Yeshesvi Kulkarni
Quality control Analyst
Summary
Innovative Quality Control Analyst excels at non-conformance investigations. Exercises judgment within defined procedures to determine action needed to resolve problems. Leverages strong communication and technical writing skills to achieve appropriate outcomes.
Overview
3
3
years of professional experience
Work History
Quality Control Analyst
Carelon Global Solutions
02.2022 - Current
- Improved overall production efficiency by identifying and resolving quality control issues.
- Created and revised procedures, checklists and job aids to reduce errors.
- Instructed vendors or contractors on quality guidelines, safety procedures, testing procedures and ways to eliminate deficiencies.
- Developed comprehensive documentation, maintaining accurate records of quality control results and actions taken.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Analyzed quality and performance data to support operational decision-making.
- Provided training to new hires on quality control procedures, fostering a culture of excellence within the team.
- Reviewed production processes and identified potential quality issues.
Claims Associate
Carelon Global Solutions
12.2020 - 02.2022
- Examined reports, accounts, and evidence to determine integrity and accuracy of information.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt..
- Posted payments to accounts and maintained records.
- Reduced claim disputes by providing clear communication and thorough documentation during the claims process.
- Handled escalated provider concerns regarding claim denials or delays with empathy and professionalism.
- Checked documentation for accuracy and validity on updated systems.
- Reduced claims costs by identifying trends and recommending adjustments to underwriting guidelines accordingly.
- Identified incorrectly processed claims and completed adjustments to reprocess claims.
- Analyzed complex data to identify trends in claims, recommending adjustments to policies and procedures accordingly.
- Optimized workflows by developing comprehensive tracking systems for managing pending claims, appeals, denials, and adjustments.
Education
St. Joseph Degree And PG College
Hyderabad, India06.2020
Intermediate Board of Education Telangana
Sri Chaitanya Junior College
Hyderabad 06.2017
Skills
Hobbies
- Cooking
- Gardening
Timeline
Quality Control Analyst
Carelon Global Solutions
02.2022 - Current
Claims Associate
Carelon Global Solutions
12.2020 - 02.2022
St. Joseph Degree And PG College
Intermediate Board of Education Telangana
Sri Chaitanya Junior College
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