Shakthivel D

• Provided internal training to new associates, enhancing team efficiency.

• Conducted internal audits to ensure compliance with company policies.

• Resolved associate queries and addressed claim-related issues.

• Processed claim adjudication and adjustments accurately.

• Analyzed claim data and validated medical records for accuracy.

• Prepared consolidated reports using Excel (VLOOKUP, Pivot Tables, Data Analysis).

• Managed grievances and appeals, ensuring fair resolutions.

• Attended weekly client calls and collaborated with multiple stakeholders.

• Worked closely with providers and end customers to resolve concerns.

• Acted as a liaison between management and associates, improving communication.

• Suggested process enhancement ideas and provided automation inputs.

• Handled client escalations and ensured timely resolution.

• Led people management initiatives to improve team performance.