Gopal Brahmadev Sharma
Mobile: 996-***-****
Email ID: ***********@*****.***
CAREER OBJECTIVE
To seek a challenging and responsible position in a large and professional organization where I will have the opportunity to make a positive contribution to business Growth and to achieve a personal development and a career advancement, where it would strongly help in motivating my capabilities to fully prove my worth and my soon to be a team to a substantial target beating performance.
Profile
A young professional with a unique combination of Business Experience & bringing to the table the ability to combine business development.
Experienced
In the Process, logic and implementation of business layouts, and business requirements for a better work environment.
Professional Goals
Include Continuing to develop world class solutions to real world challenges. Skills & Strengths
Have Excellent Communications Skill Good Data Analysis and Reporting Skills Maintaining high Standard of work under pressure
Take Initiative to Learn new things on my own and make suggestions to refine the process. Good attendance record and dependable
Hard working and patience
Capability to acquire new skills to keep pace with changing scenario and have effective communication. WORK EXPERIENCE
* Gallagher Bassett COE LLP
Customer service executive since Sep 8 2023 till current date Profile: Handling inbound calls from Provider Hospital attorney as well as the Claimants regarding their Coverage and benefits including prior auth.
*Gebbs Healthcare Solution Pvt Ltd.
As Senior AR facility for Prior authorization department Flatiron and Scurtinizing denied Authorization. Sending them Medical Correspondence and schedule Peer to Peer with the providers if requiered and to obtain benefits from the Insurance Company for the Subsriber since Feb 2022 till July 6 2023 Profile: Making Outbound Calls to the Insurance Company. To get an approval if Prior Authorization is required and to cross verify their Eligibilty and Benefits and working for Claims.
*Infinx Services Private Limited (Since December 2020 to October 2021 as pre Auth Analyst) Department Radent, Process Insurance Review
Profile: Making Outbound Call to the Insurance Company to get an approval Before Rendering any services to the Patient for US client
Interacting with them if any necessary & additional correspondence are required to determine the case Requesting additional correspondence from the Client if they are missing and fax them to Health Insurance Company if its required.
*Started Working with Desi Global DUBAI (Since March 2019 to Jan 2020) Profile: Operation Sales Executive
Achieving Self Sales Target, Collecting Pending Payment, Documentation for Enrolled Clients making Agreements Achieving Monthly Targets and Closure.
*MEDISER SOLUTIONS PRIVATE LIMITED (SINCE MARCH 2017 TO FEB 2019) Senior Associate Customer Service Process: Magna Care Benefits Claims Adjudication Pre-certification.
Profile: First 6months Worked as an Associate
Handling In bound Calls for Health Insurance company from (USA) Hospital Physician and Nurse’s regarding Claims & Benefits by assisting the customer and helping them with their queries. Handling calls and assisting Doctors Provider & customers After 6 months Floor walking for New team & NEW Employees who need help and assistance while handling calls Handling Escalated Calls those which agents could not handle are needed to transfer to the Supervisors.
*HiTech Solutions (April 2013 to February 2017)
Making Outbound calls to the Clients and Convincing them to get Interested to buy Insurance Lead generation Make Hard Core Sales
Make them Understand and the Importance of having Term Insurance I used to achieve their daily weekly & monthly targets as per business requirement Maintaining Business Standards with Zero Tolerance Policy
EDUCATIONAL QUALIFICATION
S.S.C Passed From Maharashtra Board in 2010
H.S.C Passed From Maharashtra Board in 2012
ADDITIONAL QUALIFICATION
Diploma in the field of Travel and Tourism 2013 (International Air Transport Association) Computer knowledge: MS Excel Word
Interest: Listening to Music Travelling and Exploring new place PERSONAL INFORMATION
Nationality: Indian
Date of Birth: 07-07-1994
Sex: Male
Marital Status: Unmarried
Religious: Hindu
Language: English Marathi & Hindi (Speak Read & Write) Current Address: FL-03 Basant CHS Plot-12 Sector 5 Kharghar Navi Mumbai - 410210 DECLARATION
I hope my education and experience will help me to get an opportunity to serve with your esteemed organization. I get a chance to serve there that I will discharge my duties my Superiors.
(Gopal B Sharma)