Suresh Periyasamy
Bangalore
Summary
Dynamic Benefit Analyst with extensive experience at UST Global, adept in JIRA and VBA. Proven track record in enhancing quality through meticulous claims verification and error reporting. Recognized as Employee of the Year for exceptional performance, demonstrating strong leadership and mentoring abilities while driving continuous improvement in benefit validation processes.
Overview
1
1
Language
13
13
years of professional experience
Work History
Benefit Analyst
Carelon Global solutions
Bangalore
02.2023 - Current
- Coded benefits for programs in the WPD BC team in the NE region. in WPD BC team in NE region and also cross trained in VA GA.
- Worked as Benefit Analyst in Pre-Production Quality Testing team.
- Utilized Mainframe, JIRA, and VBA to verify and validate plan benefits against source documents, ensuring accuracy and compliance.
- Created test members and logged claims while verifying correct application of benefits across all scenarios.
- Reviewing expected and unexpected edits, reporting any issues or discrepancies through JIRA.
Process Lead
UST Global
Bangalore
10.2021 - 02.2023
- As a Process lead, my responsibilities included assigning daily tasks and ensuring that all team members were aware of their priorities and deadlines.
- I also mentored trainees, sharing my expertise and fostering a supportive learning environment.
- Conducting regular huddles was vital for maintaining team alignment and motivation.
- In addition, I reported and tagged errors related to incorrect coding, addressing discrepancies promptly.
Senior Processor
UST Global
Chennai
04.2018 - 10.2021
- Served as Benefit Analyst in Pre-Production Quality Testing team.
- Utilized Mainframe, JIRA, and VBA to verify and validate plan benefits against source documents, ensuring accuracy and compliance.
- Created test members and logged claims while verifying correct application of benefits across all scenarios.
- Reviewing expected and unexpected edits, reporting any issues or discrepancies through JIRA.
Senior Processor Associate
SourceHov India Pvt Limited
Chennai
04.2013 - 04.2018
- Began as a Processor with solid production performance, took on buddy auditing duties, and shared key findings with processors and management.
- Later promoted to Senior Processor in claims adjudication.
- Verifying that benefits are applied correctly for each claim scenario based on diagnosis, procedure, and place of service, while testing co-pay, deductible, out-of-pocket limits, visit limits, and rejection cases.
Education
BE - Computer Science
SVCET
ChennaiSkills
- Microsoft Excel
- Microsoft PowerPoint
- Microsoft Word
- Mainframe
- JIRA
- VBA
- WPD
- FOBS
- Salesforce
Awards
- Employee of the Year, 2021
- Star of the Month, Various Occasions
Languages
English
First Language
Timeline
Benefit Analyst
Carelon Global solutions
02.2023 - Current
Process Lead
UST Global
10.2021 - 02.2023
Senior Processor
UST Global
04.2018 - 10.2021
Senior Processor Associate
SourceHov India Pvt Limited
04.2013 - 04.2018
BE - Computer Science
SVCET