Sumukha S Ram
TPA Analyst | Former Policy Admin | Former SPS Associate
Bengaluru,KA
Summary
Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
3
3
years of professional experience
Work History
TPA Analyst
Ethos Life
12.2023 - Current
- Conducted regular audits of claims data to identify discrepancies and ensure accurate benefits payouts.
- Established effective communication channels between clients, team members, and external partners for seamless information sharing during project execution.
- Implemented process improvements in the TPA administration workflow, leading to increased productivity and more efficient use of resources.
- Developed strong working relationships with clients, fostering trust and collaboration for successful TPA program implementation.
- Streamlined processes for increased efficiency in claims management and benefits administration.
- Analyzed performance metrics regularly, identifying areas for improvement and implementing necessary changes to achieve desired results.
- Generated reports to suggest corrective actions and process improvements.
- Organized and updated databases, records and other information resources.
Policy Administrator
Ethos Life
04.2023 - 12.2023
- Participated in audits of various departmental policies, ensuring adherence to organizational standards and regulations.
- Conducted detailed policy analysis to identify areas for improvement and recommend necessary adjustments.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Verified client information by analyzing existing evidence on file.
- Calculated adjustments, premiums and refunds.
- Coordinated with contracting department to resolve payer issues.
- Notified insurance agents and accounting departments of policy cancellations and changes.
SPS Associate
Amazon.in
02.2021 - 03.2022
- Addressed client concerns or complaints diplomatically while providing solutions that ensured their continued patronage.
- Participated in regular training sessions to stay updated on industry trends and best practices, enhancing overall service quality.
- Collaborated with cross-functional teams such as quality and WFM to achieve company goals and maintain a productive work environment.
- Fostered a customer-centric culture within the team by consistently reinforcing the importance of empathy, understanding, and patience in all interactions with clients.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Education
Bachelor of Engineering - Electrical, Electronics And Communications Engineering
KSIT
Bengaluru, India 04.2001 -
Skills
Client Relationship Development
Impact Assessment
Salesforce CRM
Claims Management
Policy analysis
Documentation skills
Life Insurance
Claims reporting systems
Customer Service
Volleyball
- Captain of School and college volleyball team.
- Sate selections appearance.
- Captain of NCC Army (JD Wing) volleyball team
Timeline
TPA Analyst
Ethos Life
12.2023 - Current
Policy Administrator
Ethos Life
04.2023 - 12.2023
SPS Associate
Amazon.in
02.2021 - 03.2022
Bachelor of Engineering - Electrical, Electronics And Communications Engineering
KSIT
04.2001 -