Summary
Overview
Work History
Education
Skills
Timeline
Receptionist

Shweta Gadekar

Quality Analyst
Pimpri

Summary


  • Having 5.6+ years of experience in quality analysis, customer service and Revenue Cycle Specialist. Good Ability to interpret rules and regulations set by Medicare ,Medicaid,HMO, PPO and Commercial Thorough knowledge concerning patient confidentiality ,HIPAA rules To handle various type of report prepared for quality report. Deep knowledge of the claim processing technicalities. Ability to maintain the records & review them. Well versed with IT skills such as MS-Office (Word, Excel, and PowerPoint).
  • To learn and grow up in my career and to perform at my best in whatever role I am positioned, which suits my present skills and work towards customer delight which will help in achieving the organizational goals
  • Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
  • Focused Quality Analyst experienced in developing and executing manual and automated test cases. Highly proficient in testing tools, systems and software.
  • Ambitious Quality Analyst with track record of dependability and leadership. Knowledgeable in QA methodology with proven history of reducing errors to increase quality. Proficient in preparing test cases, plans, and scripts. Dedicated to analyzing and resolving defects.

Overview

9
9
years of professional experience

Work History

Quality Analyst Telesales

Go digit general insurance ltd
12.2022 - 05.2023
  • Conducted thorough root cause analyses on recurring defects, resulting in the implementation of effective corrective actions.
  • Provided detailed reports on quality metrics to senior management, enabling informed decision-making regarding process improvements.
  • Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
  • Collaborated with cross-functional teams to develop and implement targeted solutions for identified quality issues, ensuring continuous improvement.

Senior Client Partner-Quality

Access Healthcare
07.2017 - 03.2021
  • Company Overview: Worked for clients-Athena and McKesson
  • Analyzed account receivables claims and make notable error report sheets
  • Make Category to differentiated the error for publishing on daily error report
  • Handling the team quality and giving feedback to users for claims analyzing
  • Educating the Team for daily and weekly updates
  • Preparing the reports and making preventive action for achieving the SLA
  • Worked for clients-Athena and McKesson
  • Enhanced revenue growth by identifying and pursuing new business opportunities.

Executive- Customer Service Executive (Band 4)

IBM (Daksh Business Process Services Pvt Ltd)
07.2014 - 04.2016
  • Handling the Client and solving their queries on calls
  • Solving the initial stage of escalation on calls
  • Mentored junior staff members for accelerated career growth, developing future leaders within the organization.
  • Enhanced customer satisfaction by streamlining communication channels and improving response times.

Education

B.Com -

Sikkim Manipal University

HSC -

Manghanmal Udharam College of Commerce

Skills

Microsoft Office

Timeline

Quality Analyst Telesales

Go digit general insurance ltd
12.2022 - 05.2023

Senior Client Partner-Quality

Access Healthcare
07.2017 - 03.2021

Executive- Customer Service Executive (Band 4)

IBM (Daksh Business Process Services Pvt Ltd)
07.2014 - 04.2016

B.Com -

Sikkim Manipal University

HSC -

Manghanmal Udharam College of Commerce

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Shweta GadekarQuality Analyst