Summary
Overview
Work History
Education
Skills
Disclaimer Date
Disclaimer
Personal Information
Timeline
Generic
SYED ATHER

SYED ATHER

Hyderabad

Summary

Seeking a challenging and responsible position in a professionally manage organization where I can utilize my skills and contribute effectively to the success of organization and further improve my skills. Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic. Skilled in handling complex insurance claims and policy processing with experience in navigating through various insurance software systems. Demonstrates strong analytical skills, adept at interpreting policies and efficiently resolving claims to the satisfaction of all parties involved. Known for maintaining high accuracy levels in document processing and data entry, contributing to streamlined operations and improved customer service outcomes. Continuously seeks ways to optimize workflows and enhance team productivity, leading to more efficient claim resolution processes. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience. Customer-focused individual with a passion for delivering exceptional service. Strong interpersonal skills with a talent for effectively addressing concerns. Committed to improving customer satisfaction and driving positive outcomes.

Overview

3
3
years of professional experience

Work History

CLAIM ASSOCIATE

optum global solution india Private Limited
07.2022 - 01.2023
  • Reconciled accounts receivable ledgers on a regular basis to ensure accurate billing statements
  • Calculated benefits due based on policy terms and claim information
  • Investigated and resolved complex claim issues, such as eligibility, coverage, and payment discrepancies
  • Identified opportunities for process improvement within the organization's existing workflow processes
  • Built rapport and trust with injured insureds through effective customer service techniques which involved fair and prompt processing of claims
  • Researched medical claims for validity to resolve discrepancies
  • Entered claim information accurately into database systems
  • Participated in departmental meetings as needed to discuss current and emerging trends in the industry
  • Kept abreast of changes in insurance regulations and policies affecting claims processing
  • Served as subject matter expert for non-standard coverage questions, property damage, and collision
  • Responded to external audits by providing requested claims documentation and explanations
  • Adhered to state and federal regulations regarding insurance claims processing
  • Coordinated and planned investigations of claims to confirm compensability and coverage
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients
  • Prepared and reviewed insurance-claim forms and related documents for completeness
  • Reported any fraudulent activities or suspicious activity regarding insurance claims
  • Verified claim data correctness in preparation for processing
  • Coordinated with healthcare providers to obtain missing information or clarification on claims
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services

CUSTOMER CARE EXECUTIVE

Ebix cash global Services india Private Limited
06.2020 - 01.2022
  • Consulted with customers regarding needs and addressed concerns
  • Resolved customer issues and queries promptly, achieving an exemplary average resolution time
  • Maintained accurate records of customer interactions and transactions in CRM system
  • Mediated conflicts between employees and facilitated effective resolutions to disputes
  • Processed customer orders, forms, applications, and requests efficiently
  • Followed up on customer interactions, ensuring complete satisfaction with resolutions
  • Researched competitor offerings in order to remain competitive in the marketplace
  • Proposed or approved modifications to project plans
  • Followed up on emailed or web-submitted customer inquiries within standard response times
  • Created detailed reports of customer interactions for internal records keeping purposes
  • Conducted customer satisfaction surveys and recommended product improvements to management based on feedback
  • Resolved customer inquiries and complaints requiring management-level escalation
  • Answered customers' questions about services and products offered
  • Recorded details of all inquiries, complaints, and comments
  • Assisted customers with product selection based on individual needs
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs
  • Planned and led team meetings to review business results and communicate new and ongoing priorities

BRANCH RELATIONSHIP EXECUTIVE

TEAM LEASE india Private Limited
08.2019 - 03.2020
  • Promoted financial products with targeted direct mailings, in-branch selling, and outbound calls
  • Maintained accurate records of all client information including contact details, account activity, transaction history
  • Discussed ideas and strategies to improve operational efficiency, adding value and aiding business performance for continuous improvement
  • Monitored customer feedback surveys and implemented changes based on results
  • Identified and pursued new business opportunities through targeted outreach and networking
  • Investigated financial resources and creditworthiness
  • Stayed up-to-date on marketplace trends and researched items in detail
  • Organized marketing events to promote bank products and services
  • Compiled new customer information to open accounts and loans, collecting and verifying necessary documentation
  • Conducted regular follow-ups with clients to maintain relationships and update financial plans as needed
  • Built positive and productive customer connections to drive consistent sales
  • Greeted customers upon arrival at the branch and directed them to appropriate personnel for assistance
  • Promoted insurance and products to individuals and businesses and analyzed and determined financial viability and productivity of target products and services
  • Analyzed customer needs and identified solutions that would meet their financial objectives
  • Provided financial education and advice to clients, enhancing their understanding of banking options
  • Performed customer service duties such as responding to inquiries, resolving disputes, and processing transactions
  • Advised customers on bank products, services and financial planning options
  • Implemented risk management strategies to minimize losses due to fraud or theft
  • Complied with security procedures and protocols when opening and closing bank vault
  • Suggested tactics to improve banking functions and products
  • Delivered exceptional customer service, resolving inquiries and issues promptly to ensure client satisfaction
  • Conducted market research to determine potential business opportunities in the local area
  • Bought or sold stocks, bonds and commodity futures on behalf of investment dealers
  • Resolved discrepancies concerning customers' accounts, improving client satisfaction

Education

MBA - Finance

Anwar-Ul-Uloom business management college
Hyderabad
01.2021

B.COM - Commerce

Anwar-Ul-Uloom Degree College
Hyderabad
01.2014

Intermediate - Board of Intermediate

GOWTHAM Jr. College
Hyderabad
01.2011

S.S.C. - Board of Secondary

RAGHAVENDRA SCHOOL
Shivaramapally, N.P.A.
01.2008

Skills

  • Good Communication Skills
  • Ability to learn new technologies faster
  • Passionate to work hard
  • Policy interpretation
  • Claims processing
  • Documentation processing
  • Insurance coverage limits
  • Teamwork and collaboration
  • Insurance confirmation
  • Document review
  • Data entry software

Disclaimer Date

03/30/19

Disclaimer

I hereby affirm that the information given above is true and correct to the best of my knowledge.

Personal Information

  • Passport Number: T 4741308
  • Father's Name: Syed Azmath
  • Date of Birth: 09/01/92
  • Gender: Male
  • Nationality: Indian
  • Marital Status: Single
  • Religion: Islam

Timeline

CLAIM ASSOCIATE

optum global solution india Private Limited
07.2022 - 01.2023

CUSTOMER CARE EXECUTIVE

Ebix cash global Services india Private Limited
06.2020 - 01.2022

BRANCH RELATIONSHIP EXECUTIVE

TEAM LEASE india Private Limited
08.2019 - 03.2020

MBA - Finance

Anwar-Ul-Uloom business management college

B.COM - Commerce

Anwar-Ul-Uloom Degree College

Intermediate - Board of Intermediate

GOWTHAM Jr. College

S.S.C. - Board of Secondary

RAGHAVENDRA SCHOOL
SYED ATHER