Hi, I’m
Upender Kandagatla
Hyderabad
Summary
Accounts Payable and US Insurance Claims professional with over 10 years of experience in invoice processing, vendor management, and claims adjudication. Demonstrated ability to manage high-volume transactions while ensuring accuracy and compliance with SLA timelines and audit controls. Proficient in SAP (AP), Spend Management tools, PEGA, and Calypso.
Overview
12
years of professional experience
Work History
Genworth Financials Pvt Ltdhyderabad
Senior Claims Representative
01.2024 - 07.2025
Job overview
- Managed complete life-cycle of Long-Term Care insurance claims, overseeing eligibility and adjudication.
- Processed various healthcare claim types, ensuring adherence to policy guidelines.
- Reviewed claim documents with policy tools, approving claims based on Plans of Care.
- Generated Explanation of Benefits upon request, maintaining strict compliance with HIPAA regulations.
- Handled Assignment of Benefits documentation to expedite timely provider payments.
- Utilized PEGA and Calypso for efficient claims processing and payment posting.
- Resolved NIGO claims by coordinating with insured members and providers to obtain missing information.
- Verified policyholder details by retrieving claim records prior to processing.
RealPage India Pvt Ltdhyderabad
Senior Process Associate
06.2015 - 09.2022
Job overview
- Processed web-based invoices from real estate clients and other property management companies.
- Captured and validated invoice data as per client-specific SOPs ensuring correct GL code application.
- Prioritized documents based on client emails for efficient processing.
- Entered and verified invoice fields such as Invoice Number, Date, Due Date, PO/WTN Number, and descriptions.
- Ensured prevention of duplicate and fraudulent invoices by performing thorough invoice validation, vendor verification, and compliance checks prior to processing and payment.
- Performed line-item validation of quantity, UOM, SKU codes, tax charges, and shipping charges.
- Matched invoice totals to ensure 100% accuracy before submission.
- Verified vendor details prioritizing remittance address for correct payment processing.
- Resolved invoice discrepancies by routing for clarification or escalating to the payments team.
- Ensured SLA adherence, audit compliance, and timely processing across client portfolios.
DST Worldwide Services
Senior Process Associate
05.2013 - 06.2015
Job overview
- Validated claims using care notes, ensuring timely delivery and adherence to turnaround timelines.
- Processed healthcare insurance claims, including SNF, ALF, HHC, and IP, in compliance with payer guidelines.
- Converted scanned insurance documents into structured databases for enhanced accessibility.
- Reviewed health insurance documents against policy rules and coverage criteria before claim release.
- Approved claims based on medical care notes and validated Plan of Care (POC).
- Ensured documentation accuracy and compliance while delivering within established timelines.
- Safeguarded PHI by following HIPAA guidelines and maintaining data confidentiality throughout processing.
- Achieved multiple performance awards for excellence, consistency, and quality delivery during career.
Education
Osmania UniversityHyderabad, Telangana
Bachelor of Commerce
Skills
- Accounts payable operations
- Invoice and payment processing
- Reconciliation and data entry
- Documentation management
- Typing proficiency
- Spend management tools
- PEGA and Calypso proficiency
- Microsoft Excel and Office
Accomplishments
Received multiple performance awards and recognition's for excellence, consistency, and quality delivery throughout my career.
Disclaimer
I hereby declare that the above information is true and correct to the best of my knowledge.
Timeline
Senior Claims Representative
Genworth Financials Pvt Ltd
01.2024 - 07.2025
Senior Process Associate
RealPage India Pvt Ltd
06.2015 - 09.2022
Senior Process Associate
DST Worldwide Services
05.2013 - 06.2015
Osmania University
Bachelor of Commerce