Swapna Pandu Poojary

Key Deliverables:

• Collaborated with internal teams to ensure proper claim adjudication, payment accuracy, and timely reimbursement.
• Followed internal claims processing procedures, ensuring high-quality assurance standards.
• Processing the medical insurance claims for health insurance claims.
• Processing both member and provider claims. Processing and paying the claims within the TAT.
• Reporting and analysis of overall claims processed.
• Releasing the payment to the provider using Actisure and Salesforce tools.
• Our team uses innovation to deliver results to our customers.
• Handling client escalations requested by superiors.
• Increasing client satisfaction by giving 100% in both quality and productivity.
• Clearing the urgent files as the first priority.
• Helping the new agent to achieve their target.
• involved in monitoring the new agent until they learn the process completely.