Soumona Chaurasiya

• Mentored team members to enhance professional development and accountability in workplace.
• Supervised day-to-day operations to meet performance, quality and service expectations.
• Increased employee performance and job satisfaction to strengthen retention and engagement.
• Evaluated employee performance and conveyed constructive feedback to improve skills.
• Assisted in organizing and overseeing assignments to drive operational excellence.
• Established performance goals for employees and provided feedback on methods for reaching those milestones.
• Helped with planning schedules and delegating assignments to meet coverage and service demands

• Roles and Responsibilities in Cognizant: This includes, but is not limited to ˜Responsibility:
• Create invoices and process reimbursable amount as requested by insured.
• Proficient in product lines applicable to processing unit.
• Process claims payment to end customer.
• Problem handling and resolving claims for payment.
• Notify by referral and chat to benefits analyst in case of any discrepancies in claim and SIU
• Send correspondence regarding out of facility/Hospital stay/ death case as required.
• Review POA and HIPAA authorization documents and create applicable role codes if required
• Process CGR(Caregiver forms) to approve Caregivers for receiving Benefits.
• Job role includes perform new business leads, underwriting support include quote and issuance of policy
• Process new insurance policies, cover note, premium calculations & updates, changes requested by policyholders and insurance company representatives, modify existing policies, and claims forms
• Process cancellations, review conformance to insured party's specifications, monitor lapsed policies, and determine automatic reinstatement according to company policies
• Obtain and verify information from policyholders on claims forms, applications and related documents
• Investigate, analyze, and assess extent of insurance company's liability concerning personal and attempt to effect settlement with claimants
• Correspond with medical specialists, agents, witnesses, or claimants to compile information
• Calculate benefit payments and approve payment of claims, set loss reserves, manage loss adjustment expense, co-ordinate activities for appropriate resolution of claims
• Document and diary files as required, processes claims & files necessary documentation with state agency
• Trained new hires
• Queue management and work allocation Prepare SOD, EOD and Audit report for onshore team on daily basis
• TAT management Responsible to provide proper delivery of work
• Worked with multidisciplinary teams in new product rollout, effectively addressing inquiries and troubleshooting issues.
• Improved user productivity and efficiency through system training and support.
• Supported teams in continuous delivery of quality products and services, enhancing usage and introducing new features.
• Collaborated with management to identify and prioritize new development concepts.
• Analyzed business problems, identifying root causes and developing robust solutions.
• Improved system performance by eliminating operational gaps and software bugs.
• Assembled, installed and tested new equipment and trained users in effective operation.

• 2 year and 3-month experience in working with Concentrix as Senior Representative; Operations.
• Executive – data in Insurance Domain.

Roles and Responsibilities in Concentrix- Amazon Seller support: This includes, but is not limited to
Seller Support Associate demonstrates end to end ownership of every seller interaction coupled with proactive problem solving and provides exceptional support to sellers
Demonstrates effective, clear and professional written and oral communication
Provides prompt and efficient service to Amazon Sellers and Merchants including appropriate escalation of Sellers' issues
Maintains positive and professional demeanor always portraying company in positive light and effectively managing sensitive issues
Demonstrates excellent time-management skills and ability to work independently while using departmental resources, policies and procedures
Contributes to positive team environment and proactively aids team members with difficult contacts as needed
Maintains acceptable performance metrics such as quality productivity, first contact resolution, and attendance
Actively seeks solutions through logical reasoning and data interpretation skills and identifies trends to appropriate channel including improvement suggestions
Liaise with other departments such as Customer Service, Merchant Investigations, or Payments teams as required to resolve Seller's issues and questions.

• Met month-end reporting objectives and deadlines
• Supervised processes to eliminate weak points or bottlenecks in business operations
• Supervised team of process associates to enhance accountability, develop professional skills and improve efficiency
• Identified modifications to processes and procedures that would promote better efficiency
• Collaborated with team to define business requirements for organizational processes, achieve productivity standards, and adhere to accuracy standards
• Identified and resolved process issues to drive optimal workflow and business growth