Customer Service Insurance

JOSLIN GLADIES

Mobile: +91-812*******/ 701*******

Email: **********@*****.***

Professional Exposure

Highly motivated and ambitious ITES professional with 4+ years of extensive experience in

Accounts Receivables Customer Support

Denial Management Health Insurance Product

Travel Consultant

Professional Experience

Organization

Place

Company Profile

Duration

Job Title

Years of Exp

Job type

Data Telesis Pvt. Ltd

Chennai India

US Dental / Medical Billing

July'11 to Mar'14

Customer Service Executive

2 Years

9 months

Permanent

Aegis Limited

Bangalore India

Expedia NA Service

Mar’ 16 to June’ 17

Sr. 05 Associate

1Year 4 months

Permanent

Educational Qualification

Degree

Duration

Institution

University / Board

Course

H.S.C

2095-96

National Open School, New Delhi

Senior Secondary School Examination

Correspondence

S.S.L.C

2091-92

All India Sr. Sec. Holy Child School, New Delhi

Central Board of Secondary Examination

Regular

Detailed work experience

Job description: Data Telesis Pvt. Ltd

Accounts Receivable Specialist follow up on outstanding balances with various insurance companies and/or patients with outstanding balances in Medical Claims

Reviews all outstanding claims filed to designated payers and/or patient accounts for which payment or denial has not been received within 28 days of billing.

Utilizes practice management system to generate reports and data used in working claims in the various aging buckets.

Utilizes practice management system to correct and rebill claims as determined necessary through follow-up with the various payers.

Utilizes the designated payer websites for effective follow-up and claim rebills.

Utilizes the designated payer provider telephone centers for assistance in claim follow-up and collections.

Check the web portal of all designated payers to remain current on knowledge of payer’s rules, regulations, pending changes, etc.

Receives from payment posting all zero pay and denial claims for research, correction and rebill, write-off, or transfer to patient responsibility.

Contacts patients with regard to any unpaid claims which are the result of patient’s lack of knowledge or action to successful have the claim processed and paid.

Job Description: Aegis Pvt Ltd (Expedia NA process)

Worked as Tier2 Supervisor for Billing in Voyager Lodging, Voyager Flights and Airline Website in accordance with GDS portfolio working with Sabre and Amadeus tools

Expertise for Expedia, Travelocity, Hotwire, for Hotels, Flights, Car, Shuttle and Activities as Standalone and Package

Curent Rôles and Responsibilities in Aegis Pvt Ltd:

Maintain Professional image as per organization image quality standards.

Execute traveler’s checks sales.

Prepare weekly or monthly reports as required in written as well as computerized.

Attain every sales goals established by company.

Ensure issuance of Inter-American and International driving permits.

Participate in all educational opportunities as required

Respond to all phones as well as greet clients.

Order and maintain miscellaneous brochures.

Ensure to stock work area of required supplies.

Respond to all calls quickly, professionally and courteously.

Ensure to complete all return calls everyday.

Develop travel arrangements with organization-authorized car, hotel and flight as well as ground transportation suppliers in cost-effective mode possible.

Utilize the latest acquired information to make required arrangements like BOOKING,CANCEL HOTELS, CAR AND INSURANCE. BOOK, EXCHANGE AND VOID FLIGHTS AS PER AIRLINE FAIR RULES POLICY APPLYING- GDS, SABRE AND AMADEUS TOOLS TO EXECUTE

Upgrade with EUREKA UPDATES on policies and norms to improve standardization

Achievements in Job:

Received Appréciations and Customer Satisfaction C-SAT’S

Soft Skills:

Positive attitude, Good command in English, Time management and Strong organizational skills.

Excellent capability to demonstrate innovation and good judgment and problem solving skills when making decisions.

Personal Information:

Date of Birth: 20th Jan

Marital Status: Married

Kids: None

Nationality: Indian

Sex: Female

Languages Known: English, Hindi, Malayalam and Tamil

Contact this candidate