Soumyashree Sujata Swain

Claims-Associate

Carelon Global Solutions

05.2020 - Current

Worked productively in fast-moving work environment to process large volumes of claims.
Reduced claim resolution time by improving communication between departments and prioritizing urgent cases.
Improved team performance by providing ongoing training and support for Claims Associates on best practices and procedures.
Developed positive relationships with clients, fostering trust and open communication during the claims process.
Provided exceptional customer service by addressing inquiries promptly and resolving issues professionally.
Supported risk management efforts by analyzing trends in claim data to identify potential areas of concern or opportunity for improvement.
Increased customer satisfaction rates through empathetic handling of customer concerns and timely resolutions.
Served as a mentor to junior staff members, providing guidance on effective claims handling techniques and professional development opportunities.
Maintained up-to-date knowledge of industry regulations, ensuring compliance in all aspects of claims handling.
Enhanced claim processing efficiency by streamlining workflows and implementing new software tools.
Followed up with customers on unresolved issues.
Collaborated with internal departments and external vendors to resolve claims.

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