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Insurance Manager

Location:
Pasadena, CA
Posted:
September 07, 2017

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Resume:

Anu Priya.R

Mobile – 962-***-****

E-mail – ***.********@*****.***

OBJECTIVE:

A dynamic professional with 3 years of good experience in operations, Audit and BPO process space.

Proven skills in working with teams and also in sync with the corporate standards for achieving business and individual goals.

PROFESSINAL EXPERIENCE:

DELL BUSINESS PROCESS SOLUTION

2014 -2016 HC & INSURANCE OPS ASSOCIATE – Claims Adjudication

Examine and processing the system holding / denying claims and adjudicating them as per the policies and procedures

Understanding the medical history of the client

Calculate other insurance amount, re-pricing benefits and manual pricing

Achieving daily productivity targets and maintaining a good quality score

Pro-actively identifying and escalating issues and improving existing follow-up process

Coordinating the team by discussing customer complaints to reduce the errors

Maintaining & monitoring new updates related to U.S. health Care system, received from onshore and sharing it with the Team Members

2016-2017 QUALITY CONTROL:

Handing internal audit claims in team

Identifying the errors and take corrective action before product reach the customer

Provide training and audit feedback to associate in weekly refreshers

Maintaining the errors in spreadsheet and reporting to TQA Supervisor and Team Lead

Achieve a target on a daily basis which is assigned by TQA.

Worked as Assistant Accountant in HITEC CAARTONS INDIA PVT LTD at Coimbatore from June 2012 to August 2013.

COMPANY PROFILE:

Hitec Caartons India Private Ltd was established in 13.09.2006. It is a Manufacturing unit of Corrugated Boards, Boxes and Partitions operating in Tamil Nadu and Other States. The Company has 5 branches of Cartons, One Woven Fabric (Grey Cloth) Unit and HR Recruitment Consultancy.

Role and Responsibilities:

Monitor and analyze general ledger accounts to ensure accurate financial information is presented to management

Enter accounting entries for Payable, Receivable, Cash, Bank, Payable, Expenses

Monitor day to day routine accounting and financial activities

Checking Stock list and Placing Order based on available funds

Invoicing to clients - Prepare and forward invoices, debit notes, credit notes

Checking & Verification of bills, supporting documents, relevant approvals, Purchase Order

Fixed and maintained logistical charges for Inward and Outward goods

Managed Salary, weekly wages and Bonus for 85 employees

Monitored C-Form and Prepared Sales Taxes.

Complete the various tasks as assigned to by the department head from time to time

Managed Debtors and Creditors accounts, generating weekly on demand cheques

Providing monthly information to Manager Finance on outstanding payments, bills Receivable/Payable

Managed the internal and external mail functions.

KEY SKILL:

Ability to process and improve the productivity

Strong analytical, critical thinking and evaluation skills

Ability to prioritize and multi-task according to the business needs

Effective communication skill

ACADEMIC CREDENTIALS:

B.Com (ca):

Year of Passing : 2009-2012

Institution : Sankara College of Science and Commerce, Coimbatore

University : Bharathiar University, Coimbatore

Percentage of Marks : 72 %

12th:

Year of Passing : 2009

Institution : St. Thomas Higher Secondary School, Coimbatore

Percentage of Marks : 61%

10th:

Year of Passing : 2007

Institution : St. Thomas Higher Secondary School, Coimbatore

Percentage of Marks : 70

PERSONAL DOSSIER:

Date of Birth : 09-05-1991

Marital Status : Single

Language Known : English, Malayalam, Tamil

DECLARATION:

I hereby declare that the information given herewith is correct to my knowledge.

(ANU PRIYA.R)



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