Senior Associate
Cognizant Technology Solutions
مجموع سنوات الخبرة :3 years, 10 أشهر
Process : US Healthcare (Policy Enrolment and Maintenance)
Responsibilties
•Member Enrollment - Enroll the subscriber and dependents on various health plans provided by the client.
•Policy maintenance - Perform various contract maintenance operations such as change of coverage, cancellation/reinstatement of policy, add/cancel members, update personnel and geographical details on subscriber request, add/remove payment option etc.
•Send Fix letter to the policy holder - send fix or confirmation letter to the subscriber to update critical information on the policy .
•Mailbox operations- Take care of various clients request on daily basis, ensure that all the urgent requests are resolved within the stipulated amount of time and ensure the acknowledgement to the customer to be sent in time about the status of the request.
•Presentations in Team meetings - Give presentation on various project as well as domain concepts and updates during team meetings.
•Handling emergency situations - Handled emergency if there are excessive enrolment/maintenance requests, special projects etc.
•Quality Assurance - Perform auditing of various transactions done by the associates . To ensure that the transactions are made correctly based on the SLA before the final production report sent to the management.
•Mentoring Trainees - Acted as a mentor to the trainees during production. Handle their queries and help them during production.
•Najd Al HadeedTrade.Est
Muscat, Sultanate of Oman
Worked for the "Wellpoint", one of the leading healthcare payer in U.S. Job profile include enrolment of different US customers into health polices based on their request. Maintenance of policy including cancellation, add/remove dependents, change mode of payment etc. To do Quality Assurance for the junior associates, send d daily report to the higher management.
Worked for the "Wellpoint", one of the leading healthcare payer in U.S. Job profile include enrolment of different US customers into health polices based on their request. Maintenance of policy including cancellation, add/remove dependents, change mode of payment etc. To do Quality Assurance for the junior associates, send d daily report to the higher management.
Responsibilities:
•Client negotiation - Negotiate with the clients about the business proposal with the company on various terms including monthly rent of the equipment, nature and tenure of the contract, Equipment specifications, shift, Operators documents, mobilization and demobilization of equipment, payment terms and conditions etc
•Senior level management support - Prepare quotations for the equipment on behalf of the company. Create, manage and update the database of hiring charges, overtime, billing details, Validity of equipment documents including PDO sticker, license, Safety and operator specifications including PDO permit, H2S . Keep a track of all these records and update management in time . Inform senior management if there is any emergency, work related issues, Operators issues etc
Process : Reinsurance
Responsibilities:
•Logging and Indexing of Claim Correspondence - analyze and Prioritize Client, market and internal Correspondences and index them according to the type of query.
•Query Resolution - Analyze the indexed queries, perform extensive search on various systems and finally send the resolutions for the enquiries to the concerned party.
•Claim processing - Receive various claims from the clients who are located all over the world process it according to the client specifications and procedures and send the closure to the bureau as well as non bureau market.
•Mentoring Trainees - Acted as a mentor to the trainees during production. Handled their queries and helped them during production.
•Presentations in Team meetings - Gave presentation on various project as well as domain concepts and updates during team meetings.
•Handling emergency situations - Handled emergency if there are excessive client documents. Completed allocated documents within the TAT period.
•Cross-Training - Have been cross trained on other projects upon client as well as team management requests.
•Technical Accounting - Process claims as well as premium payment on behalf of underwriters and clients.
Post Graduate n Computer Applications from Oxford College od Science(Bangalore University)
Bachelor in Computer Science from MG University, Kottayam, Kerala