Mohammed Riyaz Ali

CLAIMS ASSOCIATE

My work here is adjudication of claim and to check whether the claim is paid correctly or not, if not then to adjust the claim and make proper and correct payment. adbwt0@r.postjobfree.com

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Mohammed Nagar, Bandlaguda,

Hyderabad, Hyderabad, India

SKILLS

COMMUNICATION SKILL

QUICK LEARNER AND

SMART WORKER

GOOD INTERACTIVE

SKILLS

LANGUAGES

HINDI

Native or Bilingual Proficiency

URDU

Native or Bilingual Proficiency

ENGLISH

Native or Bilingual Proficiency

INTERESTS

VOLUNTEER WORK

READING BOOKS

SOLVING PUZZLES

WORK EXPERIENCE

10/2018 – Present

CLAIMS ASSOCIATE

HYDERABAD/UNITED HEALTH GROUP

HYDERABAD

Managing overall suspends within A TAT

OJT Support

Scheduling The Time For Internal Quality Review Sessions Internal Auditor For Outliers

HONOR AWARDS

• Star Performer (07/2019)

ACHIEVEMENTS

SPOC LEADER FOR THE SOCIAL ACTIVISM IN OUR ORGANISATION (05/2019 – Present) Star Performer for consequently for 4 maths &Q1 Award holder. (07/2019) VOLUNTEER AT CAREER GUIDANCE COUNSIL (03/2019 – Present) PERSONAL PROJECTS

COMMERCIAL CLAIMS (DEFAULT) ADJUTICATION (10/2018 – Present) Process: United North East (Oxford Health Plans)

: UNE (Oxford Health plans) is the managed health care company which is a part of the UnitedHealth care organization and subsidiary of UnitedHealth Group which provides benefit plans to members in state of Connecticut, New Jersey and New York. Oxford Health plans products include its freedom network and Liberty network HMOs as well as freedom and liberty point of service plans that combine the cost controls of managed care with the flexibility of indemnity coverage. The firm also offers PPOs and Oxford my plan and Health Savings Account.

EDUCATION

06/2015 – 05/2018

GRADUATION

OSMANIA UNIVERSITY

HYD

06/2013 – 05/2015

INTERMEDIATE

TELANGANA STATE BOARD OF INTERMEDIATE EDUCATION

HYD

06/2012 – 05/2013

SECONDARY SCHOOL OF CERTIFICATE

SULTAN UL ULOOM HIGH SCHOOL

ROLES&RESPONSIBILITIES