Shrinidhi Joshi

Associate claims

Hubli

Summary

Detail-oriented and performance driven Claims Associate with over 1 year of experience in healthcare operations at Carelon Global Solutions. Proven ability to manage high volume claim processing with exceptional accuracy and timelines. Recognized for strong problem-solving skills, adaptability, and consistent delivery of high quality results. Seeking to contribute to a dynamic organization that values efficiency, teamwork, and continuous learning.

Overview

year of professional experience

Certifications

Languages

Work History

Claims Associate

Carelon Global Solution

01.2024 - 02.2025

Assessed claims to determine validity and appropriateness of coverage according to policy guidelines.
Interacted with clients via email, or in person to discuss claim status and provide status.
Reviewed medical records and documents submitted by claimants to ensure accuracy and completeness of information provided.
Maintained accurate records of all claim processing activities in accordance with company policies and procedures.
Participated in audits and reviews of claims to ensure accuracy and adherence to guidelines.
Resolved claim related escalations and coordinated across teams to ensure issue resolution.
Generated and submitted daily productivity and quality reports to team leader.

Education

Samarth Degree College of Commerce

Hubli, India

04.2001 -

Samarth PU College of Commerce

Hubli, India

03-2020

Skills

Teamwork

Willingness to Learn

Flexible with Work Hours

Adaptability

Problem solving

Claims processing

Claims investigation

Certification

Tally ERP9

Achievements

Awarded "Impact Award - 2024" for achieving 100% productivity and quality performance consistently.
Maintained an error-free performance record, contributing to operational excellence.

Timeline