Venuka Sushil Kumar
Gurugram
Summary
To become a successful professional in corporate world by joining a highly esteemed and reputed organization and working on challenging assignments with sincerity, hard work and focus.
Nearly 8 years of experiance in Claims management, Call and chat support and also in claims processing. Currently an Insurance Operations Analyst at Accenture, specializing in claims.
Overview
9
9
years of professional experience
Work History
Insurance Operations Analyst
ACCENTURE
10.2024 - Current
- Proficient in administering end-to-end claims processing operations, ensuring accuracy, compliance and timely resolutions.
- Working on Notification of death claims where we need to check when client is deceased and who is the eligible beneficiary for the client and need to give them the benefits and also send them the claim packet to request DC for further information.
- Working on backends and RTM’s as well these are the return to mail cases where claim packet is not send to the beneficiary on correct address so need to send to the updated correct address.
- Used to review client DC and AOH for bene update cases as well.
- Demonstrated expertise in analyzing and adjudicating complex claims across diverse retirement products and lines of business.
- Consistently achieved KPIs related to claims processing, including accuracy rates, turnaround times, and customer satisfaction metrics.
- Working as a mentor for new joiners and also given buddy up.
Senior Associate
ACCENTURE
09.2021 - 10.2024
- I worked in the process of Google Adwards.
- Dealing with different customers and doing Audit as well of Calls and chats.
- Working with my manager on different topics like shrinkage, Weekly performance of a employee and sharing AHT Report on daily Basis.
- Dealing with Chats as well.
- Working on MTD and YTD Reports of the employee.
- Given support to new joiners for 3 months and worked as a temporary SME as well.
Senior Analyst
R1RCM
12.2016 - 12.2020
- Followed up with various insurance companies to check claim status through both call and websites.
- Identified claim denial reason and worked towards the resolution.
- Handled many AR projects.
- Answered supervisor calls with insurances.
- Trained new hires of the team.
- Worked on Medical Records.
- Worked on Tricare and VA.
- Processed different claims majorly on calls with the insurance companies.
- Have experience in Insurance Billing.
Education
MBA -
Amity University
01.2015
B.s.c -
Chinmaya Degree College
01.2013
12th -
I C S E
01.2010
10th -
I C S E
01.2008
Skills
- MS Office
- Basic Excel
- Positive thinking
- Quick learner
- Dedicated
- Flexible
- Hard Working
Hobbies and Interests
- Reading
- Travelling
Personal Information
- Nationality: Indian
- Marital Status: Single
Languages
- Hindi
- English
- Hindi
Timeline
Insurance Operations Analyst
ACCENTURE
10.2024 - Current
Senior Associate
ACCENTURE
09.2021 - 10.2024
Senior Analyst
R1RCM
12.2016 - 12.2020
MBA -
Amity University
B.s.c -
Chinmaya Degree College
12th -
I C S E
10th -
I C S E