Perveesh Kumar Sharma

CURRICULAM VITAE F-26, Sector – 58, Noida - 201301, Mob. No.- - Email – -Perveesh Kumar Sharma Objective: To work in an environment conductive to Professional growth, to contribute towards the growth of the Organization by putting my experience in Operations and Business Management, to manage intensive business process for clients delivering Unparalleled Value in term of effectiveness and efficiency of service delivery. Work Experience: Current Company: Barclays Working as a Process Advisor for Barclays. Duration: March 2015 to Present Role: Process Advisor Process Overview PPI(Payment Protection Insurance) – Process Advisor Payment protection insurance (PPI), also known as credit insurance, credit protection insurance, or loan repayment insurance, is an insurance product that enables consumers to insure repayment of loans if the borrower dies, becomes ill or disabled, loses a job, or faces other circumstances that may prevent them from earning income to service the debt. It is not to be confused with income protection insurance, which is not specific to a debt but covers any income. PPI is widely sold by banks and other credit providers as an add-on to the loan or overdraft product. Now if any customer claims that he/she was not interested to buy this policy or the policy has not suitable for him/her. He/she makes a claim and after investigation we refund his/her money. Responsibilities Making Payment Creating Effective training manuals & helping guide on web page & Excel during training time. Mentoring and Guidance: - Provide assistance to individuals with questions that arise regarding policies, procedures and processes. Responsible to answer questions and /or direct individuals to the proper policy and procedure for review Responsible to distribute inventory to the processors for processing the claims Response to handle the SME task in absence for SME. Handle the internal auditing for the team to improve team quality to meet our SLA Previous Company: United Health Group Worked as a Claim Associate for United Health Group. Duration: July 2012 to March 2015 Role: Claim Associate Process Overview UHC MEDICARE AND RETIREMENT - CLAIMS ADJUDICATION The process involves claims adjudication where we decide the bills to Pay or Deny. We adjudicate US biggest federal Health Insurance Company “Medicare”. CPW is the biggest process for UHG where we need to adjudicate the claims. We need to collect the data from IDRS and EDSS applications and verify the DE on the claim and then process the claim as per the reviews editing on it. While working on the reviews we need to use the applications like NPI, Knowledge library, Zip express and other many applications required for the review clearance. Once the claim gets cleared sent it check writes. EOB sent to provider and PRA to the member. Responsibilities Adjudicate the Medicare & Retirement Claims. Creating Effective training manuals & helping guide on web page & Excel during training time. Mentoring and Guidance: - Provide assistance to individuals with questions that arise regarding policies, procedures and processes. Responsible to answer questions and /or direct individuals to the proper policy and procedure for review Responsible to distribute inventory to the processors for processing the claims Response to handle the SME task in absence for SME. Handle the internal auditing for the team to improve team quality to meet our SLA Previous Company: EXL Service.com (I) Pvt. Ltd. Worked as Associate for one of the biggest U.S.A. Worker’s Compensation Insurance Company “Travelers”. Duration: Mar 2009 to Jul 2012 Role: Customer Care Executive Responsibilities Performing day to day case processing and adhere to meet SLA (Service Level Agreement) in terms of productivity, quality and TAT. Handling Worker’s Compensation claims, sent the letter to the policy holder and make the payment (if needed) also. Transaction processing on six Line of Business Property & Casualty (Commercial Insurance) as property, Inland marine, Worker’s Compensation, Auto and General Liability and Umbrella Policies as Underwriter Assistant. Educational Qualification Degree University / Board / Institute Year M.A (Eng.) C.C.S. University Meerut 2007 B.A C.C.S. University Meerut 2004 12th U.P Board Allahabad 2001 10th U.P Board Allahabad 1999 Computer Proficiency: - MS-office – Word, Excel, Power Point, Internet surfing. Operating System: Window95/98/2000/XP, DOS 6.0 Rewards & Recognition Star Performer Selected as the “Star Performer of the Month” Extra Miler Selected for the award of “Extra Miler of the 4th Quarter” Performance Par Excellence Received “Performance Par Excellence” Award for outstanding performance & commitment to Excellence. Personal Profile: Name First: Perveesh Middle: Kumar Last: Sharma Date of Birth 23rd Dec, 1983 Sex Male Marital Status Married Nationality Indian Languages Known English, Hindi Hobbies Surfing internet, Reading, Listening music. Strengths Good interpersonal skills, Positive Attitude, Quick Learner, Ability to handle work pressure efficiently, devoted towards my work, time management, Smart working, Problem Solving, analytical & logical skill. Declaration: I hereby solemnly and sincerely affirm that the above made statements and information furnished by me are true, complete and correct to the best of my knowledge & belief. Place: ………… Date: …………... Perveesh Kumar Sharma