SUMADHURA N
Bangalore
Summary
Highly Efficient Healthcare Specialist with exemplary time management and organizational skills. Knowledgeable in diverse medical evaluation and treatment methods. Adept at performing and focusing attention under pressure.
Overview
2
2
years of professional experience
Work History
Healthcare Specialist
AXA GLOBAL BUSINESS SERVICE
Bangalore
08.2023 - Current
- Assessing UK and overseas claims.
- To deliver outstanding customer service with quality.
- Completing the service request within TAT and expedite within the time limit.
- Resolved queries during the absence of team leader. Supporting the trainees and juniors with on floor queries.
- To analyze and review medical claims for accuracy completeness and eligibility.
- To process all type of claims and identify key elements and processing requirements based on diagnosis,provider, medical policy and policy procedure.
- Rectification of duplicate payments.
- Done aged folder auditing.
- Dealing with sanction country payments.
- Generating the benefit statement to members about their claims which we have paid or rejected with the appropriate comments
Education
BBA -
BISHOP COTTON ACADEMY OF PROFESSIONAL MANAGEMENT-B
Bangalore 06-2020
Skills
- Excel
- Ms word
- Ms powerpoint
- Outlook
Languages
English
Advanced
C1
Kannada
Advanced
C1
Telugu
Advanced
C1
Timeline
Healthcare Specialist
AXA GLOBAL BUSINESS SERVICE
08.2023 - Current
BBA -
BISHOP COTTON ACADEMY OF PROFESSIONAL MANAGEMENT-B