Yamini Priya Thiruvaipati

• As a detail-oriented Quality Assurance Analyst in the insurance industry, I analyze policies for precise data accuracy. My role has improved a lot by helping the team with the process, guiding them in difficult situations, working together in difficult days when volumes are high. Motivating team to give precise data with production
• Key Responsibilities:
• Training new team teammates and making them understand the process from basic to complex
• Solving doubts for the team and making them understand particular scenarios by preparing quick statements through groups in teams for easy reference for future purposes
• Directed team support during peak workload days by optimizing inbox handling methods.
  Communicated updates regarding inbox assignments and case management protocols.
  Engaged with Laura and Heather to explore improvement suggestions for task management.
  Oversaw a variety of case difficulties, ensuring effective resolution strategies.
• Guided team in resolving policies efficiently by sharing personal experiences and clarifying signature types, including stylus, wet, e-sign, and DocuSign.
• Tracked inboxes and updated team on volume distribution, optimizing workload by reallocating tasks during peak periods.
• Tracking the performance of the team and guiding them where they are lacking in the process, Time management, different types of cases
• Will guide my team especially on complex cases, by guiding the team we did a week work together with without Laura and Heather including DIP Day

Analyzed policy documents to verify personal and medical information accuracy, ensuring compliance with regulatory standards. Confirmed premium calculations, signatures, and riders aligning with compliance requirements. Evaluated juvenile policies for insureds under 18, ensuring all necessary details were present. Ensured accuracy in case manager fields by reviewing driver's licenses and social security numbers. Reviewed underwriting sheets for validation of medical data and health conditions. Reviewed case notes throughout application process to ensure data accuracy and integrity. Trained and mentored new hires in quality assurance processes, enhancing team capabilities and knowledge.

Developed and executed comprehensive test plans to ensure software quality and functionality.

Collaborated with cross-functional teams to identify and resolve defects early in the development process.

Conducted thorough regression testing to validate system updates and enhancements post-deployment.

• Collected data from electronic medical records (EMR) on disease types, causes, and medications to support risk assessment.
• Assessed and detailed physician recommendations on surgeries and past medical history.
• Reviewed diagnostic reports including x-rays, ECGs, laboratory analyses, and pathology assessments to inform clinical research findings.
• Evaluated past health backgrounds and prescriptions to uncover allergies and measure individual skill level

Reviewed electronic medical records (EMRs) for oncology patients, ensuring accuracy in data abstraction across various cancer types. Curated essential data encompassing ICD-10 codes, lab results, genetic information, and medications. Assessed hospitalization records, transfusion histories, adverse events, pathology findings, surgeries, and radiation treatments. Participated in training sessions to enhance data analysis skills, improving ability to assess and interpret oncology data. Stay informed about innovations in oncology data abstraction to maximize research effectiveness. Adopted best practices to enhance operational relevance within the field. Collaborated effectively with peers for improved accuracy in data management. Pursued professional development activities to stay current with advancements in oncology, enhancing contribution to research efforts.

Reviewed clinical documentation for accuracy and compliance with regulatory standards.

Evaluated medical necessity of services to ensure appropriate patient care and reimbursement.

Collaborated with healthcare providers to clarify documentation discrepancies and improve submission quality.