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Kalai Magal, Process Associate

Kalai Magal

Process Associate·Sagility Healthcare

India

Bachelor's degree, Business Administration and commerce

Work experience

Total years of experience: 1 years, 10 months

Process Associate

September 2024 - Present

Sagility Healthcare

Coimbatore, India

September 2024 - Present

Processed Medicare Part D and commercial pharmacy benefit claims, resolving rejections and ensuring CMS/HIPAA compliance. Handled formulary management, drug tier validation, and Prior Authorization requests using PBM systems (MedImpact, CVS Caremark, ExpressScripts). Promoted to Internal Line Trainer; trained and mentored new hires as SME, improving highly process skills while maintaining high claims accuracy.

Company industry:
Other Healthcare Services

Education

PSGR Krishnammal college for women

April 2024

April 2024

Bachelor's degree, Business Administration and commerce

India

GPA (percentage): 82%

GPA (percentage): 82%

Skills

CITRIX WORKSPACE

Intermediate

COMMUNICATIONS

Intermediate

CONFLICT RESOLUTION

Intermediate

DRUG FORMULARY

Intermediate

CLAIMS AND LITIGATION MANAGEMENT

Intermediate

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT HIPAA COMPLIANCE

Intermediate

INSTRUCTION DELIVERY

Intermediate

MEDICARE PART D

Intermediate

PROCESS IMPROVEMENT

Intermediate

PROFESSIONALISM

Intermediate

Languages

English

Intermediate

Training and Certifications

Certifications
Project Management: Life Cycle and Project Planning
Excel Fundamentals for Data Analysis
Data Visualization in Excel
Design Thinking - A Primer
Tally Prime with GST Filing