Summary
Overview
Work History
Education
Skills
Accomplishments
Websites
Interests
Strenghts
Timeline
Hi, I’m

Shantanu Pachori

Senior Associate
Gurgaon
Shantanu Pachori

Summary

Senior Associate in US Insurance and Healthcare operations with 4+ years of experience in processes like Intake and RFP Registration, EDI - Implementations and Insurance claims and Medical billing. Excellent problem-solving & analytical skills and ability to perform well in a team. Committed to utilizing my skills to further the mission of a company. Personable Senior Associate with [Number]-year background in retail and related positions. Proficient in use and troubleshooting of POS systems. Successful meeting goals through effective team coordination and proactive customer service.

Overview

4
years of professional experience
3
years of post-secondary education
2
Languages

Work History

Capgemini

Senior Associate
11.2022 - Current

Job overview

  • Handled customer operations to deliver a seamless and connected digital customer experience to patients and healthcare professionals for one of the largest pharmacy retailers in the US.
  • Worked as Insurance resolution specialist to make life a little easier for patients and medical professionals by ensuring fast processing of claims and support.
  • Responsible for ensuring timely payments of claims, supporting form fils, and providing superior quality and care for patients with chronic conditions.
  • Handled billing and insurance claims for healthcare services. Ensure accurate processing, submitting claims and follow up on payments.
  • Worked closely with the patients regarding bills, negotiate with insurance companies and manage overdue accounts.

Guardian Life Insurance

Associate
02.2020 - 09.2022

Job overview

  • In Intake & RFP Registration which is a part of Underwriting, operated independently under tight deadlines, successfully delivering insurance quotes to the clients even in the peak seasons.
  • As a part of Underwriting, was responsible to process the RFP and contribute to provide the client with an Insurance quote.
  • Contributed to team success in a fast-paced environment. Frequently took on additional responsibilities like Database Management, Presentations.
  • Provided support & training to incoming team members, being a point of reference and managed their quality index.
  • Good knowledge of insurance industry in areas like Insurance, Reinsurance, P&C Insurance, Underwriting etc.
  • Closely worked with underwriters in providing them with technical support in the process of risk assessment.
    Worked for 6+ months in Electronic Data Interchange which is a part of Customer Eligibility and Payment Services.
  • Contributed in providing customers of Guardian to submit Eligibility and Enrollment data electronically. My job is to ensure seamless transfer of data between the vendor creating the file on behalf of group and our Zeus mainframe system with minimum discrepancy in data.
  • Upfront communication with vendors and Guardian's clients for seamless setup for Electronic Eligibility Files (HIPPA 834, Holistic and Proprietary Files) via emails.

Education

Bharati Vidyapeeth University
Pune, India

MBA from Marketing And Finance
05.2001

University Overview

CGPA 9.69

GLA University
Mathura, India

BBA from Marketing, Banking And Insurance
05.2017 - 05.2020

University Overview

GPA 7.47

Sacred Heart Convent Hr. Sec. School
Mathura, India

12th ISC Board

University Overview

Percentage 73.4

Skills

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Accomplishments

Accomplishments
  • Awarded as Employee of the Month for delivering high performance and proactively handling issues and tasks with utmost precision.
  • Received Quality award for maintaining 100% quality and achieving targets.
  • Received Peak Booster award for performance excellence in the peak season.
  • Member of Employee engagement committee in Guardian
  • Took part in various activities like blood donation, community service and was member of NGO called Udaan.
  • Organized various events like Maitree and Spandan.
  • Took part in sports events like volleyball and cricket.

Websites

Interests

Travelling

Photography

Community Service

Cooking

Strenghts

Strenghts

Effective Communication - Excellent verbal and written communication with good inter personal skills.
Creative Thinker - Provided the team with process improvement ideas which helps in efficient problem solving.
Can Perform Under Pressure - Maintained good efficiency and achieved targets timely even in the peak seasons.
Resourceful - Willing to take additional responsibilities and helped new team members with training support and audits.

Timeline

Senior Associate
Capgemini
11.2022 - Current
Associate
Guardian Life Insurance
02.2020 - 09.2022
GLA University
BBA from Marketing, Banking And Insurance
05.2017 - 05.2020
Bharati Vidyapeeth University
MBA from Marketing And Finance
05.2001
Sacred Heart Convent Hr. Sec. School
12th ISC Board
05.2017

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Shantanu PachoriSenior Associate