Strategic marketing professional skilled in implementing effective strategies that boost organic traffic and improve search rankings. Experienced in translating innovative concepts into measurable outcomes in challenging health environments. Focused on continuous learning and adept at navigating change.
Overview
7
7
years of professional experience
Work History
Claims Analyst
Cognizant Technology Solutions (CTS)
coimbatore
02.2023 - Current
Managed escalated cases involving high-value claims and multiple parties to facilitate timely resolution.
Reviewed and established pricing for insurance claims, ensuring adherence to policy guidelines.
Analyzed insurance claims for accuracy and compliance with regulations.
Streamlined claim processing by effectively managing workload and ensuring timely submissions.
Assessed processing reports each day to effectively submit claims.
Conducted training sessions for new hires on claims processing and company protocols to improve onboarding experience.
Supported management in developing training materials for staff development.
Claims Analyst
NTT DATA
Coimbatore
05.2019 - 02.2023
Managed claims processing and adjudication workflows, achieving timely resolution of claims.
Evaluated claim documentation for completeness and validity.
Verified member eligibility to ensure compliance with policies.
Validated billing provider details for accurate claim processing.
Processed claim types including HCFA and UB04.
Verified member details to maintain accurate records.
Recorded all claim activities accurately per company policies.
Collaborated with management to develop training materials that enhanced staff development.
Education
Bachelor of Science - B.SC (Information Technology)
DR.R.V College Of Arts &science
Karamadai
04-2018
Higher Secondary -
HSC SEC SCHOOL
Sirumugai
03-2015
Secondary School -
SSLC SEC SCHOOL
Sirumugai
04-2013
Skills
Claims Analysis Techniques
Project management
Problem solving
Multitasking
Adaptability to Change
Quick learner
Self Motivated
Languages
Tamil
English
Personal Information
Father's Name: Chandran.k
Mother's Name: Kalamani.c
Date of Birth: 09/01/98
Nationality: Indian
Marital Status: Single
Accomplishments
Give training for a new batch. FTC, Rework (Correspondence, ADJ, OMNI, Appeals, Pricing)
Disclaimer
I hereby declare that the above mentioned information are true and correct up to my knowledge and the responsibility.
Timeline
Claims Analyst
Cognizant Technology Solutions (CTS)
02.2023 - Current
Claims Analyst
NTT DATA
05.2019 - 02.2023
Bachelor of Science - B.SC (Information Technology)