Summary
Overview
Work History
Education
Skills
Websites
Hobbies
Timeline
Generic
Tapan Desai

Tapan Desai

Pune

Summary

15+ years of robust experience in US Healthcare, Business Rules Configuration, Medicare Enrolment, Claims Adjudication, internal audit, revenue assurance, and Customer Service. Skilled in data analysis to detect irregularities and implement preventative measures. Conducts focus group meetings and training to minimize audit errors and revenue loss. Proficient in client, developer, manager, and team member coordination. Demonstrates strong leadership, coaching, and communication abilities, along with exceptional interpersonal skills.

Overview

17
17
years of professional experience

Work History

Team Lead

Evolent Health
Pune, Maharashtra
06.2021 - Current
  • Support Member and Provider queries for Medicaid HMO and Commercial Plans
  • Handle process-related client queries and manage 1st level escalations
  • Conduct quality checks on team work before client submission
  • Monitor workflow to meet SLA deadlines
  • Manage staff performance through feedback and reviews
  • Track metrics including attendance and productivity
  • Collaborate with Training Department for material development and new hire training
  • Engage in cross-departmental work groups and meetings
  • Undertake additional duties and projects as assigned.
  • Improved team productivity by implementing efficient project management strategies and streamlining communication channels

Specialist

Cognizant
Pune, Maharashtra
12.2017 - 06.2021

As Trainer in US Healthcare:

  • Provided technical training for Business Rules Configuration (Plan Loading) covering Medicare, Medicaid, and Commercial lines
  • Conducted training on Claims Adjudication and Enrolment Process for all lines of business
  • Certified trainer by Cognizant Academy Team
  • Conducted update and remediation sessions based on Error Trend Analysis Report
  • Monitored healthcare fundamental, process, and refresher training
  • Customized training for senior associates and leaders
  • Implemented Skill Development Program for improved work quality
  • Developed training programs aligned with operational needs
  • Delivered motivational training to reduce stress, attrition, and address challenges
  • Conducted 30/60/90 days' observations for new hires
  • Facilitated Train The Trainer sessions
  • Managed client calls and coordination
  • Oversaw internal/external trainer certification
  • Worked on projects to enhance training effectiveness.

Connection Manager

Tata Consultancy Services
Pune, Maharashtra
12.2016 - 11.2017

As Connection Manager at Telstra Australia:

  • Scheduled appointments for Business and Global/Government Enterprise Service segments
  • Assisted customers transitioning from Copper to Fibre connections on NBN
  • Coordinated with other departments for seamless service
  • Ensured excellent customer experience and positive Net Promoter Score
  • Compiled daily productivity reports and managed task completion
  • Handled team attendance records
  • Managed data for Customer Satisfaction Survey forecasts
  • Adhered to standard operations management practices
  • Interacted with clients, Quality, and Training Teams

Customer Service Representative/ Jr. Analyst

Tech Mahindra Business Services
Pune, Maharashtra
02.2012 - 11.2016
  • Managed customer inquiries covering billing, tariffs, and handset/network troubleshooting.
  • Served as Jr. Analyst in Internal Audit, identifying revenue discrepancies.
  • Contributed to sales efforts by securing additional contracts.
  • Generated audit reports for team managers and proposed measures to address revenue leakage.
  • Provided suggestions to reduce errors.
  • Collaborated on projects to decrease repeat calls and negative customer surveys, resulting in 14% reduction in repeat calls and 7% increase in NPS.
  • Fostered customer-centric culture within team by consistently reinforcing importance of empathy, understanding, and patience in all interactions with clients.

Senior Customer Service Advisor

VENTURA (INDIA) PRIVATE LIMITED
Pune, Maharashtra
06.2011 - 09.2011
  • Handling inbound calls of customers based in the USA, Canada, Australia and UK having problems with their computers (Software related issues) diagnosing their problem and selling Tech support assistance subscription for one, two or three years.

Junior Analyst

Three UK
Pune, Maharashtra
10.2008 - 11.2010

Data Analysis & Team Handling:

  • Audit customer accounts for irregularities.
  • Generate and distribute audit reports to team managers.
  • Identify revenue leakage and propose solutions.
  • Recommend measures to reduce audit errors.
  • Conduct focus group meetings and training to improve accuracy.

Customer Service Representative

Three UK
Pune, Maharashtra
09.2007 - 10.2008
  • Handling inbound calls of customers based in UK having mobile phone accounts with 3G
  • Troubleshooting payment queries
  • Handling bill related queries
  • Helping customers choose tariffs depending on their requirements.

Education

Bachelors - Commerce

Dr. C. V. Raman University
Chhattisgarh, India

Higher Secondary Certificate - Commerce

Padmashree Dr. D. Y. Patil Vidyapeeth
Maharashtra, India

Secondary School Certificate -

St. Joseph's Boys' High School
Maharashtra, India

Skills

RCAundefined

Hobbies

Angling, Air Rifle Shooting, Numismatist & Cooking

Timeline

Team Lead

Evolent Health
06.2021 - Current

Specialist

Cognizant
12.2017 - 06.2021

Connection Manager

Tata Consultancy Services
12.2016 - 11.2017

Customer Service Representative/ Jr. Analyst

Tech Mahindra Business Services
02.2012 - 11.2016

Senior Customer Service Advisor

VENTURA (INDIA) PRIVATE LIMITED
06.2011 - 09.2011

Junior Analyst

Three UK
10.2008 - 11.2010

Customer Service Representative

Three UK
09.2007 - 10.2008

Bachelors - Commerce

Dr. C. V. Raman University

Higher Secondary Certificate - Commerce

Padmashree Dr. D. Y. Patil Vidyapeeth

Secondary School Certificate -

St. Joseph's Boys' High School
Tapan Desai