Summary
Overview
Work History
Education
Skills
Timeline
Generic

Selvakumar Chandrasekar

Claim Adjudicator
CHENNAI,TN

Summary

Subject Matter Expert and trusted advisor skilled in research, analysis and examination of company technology and standard operating procedures. Interface and collaborate with clients and internal team members, providing consultative enhancement recommendations based on industry research. Improve existing processes, procedures, technical enhancements, resource requirements, and stakeholder engagement procedures to align with strategic goals.

Overview

10
10
years of professional experience
14
14
years of post-secondary education

Work History

Subject Matter Expert

UST Global
03.2023 - Current
  • Mentored junior team members, contributing to their professional growth and development.
  • Enhanced team performance by providing expert guidance on critical projects and strategic initiatives.
  • Established best practices for knowledge sharing, fostering a culture of continuous learning and improvement.
  • Developed effective training materials for diverse audiences, resulting in improved skillsets and increased job satisfaction.
  • Managed complex projects from inception through completion, delivering high-quality results within tight deadlines.

Senior Claims Processor

Access Healthcare
02.2019 - 02.2023

Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.

  • Developed training materials for staff development, leading to increased productivity and team cohesion.
  • Followed up on denied claims to verify timely patient payment and resolution.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Improved claim processing efficiency by streamlining workflows and implementing best practices.

Senior Claim Processing Specialist

Accenture Solutions Private
09.2015 - 01.2019

Certified processor for processing “U.S Health Care Claims” by logging through Main frame system of Citrix application and adjudication the claims in “Customer-Server”. Claim is pulled by Ultra application and processed by Facets application

Education

Bachelor of Arts - Economics

Presidency College T
Chennai, India
04.2001 - 06.2015

Skills

Healthcare Industry Knowledge

Timeline

Subject Matter Expert

UST Global
03.2023 - Current

Senior Claims Processor

Access Healthcare
02.2019 - 02.2023

Senior Claim Processing Specialist

Accenture Solutions Private
09.2015 - 01.2019

Bachelor of Arts - Economics

Presidency College T
04.2001 - 06.2015
Selvakumar ChandrasekarClaim Adjudicator