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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