Vanajashree P
Bangalore
Summary
Dynamic expert with a proven track record at Sagility India Pvt Ltd, specializing in claims management and reimbursement. Excelled in streamlining processes, ensuring 100% accuracy in claim adjudication, and leading teams towards operational excellence. Skilled in data analysis and adept at quick learning, I significantly enhanced efficiency and stakeholder education in complex insurance segments.
Overview
5
5
years of professional experience
Work History
SUBJECT MATTER EXPERT
SAGILITY INDIA PVT LTD
Bangalore
08.2024 - Current
- Claims Management and Reimbursement: provide expertise in claims processing, reimbursement structures, and managing denial appeals and help streamline the claims process and ensure efficient resolution of disputes
- Training and Development: Health insurance SMEs often serve as trainers or consultants, educating healthcare staff and stakeholders about policy changes, benefits, and best practices in insurance claims processing
- Evaluate internal systems for efficiency, problems, and inaccuracies, developing and maintaining protocols for handling, processing, cleaning data and generating loss
SENIOR PROCESS CONSULTANT & PROCESS CONSULTANT
SAGILITY INDIA P
Bangalore
12.2019 - 08.2024
- End-to-End Claim Adjudication: Managing the complete process of claim adjudication from initial submission to final resolution, ensuring all necessary steps are completed accurately and on time
- Processing Resubmitted and Adjustment Claims: Handling claims that have been resubmitted for review or require adjustments due to errors, denials, or updates, ensuring that modifications are accurately applied
- Processing with 100% Accuracy: Maintaining a high standard of accuracy in processing claims, with an emphasis on eliminating errors and reducing the need for corrections or reprocessing
- Working on different segment of insurance (Medicare, Medicaid, COB, Adjustment claim, High dollar claims)
Education
BCA -
East West Collage of Management
PUC -
Sree Arurobindo composite
School -
Sree Jnanavardhaka
Skills
- Data Analysis
- MS Office
- Team handling
- Risk Evaluation
- Quick learning
- Smart application handling
- Claims Management and Reimbursement
- Training and Development
- Evaluate internal systems for efficiency
- Data processing
Accomplishments
- Received “Stardom” award for quality maintaining in the Year. ● Top Gun awards (for the top productions in the floor) (Received 12 top guns in an experience). ● Awarded with “Perfect Experience” certificates for identifying changes in the guidelines ● “Best Buddy” award for giving effective support to newbies
Timeline
SUBJECT MATTER EXPERT
SAGILITY INDIA PVT LTD
08.2024 - Current
SENIOR PROCESS CONSULTANT & PROCESS CONSULTANT
SAGILITY INDIA P
12.2019 - 08.2024
BCA -
East West Collage of Management
PUC -
Sree Arurobindo composite
School -
Sree Jnanavardhaka
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