Subash S
Bangalore
Summary
Senior Associate claims specialist with 3 years and 8 months of experience in claims operations. Manage accumulator processing to ensure accurate tracking of deductibles, out-of-pocket maximums, and benefit limits for compliant claims adjudication. Audit and reconcile claims data to minimize errors and align with payer guidelines.
Overview
4
4
years of professional experience
Work History
Senior Associate
Carelon Global Solutions
Bangalore
11.2022 - 06.2026
Carelon Global Solutions | Jan 2023 – Sep 2026 (3 years 8 months).
- Worked with cross-functional teams to resolve accumulator discrepancies, complete audits, and apply corrective actions that improved processing speed and supported compliance with payer guidelines.
- Identified gaps in accumulator tracking through audits and system checks, implementing corrective measures that enhanced efficiency and reduced turnaround time.
- Reviewed and reconciled claims data, ensuring accurate accumulator balances and minimizing claim errors.
- Tracked deductibles, out-of-pocket maximums, and benefit limits, streamlining accumulator processing for health insurance members.
- Enhanced claim accuracy and member satisfaction while ensuring compliance with regulatory standards in claims operations.
Education
Bachelors of Arts - English Literature
Voorhees College
Vellore06-2022
Skills
- Claims processing
- Data reconciliation
- Accumulator tracking
- Audit management
- Regulatory compliance
- Quality assurance
- Analysis
- Problem Solving
- Critical Thinking
- Time Management
- Organizational effectiveness
- Collaboration
- Cross-functional collaboration
- Adaptability
- Organizational communication
Personal Information
Title: Senior Claims Associate, Accumulators (NOV 2022 to Jun 2026)
LANGUAGE
Tamil - Native, English - Proficient, Kannada - Proficient
HOBBIES
Listening to Music, Social Media, Outdoor Games
Accomplishments
Impact Award winner for three consecutive months i.e Dec2023 & Jan 2024.
Custom
I'm highly Motivated, Passionate and professional individual, quick learnning ability for new professional development and technical skills. The combination good critical thinking skills and problem solving skills gives me the ability to adapt high pressure situations, good eye for details. Timely management of the work by prioritizing the most important task responsibly and completing the task with utmost professionalism.
Timeline
Senior Associate
Carelon Global Solutions
11.2022 - 06.2026
Bachelors of Arts - English Literature
Voorhees College