AMIT CHAUDHARY

Al-Ewan Building, Ground Floor, Bur Dubai-Dubai

Email: acrx92@r.postjobfree.com Contact: 052*******

PROCESS/OPERATIONS MANAGEMENT PROFESSIONAL-BPO/ITES

Seeking challenging and growth oriented assignments in the field of Office management/documentation and operations management

PROFILE

Since and hardworking professional with experience acquired over the years in diverse areas encompassing process management, process transitions, client relationship management and team management etc. Presently performing in the capacity of Senior Executive- Claims Adjudication with EXL Services Pvt Ltd

Demonstrated skills in streamlining customer services function by designing innovative systems and processes to generate high value propositions for the customers.

Proficiency in supervising standard modifiers on all claims (paper and electronic) to primarily reject claims using non-standard modifiers.

Adroit in implementing service strategies according to the set targets and actively involved in controlling service deliverable as per given SLAs & TAT.

Possess indepth knowledge of CPTs and diagnosis related information. Hands-on experience in monitoring billing operations in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

Excellent planner with abilities in aiding growth and generating customer loyalty levels with strong background in implementing process improvements and quality initiatives for desired performance levels.

Core Competencies

MIS Documentation/Reporting Liaison/Coordination Team Management New Process Implementation Process Improvement Initiatives Relationship Management Training & Development Quality Management Analytical Skills

PROFESSIONAL EXPERIENCE

EXL SERVICES PVT. LTD. (for Hartford Insurance Group) since May’09

Senior Executive- Insurance Claims Adjuster/Investigator

Projects Handled:

New Transamerica account since Jun’15

Worker Compensation (May’09 – Jun’15)

Accomplish responsibility for stabilizing new processes for smooth operations and taking process improvement initiatives to achieve maximum efficiency in various operations.

Possess expertise in successfully handling bills under claim adjudication process Provider/Ductors, Hostipals, Pharmary NDC

Entrusted with the responsibility of preparing weekly and Monthly Business Review deck for the management

Performing in the capacity of SPOC for AIM Ideas in order to bring process improvement

Accountable for managing Penalty & Interest, Lien Settlement and Oregon Settlement which fall under the premise of MedOps Payment Processing

Implementing strategies to enhance operational efficiency and ensure adherence to all the set parameters to enhance the efficiency of various aspects of the service delivery cycle.

Accountable for maintaining daily progress report of every individual working staffs at the organizations to evaluate them after a month’s total productivity and submit the report to the top management to give them proper training for their improvement

Measuring the performance of the processes in terms of efficiency and effectiveness matrix and ensure that Service Level Agreements are adhered to.

Leading team and mentoring them towards better performance & efficiency while providing regular training sessions.

Handling backend operations for minimizing error level and enhancing productivity and implementing service strategies according to the set targets & actively involved in controlling service deliverable as per given SLAs – TAT.

Regularly coordinating with different client account managers and overseas team, enabling effective closure of verifications within set timeliness.

Projects Handled:

Platform Migration Project: Successfully transitioned work from older application to new application

Inventory Reduction Project: Prepared and executed the Inventory Reduction Tracker to minimize the backlog created post the migration of new application

Production Efficiency project: Identified the Pain points in the new application and worked on it and also worked on the production improvement plan to increase the individual productivity

EDUCATIONAL CREDENTIALS

B.A. (Pass)

Garhwal University in 2007, Dehradun

Certified in Introduction To Property and Liability Insurance Course (INTRO 320)

Technical Proficiencies

MS Excel, Word and Internet Applications

D.O.B: 10th Nov’1986

References: Available on Request

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