Summary
Overview
Work History
Education
Skills
Awards Recognition
Timeline
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Uma Maheshwari M

Coimbatore

Summary

As a dynamic Senior Process Executive with a proven track record at Cognizant Technology Solutions, I have excelled in U.S. healthcare claims adjudication and team leadership. Achieved 99% accuracy in processing SBC documents while enhancing client satisfaction. Expert in quality assurance and operational efficiency, recognized for driving continuous improvement and mentoring new hires effectively.

Overview

14
14
years of professional experience

Work History

Senior Process Executive - US Healthcare (SBC & OBN)

Cognizant Technology Solutions
Coimbatore
08.2012 - Current
  • Led and mentored team members in processing Summary of Benefits & Coverage (SBC) documents, ensuring 99% accuracy and strict SLA adherence.
  • Conducted audits on 200+ SBC documents per week, reducing errors by 15% and improving client satisfaction scores.
  • Designed and delivered training & refresher sessions for 30+ new hires, cutting onboarding time by 20% and reducing early-stage errors.
  • Acted as knowledge owner for the SBC process, preparing production reports, handling escalations, and ensuring seamless client communication.
  • Took ownership of pending packages during weekends, ensuring SLA commitments were met without client escalations.
  • Supported client audits (WellPoint, Accenture) and implemented corrective actions for continuous improvement.
  • Recipient of WOW, Opel, and Star of the Month Awards for outstanding performance and leadership.
  • Recognized for error-free audits and contribution to process documentation improvements.

Process Executive - US Healthcare (OBN)

Cognizant Technology Solutions
Coimbatore
09.2011 - 08.2012
  • Processed Online Benefit Narratives (OBN) for WellPoint, ensuring accurate benefit coding into NASCO system for Customer Service Representatives.
  • Collaborated with cross-functional teams to verify plan benefits, reducing turnaround time and minimizing customer escalations.
  • Performed peer audits to maintain accuracy and compliance with client requirements.

Education

MBA - Finance & Systems

Panimalar Engineering College
Chennai
01.2011

B.Sc - Computer Science

Bishop Ambrose College
Coimbatore
01.2009

Skills

  • US healthcare claims adjudication
  • HIPAA and CMS compliance
  • Service level agreement management
  • Quality assurance oversight
  • Productivity monitoring
  • Performance reporting
  • Team leadership and mentoring
  • Process improvement strategies
  • Operational efficiency
  • Client communication and stakeholder engagement
  • Audit and risk management
  • Knowledge transfer and documentation

Awards Recognition

  • WOW Award, Opel Award, and Star of the Month - Cognizant Technology Solutions
  • Recognized for team leadership, quality ownership, and SLA adherence

Timeline

Senior Process Executive - US Healthcare (SBC & OBN)

Cognizant Technology Solutions
08.2012 - Current

Process Executive - US Healthcare (OBN)

Cognizant Technology Solutions
09.2011 - 08.2012

MBA - Finance & Systems

Panimalar Engineering College

B.Sc - Computer Science

Bishop Ambrose College

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Uma Maheshwari M