Summary
Overview
Work History
Education
Skills
Accomplishments
Professional Headline
Languages
Work Preference
Timeline
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Open To Work

Swathi Sharma

Bengaluru

Summary

Operations professional with over 10 years of experience achieving 100% quality assurance in case coordination and compliance operations. Expertise in performance reporting, operational analysis, and process enhancement to improve efficiency and service quality. Recognized for enhancing operational stability, ensuring data integrity, and maintaining strict regulatory standards in high-volume environments.

Overview

15
15
years of professional experience

Work History

Senior EAP Coordinator – Call Advocacy & Scheduling Operations

Optum
01.2020 - Current

Achieved 100% monthly QA scores, ensuring documentation accuracy and regulatory compliance in high-volume operations.

Managed end-to-end EAP case coordination across complex member cases, including intake and provider scheduling.

Conducted risk assessments, ensuring adherence to safety protocols and escalation standards.

Maintained workflow continuity during peak periods through effective management of member and provider communications.

Provided support to peers regarding workflow clarification, QA alignment, and best practices.

Collaborated with quality and reporting teams to enhance process accuracy and turnaround efficiency.

Clinical Administrative Coordinator – House Calls Operations

Optum
01.2015 - 01.2020

• Scheduled UHC member appointments while maintaining strict TAT compliance and documentation accuracy.

• Conducted outbound outreach to educate members and improve appointment acceptance rates.

• Managed provider alignment and ensured data accuracy within system workflows.

• Adapted to pilot programs and evolving operational processes with minimal supervision.

• Maintained high productivity standards in fast-paced scheduling environments.

Customer Operations Executive

ACS India Pvt. Ltd. (A Xerox Company)
01.2011 - 01.2015

• Managed service operations for enterprise clients including Trane and Avis Budget Group.

• Created and resolved service tickets from shared mailboxes ensuring timely issue resolution.

• Selected for pilot voice-based billing support due to strong communication performance.

• Processed vendor billing, invoice validation, and payment coordination with accuracy.

• Maintained data integrity and ensured timely ticket closure through proactive follow-ups.

Education

MBA -

Izee Business School
Guwahati University
04-2012

Department of Commerce - B.com

Saint Pious X Degree College For Women
Osmania University
04-2009

Skills

  • Microsoft Office Suite
  • CRM & case management tools
  • Windows & macOS operating systems
  • Operational excellence
  • Case coordination
  • Regulatory compliance
  • Risk assessment
  • Documentation accuracy
  • Process improvement
  • Performance reporting
  • Escalation management
  • Data integrity
  • Customer relationship management
  • Quality assurance
  • Problem solving
  • Attention to detail
  • Team collaboration
  • Time management

Accomplishments

  • Bravo Award – Optum
  • Quality Kudos – Optum

Professional Headline

Senior Operations & Case Management Professional | Quality Assurance | Compliance | Provider coordination | Process Optimization 

Languages

English
Advanced (C1)
C1
Hindi
Native
Native
Telugu
Advanced (C1)
C1
kannada
Intermediate (B1)
B1

Work Preference

Work Type

Part Time

Location Preference

Remote

Timeline

Senior EAP Coordinator – Call Advocacy & Scheduling Operations

Optum
01.2020 - Current

Clinical Administrative Coordinator – House Calls Operations

Optum
01.2015 - 01.2020

Customer Operations Executive

ACS India Pvt. Ltd. (A Xerox Company)
01.2011 - 01.2015

MBA -

Izee Business School

Department of Commerce - B.com

Saint Pious X Degree College For Women
Swathi Sharma