Curriculum vitae.

Vikash anand

Govind nagar house no.51 ratu road, ranchi,jharkhand.

Ph.no 099********

E-mail ID ac28ah@r.postjobfree.com

Academics:

Mba from PSB college pune.(Marketing) 2010.

Work Experience:

A .position held: relationship manager at premsons motors Nexa, ranchi

Experience : 15th march 2017 till day

Roll in job.

. conducting the event of Maruti Suzuki nexa

. handelling the customer at showroom

. visiting customers place for test drive

. co-ordinating with bank for finance

. co-ordinating with DTO for registration of vechicle

. supporting my team for closing the sales target.

B. Position held: team lead at Infosys, pune

Experience : 2 month (1st sep 2016 – 31st oct 2016)

Team size : 40 people

. Worked for healthcare domain as a Team lead.

. Taking training from the client and training the team .

. Creating SOP (standard operating procedure) for the team member and the managers .

. Involved in updating Inventory, MIS, and Production Planning.

. Supporting the team members for various doubts arising while processing the claims.

C. Position held: Sr Associate at Trizetto A cognizant company., Pune

Experience: 5.4 years –(10th dec2010 5th aug 2016)

Team Size: 23 people

Worked extensively in Healthcare domain for 5.4 years as Claims Analyst.

Extensively involved adjudicating the claims for US healthcare.

Involved in updating Inventory, MIS, and Production Planning.

Supporting the team members for various doubts arising while processing the claims.

Good Interpersonal skills and eager to learn new technologies.

Job Profile

Role in Job:

Accepted challenges to prove the ability, when process went on live I have taken the new role & initiative to prove my skill to support the Team in their Day to day activity by handling the below mentioned tasks likes:

Operations:-

oRun inventory from QNXT and Claims adjustment.

oProduction planning & monitoring the same.

oMaintain & update all MIS reports.

oSharing updates with team.

oAttending teams queries.

oUpdate the Logs for SSS Edits & Claims adjustment process when it is required

oIf there is any technical issues occur then immediately send the mail to onshore IT department and follow up the same.

oMaintained the Individual production record. Maintained and cross verify the downtime sheet for each & every individual to ensure for correct record.

Quality Assurance:-

oOn the based on process knowledge taking the initiative for doing Audit on Internal basis & doing it well so that till date there is no any escalation from client end. Also, provide the immediate feedback to the examiner for correcting the Error.

Technical Support:-

oAny technical issue occur within the team, or any application related issue checking it from our end then sent request to IT department & communicate for the same.

Transition:-

oWhen new project came on Legacy system taken the challenges to handle it very effectively & communicates for the same with client on call with my supervisor. When our PDH went on onshore.

oNew Project on Legacy system.

Locality_50

Localtiy_20

Training:-

oFor any new Edits, separately took the task as challenge and give the training to the team as per guidelines provided by the client and communicate the same with the client if any query comes while operating on the Edit.

oAs in addition when team has sitting ideal taking the responsibility to cross trained the Examiner so that whenever it is required we can use the resource for the same activity. By using the same we can assure that no one can sit ideal in production time. Also prepared the cheat sheet for Edits (QNXT) & Locality 50(Legacy.

oCross trained the new resources in different Edits.

Claims adjustment

oMore independently handling adjustment process from the start date without any escalations from client end and ruined the process very smoothly.

oHandling team’s query.

oSharing updates received from client end with the team.

Significant Personal Contribution:

oTook the challenged and show my ability to handle the SSS Edits, Enrollment and Claims adjustment processes for 3 Months independently & smoothly in the absence of supervisor and Manager. There is no any escalation from client end during the time frame.

oReceived Error feedback from client – Verify all the errors & sent rebuttals for few.

oReceived new updates for Special cob communicate the same with team & shared new update.

Leadership Aspects:

oAbility to work in stressful situation without showing distress to others. Also manage to take the decision on behalf of my supervisor which is likely to benefit the organization/client.

oIdentified and mentored examiners with weak skill set. Regular mentoring, motivating and unraveling the process ambiguities to make-work easy and bring about a marked improvement in productivity

Team Work:-

oBeing a part of a team, manage to deliver the work on assured time. Keep motivating the team by using the clear, perceptive and healthy environment.

Achievements & Appreciations

oGetting appreciation Emails from client side many times for delivering exceptional quality work in given time frame.

Knowledge in Previous Platform :

o1.Lumix (pilot process in Adjudication)

o2.QNXT

o3. Facets

Planning

oSupport Team Lead in planning phase.

oBe an effective backup of the Team lead.

Execution / Monitoring

oCo-ordinate with Team Lead for Planning and Estimation.

oSupport in Induction program, training.

oSolve any issues with possible solutions and workarounds.

oParticipate in client / internal meeting (s) to discuss progress, raise/resolve issues.

oTimely escalation of any show stopper issues.

oAdjudicating the claims for US healthcare which includes :

Processing EOB claims.

oExperience of working with Facets.

oDownloading claims excel from FTP and distribution of claims within the team members.

oPreparing Question and Answers for various doubts arising while adjudicating the claims.

oPreparing Rebuttals for the errors received from client and clarifying the guidelines used for processing.

oExtensive experience of working in Claims, Provider Matching, Membership subsystems.

Reporting

oPreparing Daily and Weekly Status Report and get it reviewed by Team Lead

oActive participation in preparation of reports like Monthly report, Inventory report, Quality Report.

Personal Information

Date of Birth : 5th January 1986

Permanent Address : Govind nagar, House no 51, Ratu road,Ranchi, Jharkhand.

Father's Name : Mr. Ayodhya prasad

Nationality : Indian

Marital Status : Single

Language Known : H,indi & English.

Hobbies : Playing cricket, listening to music,watching

movies.

Declaration

As a person with good academic credentials,motivation and capability for hard work, I am confident of doing very well in my fields of endeavor, and to the advantage of the organization I work for .

I here by declare that the information furnished above is true to the best of my knowledge.

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