Customer Care Insurance

RESUME

Selvam U

*-***, ********* ****** ****

Trisulam, Chennai - 600043

Ph: 956-***-**** E-mail: ******.***********@*****.***

Objective

To work in a challenging organization where my functional and technical skills will be well portrayed and to be a part of an organization where creativity, hard work and sincerity are recognized and well rewarded

BRIEF OVERVIEW

Currently working as Executive – Insurance Empanelment, Hospital Cash & Insurance Billing, resourceful in spearheading projects associated with insurance claims processing and transaction processing.

Successfully handled responsibilities with positive results.

Education

DEGREE/DIPLOMA

COLLEGE

Year of passing

MARKS

B.Ed

Cosmopolytian College of Education, Senkadu, Sriperumbudur

2013-2014

70%

M.Sc.,

Information Technology

A.M.Jain College, Chennai.

2006-2008

68%

PGDSIM

CSIM

2005-2006

68%

B.Sc., Mathematics

A.M.Jain College, Chennai.

2002-2005

58%

HSC

Sannathi Hr. Sec School, Vandavasi

2000-2002

66%

SSLC

Sannathi Hr. Sec School, Vandavasi

1999-2000

79%

Areas of interest

Hospital, TPA/Insurance, BPO, Teaching

Social work

It skills

Operating System : Windows XP/2000.

Languages : C, C++

Application : MS-Office, VB VB.Net.

Database : MS-SQL,

Web Designing : HTML, ASP.Net.

TRAINING

I have 45 days training teaching experience at Govt(ADW).Hr.Sec.School, Meenambakkam (Duration : Dec2013-Feb2014)

Work experience

Role : Customer Care Associate

Employer : Reliance HR Services Pvt Ltd

Period : June 2008 to July 2010

Roles and Responsibilities

Responsible and accountable for Sales

Doing outdoor activities for generating sales

Identifying Customer Needs and clarifying the doubts and providing solutions

Supervising Sales and Customer Care activities like monthly and weekly reports.

Role : Executive - Third Party Administer (Insurance Executive)

Employer : Vasan Health Care Hospital, Chennai.

Period : Aug 2010 to Sep 2012

Roles and Responsibilities

To Read case history and advise the Surgical Procedure as per doctor advise and discuss about Surgery amount, Pre-Operative test, Pre-Operative medicine, Post-Operative medicine & Precaution then conform the date of surgery

To collect the needed documents and send the mail to the corresponding TPA or Insurance Company then within 24 hours to get a Pre-approval letter from TPA or Insurance Company

To Discuss with patients about date of admission and Pre-approval status

To send all documents (FB, DOS, CL, AL) for Claim Process

Role : Data Analyst

Employer : District Child Protection Unit, Dept of Social Defence, T.V.Malai

Period : Sep 2012 to Aug 2013

Roles and Responsibilities

Profiling & updating of children in Govt run homes and juveniles in Observation homes, Special Homes, After Care Programme.(Monthly)

Create city mapping (Map Resource & Vulnerable), Preparation of resources directory in the district.

Preparation of Home and School enquiry report of the children under sponsorship programme at ICPS. (Ongoing)

Prepare Report of Each Child under investigation in an particular format.(Each Case)

Uploading & Updating of child tracking data in the child tracking system of all institutions care programme including children’s homes Govt of NGO adoption Agencies, open Shelters, reception units in the district. (Monthly)

Web portal data for children missing and found to be updated. (Monthly)

Role : Billing Executive – Provider Enrollment Team

Employer : Access HealthCare Pvt.Ltd

Period : Oct 2013 to July 2014

Roles and Responsibilities

Handling a Demo Entry, Charge Entry, Welcome packet generation for all switch practice provider

Client Communication via monitoring inbound mails and Athena software.

Handling the transaction process for all switch practice provider (Cogent, Med-Express, Privia & Groups, CAQH Process, Indexing, Claims, Special Projects)

Update the new updates for process on day by day activities

We make the format as told by our Client and Send the Output to our Client

We finish the work as per TAT with our Client

Preparing the daily Issue and concern reports in excel sheet

Achievements:

Got client appreciation for denial claim projects

Role : Executive – Insurance & Billing Dept.,

Employer : Grace Multispeciality Hospital, Keelkattlai, Chennai.

Period : Aug 2014 to Till Date

Roles and Responsibilities

Handling the provider new Empanelment Process with insurance companies & TPA’s and also renewal process.

Handling the billing & claim process for IP patients & observation patients

Supervising the pharmacy transaction & stock.

Monitoring the Administration activities.(Daily attendance, Salary, Supplier payments, consultant payments )

Monitoring the Accounts activities (To prepare & submit the income documents to auditor).

Personal Information

Father’s Name : K. Ulaganathan.

Date of Birth : 30-08-1984.

Languages Known : English and Tamil.

Martial Status : Married.

Nationality : Indian.

Religion : Hindu.

Alt No : 954-***-****

Address for communication : C/o.Kutty Muthulaxmi

# 1/437, Vaithiyar st[extn],

Thirisulam, Chennai-43.

Declaration

I hereby declare that the information furnished above is true to best of my knowledge and belief.

Place: Chennai

Date: (Selvam. U)

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