Venkatesh Kyshanpalle
Hyderabad
Summary
I started off my career in customer service with Multinational organization, hence can fit into any given role. I would like to be a part of an organization, which gives me ample room to display my abilities and in turn, successfully contributing to company profits by improving team efficiency and productivity. I am skilled at effective negotiations with providers, dedicated to improving procedures for file movements, eliminating unnecessary storage and maintaining information safe and secure. Verifies documents, researches problems and implements effective solutions. Excellent skill to enhance efficiency and lead teams to achieve outstanding performance and a job that allows me to use my experience and expertise and share it with others resulting in overall productivity & profitability. The organization should also give me a platform to grow individually.
Overview
14
14
years of professional experience
Work History
AVP (Assistant Vice President)-Provider Management
Alinea Healthcare.
Hyderabad
11.2018 - 08.2024
- Collaborated with the operations team in review meetings.
- Enhanced quality standards through data analysis and consistent team collaboration.
- Real-time email support to operations for Pan India on the escalation part.
- Ensured efficient handling of escalations through summary monitoring
- Assisted in the development of operational strategies to ensure efficient and productive operations.
- Managed a team of 12 members.
- Managed Empanelment across all regions in India.
- Coordinated with other departments to ensure smooth flow of operations.
- Monitored employee attendance records, timekeeping, and payroll information.
- Organized training sessions for new hires to familiarize them with the workplace environment.
- Achieved targeted goals by effectively monitoring KPI's.
- Enhanced average performers' SKEP's for all team members.
- Ensured compliance with quality metrics by accurately documenting and summarizing provider statuses.
- Published reports on process updates and feedback to managers and clients.
- Prepared client presentations and summaries according to specific client requirements.
- Working on daily reports and showing targets achieved in the report.
- Daily Team Meetings to achieve clients target.
- Preparing analysis, presenting with the clients and management.
- SKIP Level meetings, KRA’s, Team performance managing.
- Monitoring Open Empanelment for Pan India & creating an action plans for team.
- Taking Care of Audits & MS for AP & TS.
- Managing all IT projects – Provider portal, empanelment portal, etc.
- Distributed work equally among team members, ensuring we achieved Open empanelment TAT according to client target.
- Auto mailers initiation with all provider across pan India (Update information).
- Performed data analysis and shared reports with the operations team.
Team Leader
MediAssist India TPA Pvt Ltd
Hyderabad
09.2016 - 01.2018
MediAssist sought of confirmation emails, like down time etc.PPT’sMahindra
Sr Claims Associate
United Health Group (OGS)
Hyderabad
03.2015 - 09.2016
- Working on state continuation renewals.
- Working on Implementations (Need to build the complete group into the system).
- Working on SBB Renewals.
- Processing QEN stuck report and SBB stuck report Assigning correct coverage to the participants.
- Completing FLEXMAN cases on the same day (Whatever assigned by the client).
- Maintaining a daily production tracker in an excel.
- Working on SBB IV renewals.
- Working on GCV & completing the cases on the same day.
- Publishing the daily FLEXMAN report to the entire team.
Subject Matter Expert
Sitel India Ltd
Hyderabad
02.2011 - 12.2014
- Resolving if any customer escalations / queries via email & calls, and also helping the team members to their queries.
- Taking care of higher management escalations and revising them on the same day.
- Assist CRM's on calls for resolutions, via emails as well.
- Arrange to close the tickets which are raised by the customers.
- Conducting trainings on query callings, Non voice tickets & co-ordinate with the concern team for resolutions,
- Concentrating on new work types and identifying the areas of improvement and making a word document to agents to follow the scenario wise, shouldn’t be a challenge to them while handling calls.
- Find out the reason for huge call volumes and discussing with clients and sending an immediate email to them.
- Maintaining client documentation part, whenever we receive any sought of confirmation emails, like down time etc.
- Taking care of entire OJT phase.
- Handle escalation calls and groom the CSP’s to handle high rated calls.
Education
Bachelor of Commerce -
TNOU (TamilNadu University)
Hyderabad12.2017
Some College (No Degree) - Intermediate
APOSS
HyderabadSSC -
Chaitanya Vidyalaya
HyderabadSkills
- Operations Management
- Customer Rapport
- Staff Supervision
- Closing and Contract Negotiations
- Employee Performance Evaluation
- Business Development
- Contract Management
- Customer Relations
- Recruiting and Interviewing
- Hiring and Training
- Strategic Planning
- Team Motivation
- Negotiation
- Orientating and Training
- Training and Development
Languages
English
First Language
Hindi
Proficient (C2)
C2
Telugu
Proficient (C2)
C2
Timeline
AVP (Assistant Vice President)-Provider Management
Alinea Healthcare.
11.2018 - 08.2024
Team Leader
MediAssist India TPA Pvt Ltd
09.2016 - 01.2018
Sr Claims Associate
United Health Group (OGS)
03.2015 - 09.2016
Subject Matter Expert
Sitel India Ltd
02.2011 - 12.2014
Bachelor of Commerce -
TNOU (TamilNadu University)
Some College (No Degree) - Intermediate
APOSS
SSC -
Chaitanya Vidyalaya
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