Summary
Overview
Work History
Education
Skills
Languages
Hobbies and Interests
Personal Information
Personality Skills
Certification
Accomplishments
Disclaimer
Timeline
Generic

SIRISHA BANDA

Mumbai

Summary

Challenging position in an environment where I can best utilize my skills and education. Versatile specialist with results-driven and focused approach to completing work.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Senior Specialist

Viaante Business Solutions Pvt Ltd
Mumbai
03.2022 - Current
  • Reviewed incoming documents for completeness, accuracy, and compliance with established standards.
  • Maintained detailed records of customer verifications and associated documentation.
  • Implemented quality control measures to ensure accuracy of verified information.

Appeals Representative

OPTUM GLOBAL SOLUTIONS
Hyderabad
08.2020 - 04.2021
  • Checking the appeals and disputes status of the member submitted by the provider.
  • Processing the claims related to different Health care plans selected by the member.
  • Investigating the payment relates queries.

Claims Associate

OPTUM GLOBAL SOLUTIONS
Hyderabad
08.2019 - 02.2020
  • Enrolling the members into UHG Medicare & Retirement Plan based on CMS guidelines.
  • Working on different work queues and fix the errors to process the application.
  • Assigning Election period and effective dates as per the member’s eligibility to get into the UHC plans.
  • Investigate and prepare reports for all denials of claims and settlements.

Executive

TBSS (TATA BUSINESS SUPPORT SERVICES)
Hyderabad
07.2017 - 03.2019
  • Handling calls regarding queries related to Tata sky cable services.
  • Providing solutions to customer queries and ensuring customer satisfaction is the main goal.

Education

MBA - Finance

CSI Institute of PG Studies
Secunderabad, Hyderabad
01.2019

B.Com - Computers

Kasturba Gandhi Degree Collage For Women
Secunderabad, Hyderabad
01.2017

Intermediate - Class 12th - MEC

Kasturba Gandhi Junior Collage For Women
Secunderabad, Hyderabad
01.2014

SSC - Class 10th -

Railway Boys High School
Secunderabad, Hyderabad
01.2012

Skills

  • MS Office
  • Document compliance
  • Document review
  • Health care regulations

Languages

  • English
  • Hindi
  • Telugu
  • Marathi

Hobbies and Interests

  • Cooking
  • Like to spend time with Pets
  • Travelling

Personal Information

  • Date of Birth: 03/16/96
  • Marital Status: Married

Personality Skills

  • Hard working
  • Good communication skills
  • Positive Attitude

Certification

  • SAP consultant

Accomplishments

  • Star performer twice in Viaante Business Solutions, Pvt Ltd
  • Star Performer in TBSS

Disclaimer

I hereby declare that all the above information is true to the best of my knowledge, if given me a chance I will prove myself.

Timeline

Senior Specialist

Viaante Business Solutions Pvt Ltd
03.2022 - Current

Appeals Representative

OPTUM GLOBAL SOLUTIONS
08.2020 - 04.2021

Claims Associate

OPTUM GLOBAL SOLUTIONS
08.2019 - 02.2020

Executive

TBSS (TATA BUSINESS SUPPORT SERVICES)
07.2017 - 03.2019

MBA - Finance

CSI Institute of PG Studies

B.Com - Computers

Kasturba Gandhi Degree Collage For Women

Intermediate - Class 12th - MEC

Kasturba Gandhi Junior Collage For Women

SSC - Class 10th -

Railway Boys High School

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