MOHAMMED AHMED

CLAIMS REPRESENTATIVE

Address: **-**-***/*/*, Warasiguda

Secunderabad, Hyderabad

Telangana-500061, INDIA

Email: ac7y09@r.postjobfree.com

Phone: +91-779******* (Personal)

+91-944******* (Home)

EXECUTIVE SUMMARY

More than 03 years of experience in the field of Health Care (Claims) as a Claims

representative/Claims examiner.

Working with Top MNC i.e.: United Health Group (OPTUM)-U.S.A, Site (Hyderabad-INDIA).

Received Star Awards x2 for Best Performance from OPTUM-UHG (Hyderabad-INDIA)

Received Venus Awards x3 for Best Performance from OPTUM-UHG (Hyderabad-INDIA)

Proficiency in English Language, Strong communication with the team.

Completed M.B.A from Osmania University (O.U) - Hyderabad, INDIA

PERSONAL DETAILS

Full Name : Mohammed Ahmed

Date of Birth/Age : 20-07-1994

Gender : Male

Languages Known : English, Hindi, Urdu & Telugu

Nationality : Indian

EDUCATIONAL QUALIFICATIONS

(MBA) Osmania University INDIA

FINANCE MARKETING

(B.COM) Osmania University INDIA

COMMERCE

(HSE) Board of Intermediate INDIA

CEC

(SSC) Jawahar V.N English High School INDIA

SSC

PROJECTS:

Title Investment in Financial Markets

Company Invests Leaf Management Solutions

UNITED HEALTH GROUP (OPTUM)

Company

UnitedHealth Group is a distinctively diversified health and

well-being company headquartered in the United States, and a

About leader worldwide in helping people live healthier lives and

helping make the health system work better for everyone.

Designation

CLAIMS REPRESENTATIVE Date: Aug 2015 to Present

Location

Hi-Tech City, Hyderabad-

INDIA

JOB RESPONSIBILTIES:

Process claims, that route out of automatic adjudication, within current turnaround standards.

Able to understand and apply plan concepts to include: Deductible, Coinsurance, Copay, Out of

pocket

Processed claims adjustments when applicable

Analyze patients records and medical history and maintain the records relating to medical

payment.

Escalated issues or inquires as required.

Demonstrate increasing the productivity to meet minimum requirements while

maintaining quality standards.

Maintained knowledge on policies and procedures of processing on a daily basis.

Worked with team members to ensure consistency among all staff in procedures

used.

Worked with trainers, mentors and managers on streamlining processes when

areas for growth are identified

Worked with the company systems and completed all assigned tasks, working

overtime as needed.

Successful completion of required training programs.

Publish production report to the team on daily basis.

PROMOTIONS IN UHG-OPTUM

Moved from L1 to L2 stage with in a time period of 14 months.

REFERENCES:

Mr. Syed Wasim, Process Mentor (UNITED HEALTH GROUP-OPTUM) Hyderabad-INDIA.

Mr. Mohd Azhar Uddin, Team Leader (UNITED HEALTH GROUP-OPTUM) Hyderabad-INDIA.

DECLARATION:

I hereby declare that the above-mentioned information is correct up to my knowledge and I bear the

responsibility for the correctness of the above-mentioned particulars.

(Mohammed Ahmed)

Applicant

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