Summary
Overview
Work History
Education
Skills
Websites
Certification
Additional Information
Work Availability
Quote
Timeline
BusinessAnalyst
S MITHILESH KUMAR

S MITHILESH KUMAR

Quality Control Analyst
Hyderabad,TG

Summary

Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.

Overview

1
1
year of professional experience
13
13
years of post-secondary education
2
2
Certifications
1
1
Language

Work History

Intern as Financial Analyst and Portfolio Manager

J-Wings
Hyderabad, Telangana
  • This internship helped to develop professionalism which indeed helps in the real professional world and also helped me to
  • Developed rebalancing strategies to minimize risk exposures.
  • Communicate market developments, portfolio changes and annual performance information to clients.
  • Facilitate portfolio performance review and implemented new strategies.

Claims Associate

LEGATO HELTH TECHNOLOGIES
Hyderabad, Telanagana
11.2020 - Current
  • For a period of 6 months and there after moved to audit team as a role of quality control analyst for maintaining zero errors and high quality. After joining the audit team, the challenges and daily requirements of my role were entirely based in managing the team’s claims and primarily focusing on eliminating the errors from getting onshore escalations. My role after moving to quality team was ;
  • Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
  • Affirmed or denied coverage fairly based on thorough investigations.
  • Examined reports, accounts and evidence to determine integrity and accuracy of information.
  • Assisted legal team in defending company against guilty parties.
  • Evaluated and settled complex insurance claims in strict timeframes.
  • Proposed settlements for uncomplicated issues to resolve claims.
  • Evaluated accuracy and quality of data entered into agency management system.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Communicated effectively with staff members of operations, finance and clinical departments.

Education

B.com (IF&A) -

St. Joseph Degree & PG College
Hyderabad
06.2017 - 09.2020

MPC -

Narayana Jr. College
Hyderabad
07.2015 - 04.2017

CBSE -

Defense Laboratories School
Hyderabad, TG
06.2007 - 03.2015

Skills

Quality assurance

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Certification

Effective Communication: Completed a certificate course on how to speak effectively so that our information is well understood for the listeners and I’ve scored 76%.

Additional Information

Worked on the below projects:

PRODUCT LIFE CYCLE:
It is the amount of time a product goes from being introduced into the market and enters to customers’ hand. There are four stages of product life cycle.

FINANCIAL STATEMENT ANALYSIS:
It is basically about the 6 steps to develop an effective analysis of financial statement. Where it includes identifying the industry economic characte
ristics and company strategies and should assess the quality of firm’s financial statements and should analyze current profitability and should interpret.

BRAND STATERGY:
In this project we explained about the long-term development of the brand which will and should sustain the competitive market to achieve firm’s desired goals.

FACEBOOK MARKETING:
It is an actively using the Facebook page as a communication channel to maintain the contact with existing customers and attract new customers.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

I can’t understand why people are frightened of new ideas. I’m frightened of the old ones.
John Cage

Timeline

Claims Associate

LEGATO HELTH TECHNOLOGIES
11.2020 - Current

B.com (IF&A) -

St. Joseph Degree & PG College
06.2017 - 09.2020

MPC -

Narayana Jr. College
07.2015 - 04.2017

CBSE -

Defense Laboratories School
06.2007 - 03.2015

Intern as Financial Analyst and Portfolio Manager

J-Wings
S MITHILESH KUMARQuality Control Analyst