Summary
Overview
Work History
Education
Skills
Languages
Disclaimer
Timeline
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Shrutika Chavan

Shrutika Chavan

Gulbarga

Summary

Experienced professional seeking a long-term opportunity in a dynamic organization to enhance skills and drive growth. Proven track record in risk assessment, negotiation, and claims processing, with a focus on team collaboration and results. Skilled in policy analysis, dispute resolution, and delivering exceptional customer service. Recognized for reliability, integrity, and effective communication skills that drive success.

Overview

5
5
years of professional experience

Work History

Claim Executive

Medicare Multispeciality Hospital
03.2020 - Current
  • Specialized in processing and documenting insurance claims, ensuring timely and accurate submissions.
  • Managed end-to-end claim life cycle, including claim initiation, data entry, claim review, and approval processes.
  • Reviewed and verified medical records, treatment documents, and billing statements to ensure compliance with insurance policies.
  • Collaborated with healthcare providers, insurance companies, and patients to resolve claim-related issues and discrepancies.
  • Communicated with patients and healthcare providers to gather necessary documentation, including medical history and treatment plans.
  • Identified and corrected errors in claims to prevent delays and ensure successful reimbursements.
  • Provided timely follow-up on outstanding claims and ensured all claims were processed within the required timelines.
  • Handled inquiries and provided clear explanations regarding claims status and processes to both patients and providers.
  • Maintained accurate and organized records for all claims processed, adhering to company policies and legal requirements.
  • Assisted in training new employees in claims processing and documentation procedures.

Education

Bachelor of Computer Applications (BCA) -

06.2025

Associates of Arts -

Adarsh PU College
03.2023

High School Diploma -

Shree Guru Sangamehwar Convent
03.2017

Skills

  • Proficient in Typing
  • Strong Data Analysis Capabilities
  • Strong Problem-Solving Abilities
  • Team Collaboration and Coordination
  • Claims processing
  • Customer service
  • Problem solving
  • Claims management expertise
  • Policy interpretation
  • Investigation techniques
  • Patient care and physical therapy
  • Claims analysis
  • Claims investigation and research

Languages

English (Fluent)
Hindi (Fluent)
Marathi (Fluent)
Kannada (Fluent)

Disclaimer

I hereby declare that the information provided above is accurate and true to the best of my knowledge and belief.

Timeline

Claim Executive

Medicare Multispeciality Hospital
03.2020 - Current

Associates of Arts -

Adarsh PU College

High School Diploma -

Shree Guru Sangamehwar Convent

Bachelor of Computer Applications (BCA) -

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Shrutika Chavan