SURESH .P Phone

: 095********

E-mail ID : acgrlk@r.postjobfree.com

OBJECTIVE:

To secure a position with a well established organization with a stable

environment that will lead to a lasting relationship in the field of US

Health Insurance.

Academic Qualification

B.pham from G. pulla reddy college

Intermediate from Board of Intermediate in AEJC.

Tenth from Board of Secondary Education, National open School.

Summary

9+ years of exclusive experience in BPO industry in Health Insurance

Domain.

Strong in problem analysis and resolution skills with good communication

and

interpersonal skills.

A fast learner who is flexible and enjoys mastering new job assignments.

An excellent team player as well as individual contributor.

Software skills

Operating system: Windows 98/2000.

Others: All Office packages.

Personal Attributes

Highly organized and efficient, a flexible and versatile team player who

will work hard and excel in any environment. Reliable, dependable and

conscious of duties and responsibilities. A positive approach to all tasks.

The ability to form good relationships with both peers and staff.

Strengths:

Adaptability.

Leadership through example.

Strategic Manpower Planning & People Management skill.

Good communication skills.

Strategic thinking and proper planning.

A rapid learner.

Professional Experience:

Hinduja Global Solutions, Bangalore. 14th February 2005 - Till date

1. Have been presently working in "Hinduja Global Solutions" as a "Senior

Processor" with M1 grade for a US based company which is among the

Fortune 500 client in the area of Health Insurance from February 2005

to till date.

2. The tasks involved are determination and adjudication of health

insurance

claims based on client requirements and various plan benefits.

Project Profile:

Title: Automatic Claim Adjudication System (ACAS).

Client: Polo

Role: Sr. Claim Processing Executive.

Job Profile:

3. Providing Healthcare Insurance based Non-voice services to US-based

customers.

4. Maintaining TAT (Turn around Time) with Quality & Production.

5. Verifying the claim submitted by provider.

6. Analyzing & processing both Medical & Hospital claims based on HCFA

1500 and UB-92 forms.

7. To ensure both customer as well as provider satisfaction by analyzing

& processing the claim promptly and accurately within the specified

time.

8. Keenly managed team as a Senior Processor.

Roles and responsibilities during this tenure:

. Presently handling high dollar claims in Quality team .

. Was selected as a mentor for 10 batches of 10 processors each.

. I audited claims for a batch of 6 team members.

. Maintained SLA's consistently right from hitting the floor.

. Taking KMT updates to the entire team.

. Working on aged claims of the team.

. Consolidating the aged reports and rework projects.

. Out beat the set targets (in) for processing 86,000 claims a year to

achieve Second Place in claim adjudication for the year 2007.

. Handled both Adjudication and Post Adjudication of Claim scenarios.

Achievements During this tenure:

. Have received Award for maintaining 100% Quality continuously from

July2007to April 2008.

. I have gained 5 awards named as "Top Gun Award's" for Outstanding

performance on the Job, highest processing of claims with 100% accuracy.

. Have won "BUSY BEE" award for 100% attendance.

. 100% Quality in high dollar team.

Personal Details:

Name : SURESH P

Date of Birth : 22nd Dec, 1981.

Address : C/o P Bikshapathi, H: No: 182,

Plase II EC

nagar,cherlapally

Hyderabad

Phone : +919*********,

Passport No : BVLPS5588N.

Nationality : Indian.

Martial Status : Married

I here declare that the above written particulars are true to the best of

my knowledge and belief.

Place : Bangalore Thanking you,

Date :

(Suresh.P)

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