Worked as a Sr. Claims Associate in a contractual role for the Client Optum Global Solutions, under Technosoft Global Solutions LLP Hyderabad from Sep-2020 to Feb-2021.
Worked as Claims Associate in a contractual role for the Client Optum Global Solutions, Hyderabad under Artech Info systems from June-2018 to Dec-2018.
Worked as a Consultant with Sutherland Global Solutions from Aug-2016 to Sep-2017.
Worked as a Sr Customer Care Executive in Tata Business Support Services from Nov 2013 to November 2015.
Worked for prime plan change process, Analyzing the request received via email
Processing plan changes with required documents within TAT with 100% quality
Installing overall employer contract loading: plan, rates, Enrollments and requested changes in system as per guidelines and SOP
Auditing contract loads for adherence to quality measures and reporting standards
Structure building and auditing the cases prior sending the confirmation of plan change
Communicating effectively & seek additional information from internal partners & clients (Renewal Account Executives, Health Plans, Agents, Financial Underwriters & Specialty Underwriters) to clarify discrepancies and/or gather missing information
Implement strong analytical skills to complete the request in a quick and fancy way
Test/confirm contract installations/implementations are performing effectively post-implementation
Create rates & enrollment report & share the final copy to the requestor & agents.
Update relevant tracking systems with issues, workarounds and resolution information.
Record, classify and track new Incidents and service requests, and moving them into the correct resolver groups. Ensure all incidents/service request are processed within the customer SLA for resolution and response time.
Building an IBAAG document accurately using Attachments and uploading it to the site.
Active interaction with team in facing new challenges in building any new scenarios and sharing knowledge within team in heading up such instances.
Strictly adhere of following process updates day to day and keeping all the efforts, which can be done to build a case with 100% accuracy.
Adhered to all instructions within the process for a green numbers in quality, Production and supported my team as well in meeting a good numbers always.
Preparation of menus throughout Asian continents like UK, Australia, North America, South America, Newziland, Pakistan and India.
Achieving the accurate quality parameters.
Skills to fix Level 1 issues related to Desktop and Cisco Voice.
Adhering the daily and weekly briefings conducted by Management for the business enhance andprocess requirement.
Raising the technical issue tickets and resolving on first time.