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I am a skilled Senior Claims Representative with 4+ years of experience in U.S. healthcare insurance, working with companies like Concentrix(Aetna)/(CIGNA), Aflac, and Genworth. Specializes in claims processing, audits, policy renewals, and client coordination, with proficiency in tools like PEGA, TruCare, and MS Office. Known for problem-solving, adaptability, and professionalism, I have earned awards for performance and excellence. Well-versed in HIPAA, medical billing, Insurance compliance.
I am a passionate and enthusiastic person that takes pride in whatever task I undertake, my aim is to deliver high-quality results at the end of every task. In addition, I have good Management skills which enable me to communicate with people on all levels to provide the best outcome for both parties as a whole. This has given me the confidence to carry out any given task with passion and enthusiasm. It also taught me the importance of communicating effectively both verbally and written as this helps build rapport and trust.

Detail-oriented professional skilled in ICD-10 coding and claims adjudication. Proven track record in ensuring compliance and accuracy in medical billing processes. Specializing in Healthcare and Marketplace Audit (3+ years, Cognizant), with expertise in claims adjudication, coding validation, insurance review, and marketplace compliance auditing. Awarded Best Employee of the Year (2023 and 2024). Seeking day-shift roles in Medical Coding, Quality Analyst, RCM Audit, or Healthcare Operations.

To secure a position that will allow me to utilize my acquired skills and knowledge to provide a positive contribution in a professional business environment.
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level position. Ready to help team achieve company goals.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Swathy N

Summary

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Work History

Senior Client Partner – Provider Network Mgmtt

Senior Process Consultant - Claims Adjudicator

Education

Bachelor of Commerce - Corporate Secretaryship

Diploma in Computer Application - Advance TALLY

Higher Secondary Education - Commerce-Business Maths

Secondary School Leaving Certificate - SSLC

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Senior Client Partner – Provider Network Mgmtt

Senior Process Consultant - Claims Adjudicator

Bachelor of Commerce - Corporate Secretaryship

Diploma in Computer Application - Advance TALLY

Higher Secondary Education - Commerce-Business Maths

Secondary School Leaving Certificate - SSLC

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