RESUME

CAREER OBJECTIVE :

I would like to pursue my career in a work environment that will utilize and reinforce my technical skills and abilities and also to apply and gain new cutting edge skills and experience in a rapidly changing field.

SUMMARY :

3 Years’ experience in US Healthcare Claim Adjudication and Adjustment.

Experience in collaboration the process knowledge with technical skills.

Ability to work well in both a team environment and individual environment.

EXPERIENCE :

3 years’ experience in ACCENTURE, Chennai

Role : Senior Process Associate

Process : Claims Adjudication

Description:

Claims adjudication process for No: 1 US Health Insurance Payer

Processing claims in all sub-process in Adjudication - High-Dollar Claims, COB

Claims, Adjudication, Member Submitted Claims, DRG Pricing & Drug Claim.

Initiatives done in provider database to increase the claims auto adjudication rate.

Well-trained in Medicare processing claims and also placed SME role in Medicare Team

ACADEMIC QUALIFICATOIN :

Year

Qualification

Institution

Percentage

2012

BCA

Dhanraj Baid Jain College,

Thoraipakkam.

72%

2009

HSC

Shri Venketeshwara Higher secondary school

68%

2007

SSLC

Shri Venketeshwara Higher secondary school

75%

COMPUTER SKILLS:

MS Office

•.Word,Excel,PowerPoint, Basic HTML

EXTRA CURRICULAR ACTIVITIES:

Got Certificate From Diploma in HUMAN RESOURCE MANAGEMENT

Did Mini Project in the Topic Automobile Utilization using VB and MS ACCESS.

PERSONAL SKILLS:

Logical And Innovative thinking.

Looking forward to do the new work.

Active Participation as a member in team works.

Have Abilities to lead others.

PERSONAL PROFILE :

Father's Name - V. Elumalai

Date of Birth - 22.08.1992

Marital Status - Single

Address - No 14, Lake View Street,

Ullagaram,

Chennai-61.

Mail Id - ac4shy@r.postjobfree.com

Mobile No - 880-***-****

Language Known - English, Tamil

Date : (E. JANCY)

Place : Chennai

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