Saurabh Kushwah

 CURRICULUMVITAE SAURABH KUSHWAH -,- Email:- Wazidpur Village, Sector-63 Noida, U.P. __________________________________________________________________________________________ OBJECTIVE __________________________________________________________________________________________ To work in challenging atmosphere which provide higher responsibilities and ample opportunities for learning and growth and that will enable me to use my strong organizational skills, educational background and ability to work well with people. __________________________________________________________________________________________ WORK EXPERIENCE __________________________________________________________________________________________ Company Profile United Health Group India __________________________________________________________________________________________ UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone. Serving more than 80 million individuals worldwide with health benefits and services.Operations in all 50 states in the United States and 20 other countries worldwide. PERIOD FROM 13th August 2012 to Present DESIGNATION Sr. Claim Adjudicator PROCESS Medicare & Retirement DOMAIN Health management __________________________________________________________________________________________ Work Profile & Job Responsibilities __________________________________________________________________________________________ Responsible for the accurate processing and completion of medical claims. Process claims, that route out of automatic adjudication, within current turnaround standards. Claims Adjudication for paying claims submitted or denying them after comparing claims to the benefit or coverage requirements. Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards Special projects as required. Ability to understand and apply plan concepts to include: - Deductible- Coinsurance- Copay- Out- of- pocket- Maximums, inside limits and exclusions- State variations. Recognize issues related to variable deductible, coordination of benefits, carve- out and alternate benefits Proficiency in product lines applicable to processing unit. __________________________________________________________________________________________ Company Profile EXL BPO SOLUTION Pvt. Ltd. __________________________________________________________________________________________ EXL BPO SOLUTION is a global outsourcing and consulting firm delivering a complete range of human capital management services to companies, including HR and Benefits Outsourcing, HR Strategy and Technology, Health Care, Organizational Change, Retirement & Financial Management and Talent & Reward Strategies. PERIOD 6th June2011 to 11th August 2012 DESIGNATION TEAM MEMBER PROCESS ROYAL BANK OF SCOTLAND (RBS) DOMAIN Motor insurance / GNEF claim verification _________________________________________________________________________________________ Work Profile & Job Responsibilities __________________________________________________________________________________________ Process the claim according to the member request letter. Set a request for future cancellation and delete a claim. Maintained the daily transactions data in the MS excel sheets. Always exceeded or consistently met client expectation __________________________________________________________________________________________ Academic Qualification __________________________________________________________________________________________ BACHELOR IN COMMERCE JAIN DEGREE COLLEGE, BHIND INTERMEDIATE & MATRICULATION SCHOOL OF EXCELLENCE NO.1 BHIND ____________________________________________________________________________________________________ Personal Profile __________________________________________________________________________________________ Date of Birth - Father’s Name Mr. Ram Singh Kushwah Marital Status Un-married Language Known English, Hindi Hobbies Diary writing __________________________________________________________________________________________ Key Strengths ___________________________________________________________________________ Team work Adaptability & flexibility Self-motivated Attention to detail. Written and verbal communication skills. DATE: - ………………….. PLACE: - …………………. (SAURABH KUSHWAH)