Ravikiran Reddy

Educational profile:

Bachelor’s Degree in Computer science    - Osmania University- 2008.

Work Experience1:

Company profile: STS : as a Team Leader

Period   : 10th March 2019 to till date.

Job Description:

·        Analyze data to determine if there are outliers or data accuracy issues and work with related departments to make the corrections

·        Prepares team evaluation report with assistance from the Performance Analyst for submission to Supervisor.

·        Sets benchmarks and targets for team members to achieve.

·        Conducts process improvement meetings every Friday to recap the week’s activities and to offer courses of action for unresolved issues.

·        Uses individual team member data to pinpoint weaknesses then schedule one-on-one sessions to address possible factors and improve performance.

·        Continually explore opportunities to improve processes in the ongoing development of analytical tools and models, ad-hoc reports, dashboards and analysis

·        Drive efficiencies within the current reporting structure including enhanced automation

·        Identify gaps in current reporting process and drive the implementation of new controls and strategic solutions

·        Project and solution estimation and team structure definition

·        Preparing reports on Internal Quality, BI Drive, Administrative reporting, leaves, production etc.

EducationBachelor’s Degree in Accounting EducationBachelor’s Degree in AccountingBachelor’s Degree in Accounting

Work Experience2:

Company profile: UnitedHealth Group(OPTUM): as a Sr Claims Associate

Department        : UMR.                 Period                   : 27th Feb 2012 to 04th March 2019.

Job Description:

·        Support Adjudications process and work on reconciling activities of claim

·        Dealing with US health information of the clients.

·        Recognize issues related to copay, coinsurance, deductible, coordination of benefits.

·        Adhere to TAT and deliver projects with required operating Quality

·        Monitor schedule adherence in terms of clearing aged inventory

·        Analyze the benefits offered to a policy to determine if the treatment is covered and extent of the liability of the insured and insurer.

·        Claims failed at auto adjudication level require processing, which involves interpretation of claim forms, timely submitted filing proofs, eligibility related forms, receipt of payments given for a particular service, employer’s records.

·        Researching and analyzing the health claims HCFA 1500 & UB 04 forms.

Professional Achievements

·        Basic and Advanced Excel based analysis of aging of claims and feed output to the leadership to put strategy in place

·        Prepared Macros in Macro Express that helped team to reach good Productivity with Quality.

·        Excellent working knowledge of Excel VBA

·        Working knowledge to identify and target the elements based on the attribute

·        Knowledge to loop through the collection of the elements

·        Knowledge of sending automatic email using excel VBA and Outlook

·        Knowledge of Excel User Forms and its objects and properties

Work Experience3:

Company profile: First American (India) Private Limited : as a Process Associate

Department        : Data Trace Quality,                Period : November-18th, 2010 to 25th Feb 2012.

Job Description:

• Comprehensive knowledge and experience in BPO which includes Gathering & Documenting Requirements Relating to U.S Mortgages.
• Ability to adapt well and perform in new competitive environment with flexibility towards shifts in working.

Software Proficiency:

Operating System        :              Windows Environment

 Packages                       :              Testing Tools, MS-Office, MS-Excel, VBA.SQL,

Skills:

• Strong organizational skills and ability to set priorities, manage time and multi-task
• Ability to show initiative, good judgment, and resourcefulness
• Detail oriented with a problem solving mindset and ability to prioritize, meet deadlines and be results oriented
• Basic knowledge of statistical methodologies and techniques
• Desire to produce accurate, high-quality work; attentive to details
• Expert knowledge of MS Excel; Proficiency in MS Access, MS Word, MS Power Point
• Highly proficient in Advance MS Excel
• Ability to proactively find data quality issues and fix them
• Proficient with MS PowerPoint, Excel, Word, Project; Familiar with SharePoint
• Worked in Flexible / extended shift timings