Summary
Overview
Work History
Education
Skills
Software
Projects
Accomplishments
Timeline
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Syed Mustafa

Syed Mustafa

Team Leader
Hyderabad

Summary

I am a Team Leader with over 6 years of experience, currently leading a team of 30+ employees who work on processing US Healthcare claims. My areas of expertise include Quality Analysis, Health Insurance, US Healthcare and Claims Processing. I have also successfully transitioned from a non-technical background to a technical one, learning Python, JavaScript, HTML, and CSS. With six successful projects under my belt, I effectively improved quality and saved company resources. In addition to this, I ensured that the company met its Service Level Agreements (SLAs).

Overview

7
7
years of professional experience
16
16
years of post-secondary education

Work History

Team Lead

Wipro
Hyderabad
01.2021 - Current
  • Team Lead for a healthcare project in Wipro (Anthem Inc - GBD Claims)
  • Have an experience of managing a team of 30+ members .
  • Conducted daily review of productivity and quality score for the team for quicker identification of issues/challenges.
  • Prepared performance reports for the which would help team understand the goals effortlessly.
  • I successfully transitioned from a non-technical background to a technical one, learning Python, JavaScript, HTML, and CSS. With six successful projects under my belt, I effectively improved quality and saved company resources. Additionally, I ensured the company met its Service Level Agreements (SLAs).

Quality Analyst

Wipro
Hyderabad
07.2019 - 08.2020
  • Quality Analyst for a healthcare project in Wipro (Anthem Inc - GBD Claims)
  • Provided regular updates to team on quality scores and shared feedback for error trends.
  • Reviewed SOPs and proposed modification to client to enhance clarity of processing instructions.
  • Prepared questionnaire for regular knowledge assessment tests in order to ensure team was up to date on product knowledge .

Associate

Wipro
Hyderabad
01.2019 - 07.2019
  • As a Claim Analyst, my primary responsibility is to review insurance claims and determine whether they should be approved or denied.
  • I am responsible for investigating and analyzing claim information, including policy information, medical records, and other relevant documentation.
  • I am also responsible for communicating with healthcare providers and insurance adjusters to obtain additional information or clarify claim details.
  • I use GBD Facets and Macess & CWS tools to assist with claim analysis and processing.

Sales & Marketing Manager

Gautam Auto arena Cars Pvt ltd
Hyderabad
06.2016 - 07.2018
  • My responsibilities include managing the company's website.
  • I am also in charge of handling the financial records of the organization and working with Tally.
  • I am responsible for maintaining customer records.

Education

Kindergarten To Secondary -

Govt Boys High School
Hyderabad
06.1999 - 06.2010

High School Diploma -

Ratna Jr College
Hyderabad
07.2010 - 07.2012

Bachlor of Commerce -

Osmania University
Hyderabad
07.2012 - 07.2015

Skills

Team Handiling

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Software

Python

VBA

Excel

Word

PowerPoint

Selenium

Tkinter

Projects

 

  • Corrected Claim Auto Keyer BOT - A Bot that adds changes from Corrected Image to Facets Original claim.
  • Cob Auto Keyer - A python based auto keyer that adds EOB data from Macess Image to Facets.
  • CWS Corrected Auto Keyer- A python based Bot that Completes checks all the criteria as per the PI CWS Corrected claims end to end.
  • COB Auto adjudicator end to end COB claims Processing BOT.
  • Data Elements Checker BOT
  • Segregation BOT it Checks type of claim EDI,paper,COB,Authorization or Corrected.

Accomplishments

  • In just two years of working at Wipro, I was promoted to the position of Team Leader.
  • Awarded for Creating 6 automation Projects for entire Project.
  • Trained pilot batch for newly acquired LOBs (2020)
  • Received recognition for "Best Quality Analyst" in 2019
  • Received recognition for "Best Quality Analyst" in 2020
  • Received recognition for "Best Team Leader" 2021
  • Received recognition for "Best Team" in 2021
  • Received recognition for "Best Team Leader" 2022
  • Received recognition for "Best Team" in 2022
  • Received recognition for "Best Team Leader" 2023
  • Received recognition for "Best Team" in 2023

Timeline

Team Lead

Wipro
01.2021 - Current

Quality Analyst

Wipro
07.2019 - 08.2020

Associate

Wipro
01.2019 - 07.2019

Sales & Marketing Manager

Gautam Auto arena Cars Pvt ltd
06.2016 - 07.2018

Bachlor of Commerce -

Osmania University
07.2012 - 07.2015

High School Diploma -

Ratna Jr College
07.2010 - 07.2012

Kindergarten To Secondary -

Govt Boys High School
06.1999 - 06.2010

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Syed MustafaTeam Leader