Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Linguisticproficiency
Mailingaddress
Personal Information
Software
Timeline
Generic

Swasthika Arumala

Subject Matter Expert
H No. 10-3-167, Humayun Nagar, Mehdipatnam

Summary

  • Results-oriented and experienced Subject Matter Expert in customer-focused programme management in US Health Care Industry.
  • Proven track record in leading cross-functional teams to achieve project goals and build good relationships with collaborators and customers.
  • Interpret data, analyze results using statistical techniques and provide ongoing reports. Develop and implement databases, data collection systems, data analytics and other strategies that optimize statistical efficiency and quality.
  • Interacting with clients through e-mails and Conference Calls to review and resolve operational issues, Payments and Member enrollments.
  • Acquire data from primary or secondary data sources and maintain databases/data systems. Identify, analyze, and interpret trends or patterns in complex data sets.
  • Filter and “clean” data by reviewing system reports, printouts, and performance indicators to locate and correct problems.
  • Work with management to prioritize business and information needs and locate and define new process improvement opportunities. Adept at queries, report writing and presenting findings
  • Interacting with clients through e-mails and Conference Calls to review and resolve operational issues, general updates, typical scenarios, escalations, high risk cases, aged pending items and payer trends as well as implement new process & procedure changes and shares the MOM to the Top line Management.
  • Writing invoice payment reminder emails and following up on the outstanding invoices / Payments on policy renewal due dates.
  • Monitoring & documenting daily Inventory Status, Reporting, Goal Sheets, Productivity, QA Parameters of the team members and Forecasting workload and scheduling staff to meet anticipated workload within scheduled turnaround time thereby enhancing efficiency.
  • Planning and monitoring Team members performance includes targets, numbers, and achievement on a daily, weekly & monthly basis in adherence to the pre-set standards of the clients.
  • Skills in leading the team towards maintaining complete and sound quick responses to clients through calls / emails investigations in accordance with company policies and procedures by applying different plans & strategies to build team effectiveness by promoting a spirit of cooperation between team members.
  • Conceptualizing & developing need-based training modules for developing multi skilled work force for cross utilization within sub processes for optimum efficiency as well as improvising the quality and productivity of the team.
  • Identifying and tracking different scenarios for case studies to educate the team members on an ongoing basis to improve their knowledge level for process improvement. Designed and conducted customized training programs and ensured that training & development initiatives are aligned with the organizational goals.

Overview

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1
Certification
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3
Languages

Work History

Subject Matter Expert

Global Benefit Group India Pvt Ltd
8 2013 - 3 2024
  • Worked with company leadership to define project objectives, processes, policies, procedures and rules
  • Processed efficiently with the goal of providing quick responses to our clients through calls / emails
  • Maintained a thorough knowledge of Payments, Products, Solutions and company policies and procedures
  • Resolving project-related problems within their area of expertise and maintaining productive
  • Ability to consistently meet monthly project goals and expected deliverables goals
  • Writing invoice payment reminder emails and following up on the outstanding invoices / Payments
  • Reminder emails on policy renewal due dates
  • Creating project-related documentation and training manuals and explaining policy implementation to fellow team members
  • Maintain accurate and up-to-date documentation of process related procedures and troubleshooting steps
  • Communicating with company stakeholders regarding project progress
  • Mentor and support junior training staff, providing guidance and support
  • Publishing Production and Quality reports to higher management on weekly basis
  • Noteworthy Credits: Consistently met above 100% Production and Quality as Senior Enrollment Coordinator
  • Received Star of the Month awards for maintaining 100% Quality and customer support
  • Awarded as best trainer and promoted as internal quality auditor
  • Awarded as best Employee for the year 2016
  • Awarded as Best Employee for two quarters continuously
  • Promoted as Subject Matter Expert and internal Underwriter.

Education

Bachelor of Commerce

Vandana Degree College
Osmania University

Skills

  • Ability to multitask

  • QA Compliances

  • MIS Reporting

  • Analyzing & Investigating

  • Complaints Management

  • Insurance processing

  • Excellent team player

  • HIPAA Compliance

  • Process Management

  • Client Relationship Management

Certification

Power BI : Certified by Intellipaat

Accomplishments

  • Consistently met above 100% Production and Quality as Senior Enrollment Coordinator
  • Received Star of the Month awards for maintaining 100% Quality and customer support
  • Awarded as best trainer and promoted as internal quality auditor
  • Awarded as best Employee for the year 2016
  • Awarded as Best Employee for two quarters continuously
  • Promoted as Subject Matter Expert and internal Underwriter

Linguisticproficiency

English, Hindi & Telugu

Mailingaddress

H No. 10-3-167, Humayun Nagar, Mehdipatnam, Hyderabad, Telangana - 500028

Personal Information

Nationality: Indian

Software

MS Excel, MS Word, MS PowerPoint, SQL queries, Power BI

Timeline

Subject Matter Expert

Global Benefit Group India Pvt Ltd
8 2013 - 3 2024

Bachelor of Commerce

Vandana Degree College
Swasthika ArumalaSubject Matter Expert