Summary
Overview
Work History
Education
Skills
LANGUAGES KNOWN
Timeline
CORE STRENGTH:
PERSONAL PROFILE:
DECLARATION
Generic
SHARAN S G

SHARAN S G

Coimbatore

Summary

Subject Matter Expert specializing in U.S. healthcare claims analysis, with extensive experience in data analysis, process optimization, and cross-functional collaboration. Expertise in SQL and Excel facilitates the extraction and validation of large datasets, ensuring accurate claims processing according to client guidelines. Proficient in identifying payment discrepancies and preparing actionable reports, with a strong focus on providing recommendations for reprocessing. Proven track record of collaborating with Configuration, Regulatory, and IT teams to resolve complex issues and improve operational efficiency. Currently overseeing a team of approximately 25 associates while fostering a culture of excellence and driving data-informed decision-making.

Overview

6
6
years of professional experience

Work History

SME

Cognizant technology solutions
01.2025 - Current


  • Responsible for accurate and timely daily reports.
  • Setting expectation of accountability for everyone, for each transaction should be their 100% responsibility.
  • Conducting team huddles to avoid repeated errors and advised team mates on how to process efficiently with Production as well as accuracy.
  • Finding Root cause for the errors by conducting 5 WHY analysis and based on that CAPA will be shared with leadership and team to reduce those errors.
  • Conducting people knowledge test in Socrative for team monthly/Weekly based on errors and latest updates to make sure all are on same page. Once done with assessment all Q&A (Questions & Answers) will be reviewed along with the Team.
  • Provided ideas on macro to be created to reduce errors and to Improve quality.
  • Tracking Team/Individual daily Production deficits, Quality Reports and Stack ranking. Production/Quality report will be shared to team at start of the shift to let them know their standings.
  • Initiated a program called IRP (Inventory Reduction Program) and successfully reduced volume with good numbers within few days.
  • Articulated and implemented best practices related to the project and got appreciation from Client. Managing and handling good relationships with the clients
  • Monitoring the overall functioning of processes, showing improvement areas, and implementing adequate measures to maximize customer satisfaction level Guide team members on the project to ensure the deliverables are accurate and resolve issues promptly which is relevant to project deliverable(s)
  • Assessing the customer feedback, evaluating areas of improvements & providing critical feedback to the associates on improvements and achieving higher customer satisfaction metrics.
  • Realizing process improvements, applying tools & techniques in different business processes to enhance productivity, profitability, and quality.
  • Presenting weekly workgroup/ Top Issues /Inventory management deck over call with clients.
  • Have trained 2 batches with around 35 FTE’s.
  • I bring a proven ability to streamline operations, optimize processes, and drive efficiency across business functions. My advanced proficiency in Excel allows me to analyze complex data sets, generate actionable insights, and create detailed reports to support decision-making.

Senior Process Executive

Cognizant technology solutions
06.2021 - 12.2024
  • Write SQL queries in Microsoft SQL Server to extract, filter, and analyze healthcare claims data.
  • Validate claims processing accuracy by cross-referencing client-specific guidelines and policy rules.
  • Identify payment discrepancies and generate detailed reports for client review and approval.
  • Collaborate on cross-functional projects involving healthcare claim data analysis using SQL and Excel for insights and decision support.

Process Executive

Cognizant technology solutions
10.2019 - 05.2021
  • Investigate institutional and professional insurance claims to determine eligibility for cash settlement, denial, or negotiation.
  • Evaluate claim details and policy information for Medicaid Line of Business (LOB) clients, ensuring accurate coverage validation.
  • Calculate payable amounts on medical and hospital claims after considering policyholder benefits, deductibles, and coverage limits

Education

BBA - Retail Management

PSG College of Arts and Science
01.2019

HSC - undefined

AVB Matriculation Higher Sec School
01.2016

SSLC - undefined

Vimal Jyothi Convent Matriculation Higher Sec School
01.2014

Skills

  • Training and mentoring
  • Strong analytical skills
  • Strategic thinking
  • Creative solutions
  • SQL
  • Microsoft Excel

LANGUAGES KNOWN

English
Advanced (C1)
Tamil
Bilingual or Proficient (C2)

Timeline

SME

Cognizant technology solutions
01.2025 - Current

Senior Process Executive

Cognizant technology solutions
06.2021 - 12.2024

Process Executive

Cognizant technology solutions
10.2019 - 05.2021

HSC - undefined

AVB Matriculation Higher Sec School

SSLC - undefined

Vimal Jyothi Convent Matriculation Higher Sec School

BBA - Retail Management

PSG College of Arts and Science

CORE STRENGTH:

  • Friendly with upbeat attitude and work effectively with diverse group of people
  • Cheerful, Punctual & Lively
  • Quick learner, Hard – Working
  • Having Capability to finish the work in given time frame

PERSONAL PROFILE:

  • Father’s Name : A Ganesan
  • Mother’s Name : G Savithiri
  • Date Of Birth: 10/11/1998
  • Gender: Male
  • Marital Status: Single
  • Nationality: Indian

DECLARATION

I hereby declare that the above given details are true to the best of my knowledge 


PLACE: Coimbatore 

SIGN  : S G Sharan

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