Microsoft Office Higher Secondary
Resume:
S.Vasanthi
No: **, Munusamy Street, Manali,
Chennai 600068, Tamil Nadu, India.
+91.709-***-****
@******************@*****.***
To use my skills in a challenging environment in which I am given the opportunity to play a direct role in the growth and success of the organization.
Excellent interpersonal skills, capabilities of resolving complex issues.
Self-motivated with a positive attitude and willingness to learn and face new challenges.
Cognizant Technology Solutions
Department: Health Net From April 2014 till date
Platform: Health Care
About the process
The Process involves in processing the member appeal for the State Health Plan, where team process the appeal by acknowledgement the cases, taken decision to forward to the different departments and close the case with in given time after solve the case.
Responsibilities:
Reviewing and analyzing all types of Member complaints.
Identifying the Issues and classifying as Appeal or Grievance.
Documenting all the required documents in the Folder.
Researching the claims to identify whether the claim processed appropriately.
Investigating whether authorization needs to be provided to requested services.
Taking determination for Appeal cases.
Preparing Closure Letter to member.
Auditing the Cases.
Delivering the output as per the Clients’ requirement.
Co-ordinate with the teams to resolve the grievance within time line.
Assigning/Triaging the cases to team members.
Routing the queries to respective department for their response.
Preparing Daily Report for team
Circulating the status/clarifications internally through email
Degree
School / College
Board / University
Year of Passing
%
BSC (CS)
Thiruthangal Nadar College
Madras University
2013
72%
Class 12
St. Ann’s Matric Higher Secondary Schhol
State Board
2010
67%
Class 10
Dr. Sivanthi Adhithanar Girls Higher Secondary School
State Board
2008
81%
Citrix tool
C,C++,Java & Visual Basic
Microsoft Office
Date of Birth : 6th July 1992
Marital Status : Single
Citizenship : Indian
Languages Known : English, Tamil
Contact this candidate