Divya K S

• Conduct thorough audits of medical claims to ensure alignment with contracts and benefit plans.
• Identify and rectify errors and discrepancies in claims processing to enhance accuracy.
• Ensure compliance with all regulatory requirements to maintain industry standards.
• Maintain precise records and generate comprehensive reports to support claims management.
• Communicate any claims observations or issues promptly to improve operational efficiency.
• Provide essential support to the insurance manager, adapting to the evolving business needs.
• Leverage analytical skills to streamline claims processes and improve patient satisfaction.

• Coordinated and networked effectively with insurance companies to ensure seamless eligibility verification, payment processing, and approval management.
• Served as a key liaison among the organization, insurance providers, agents, claimants, and policyholders, facilitating clear communication regarding claims status and coverage eligibility.
• Managed the filing and tracking of insurance claims, ensuring timely updates to employees on their claims status.
• Processed insurance and disability claims efficiently, contributing to improved turnaround times and customer satisfaction.
• Prepared comprehensive insurance documentation, enhancing organizational compliance and operational efficiency.
• Transitioning into a multifaceted role that includes receptionist duties, patient administration, and technical claims auditing to further streamline processes and enhance service delivery.

•Facilitates effective communication between insurance companies to ensure seamless eligibility verification, payment processing, and approval management.
•Serves as a primary point of contact for the organization, insurance providers, agents, claimants, and policyholders to clarify coverage status and eligibility for claims.
•Efficiently files and monitors insurance claims, providing timely updates to employees on their claims status to enhance transparency.
•Processes insurance and disability claims promptly, ensuring adherence to deadlines and regulatory requirements.
•Prepares comprehensive insurance forms, ensuring accuracy and compliance with industry standards.
•Demonstrates strong organizational skills and attention to detail in managing multiple claims simultaneously.