- Responsible for handling customer queries and issues regarding MTS
data card. - Provided real-time support to staff with technical issues on conference and video calls.
- Utilised root cause analysis to diagnose and troubleshoot commonly reoccurring issues.
- Utilised a solution-focused approach to resolve and clear customer cases efficiently.
- Communicated effectively with technical support teams to resolve escalated issues swiftly and efficiently.
Education
Bachelor of Arts -
Veer Bahadur Singh Purvanchal University
Bhadohi, UP2010
Intermediate -
Allahabad Board, UP
2006
Skills
- Fraud prevention
- Regulatory compliance
- Legal requirements
- Customer support
- Medical billing
- Claims processing
Affiliations
- Listening to music
- Watching movies
Languages
Hindi
First Language
English
Elementary (A2)
A2
Timeline
Senior Executive
EXL Service.com
01.2025 - 07.2025
Senior Analyst
R1
07.2024 - 10.2024
Claims Associate
Optum Global Solutions (India) Private Limited
12.2017 - 08.2023
Technical Support Officer
Digical Teleservices Pvt. Ltd.
05.2017 - 11.2017
Bachelor of Arts -
Veer Bahadur Singh Purvanchal University
Intermediate -
Allahabad Board, UP
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