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Customer Service Manager

Vasant Nagar, Karnataka, India
March 16, 2020

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Contact No:+91-897*******


Experienced and skilled professional in insurance processing and Healthcare with extensive knowledge of implementing, extending to the processing claims in applications. Seeking a challenging opportunity to enhance my knowledge and skills. Professional Summary:

● Prodigious knowledge of claims processing.

● Solid ability to manage insurance claims.

● Substantial understanding of insurance products.

● Ability to quickly analyze claims related customer data.

● Proficient in the use of data software applications. Professional Experience:


Duration: October - 2017 to 2019 May

Role: Customer Service Manager - Health Management Team Responsibilities:

● Handling of Medical Reimbursement claims of individual and group medical policies.

● Monitoring process as per the agreed TAT with the proper documentation of claim and recorded the payments history to determine final payment amount.

● Resolving the issues and checking emails on a regular basis and provide immediate response to the customer queries.

● Review and identifying the unprocessed claims and outstanding claims periodically and communicate to the concern managers.

● Verified data and entered into system for adjudication and Worked with beneficiaries to resolve any errors and questions regarding eligibility.

● Monitoring the claims with insurance carriers like Network hospitals along with corporate and retail customers to ensure prompt resolutions. 2. REMEDINET TECHNOLOGIES Bangalore

Duration: May 2019 to Till Date

Role: Customer Service Manager - Health Management Team Responsibilities:

● I have done health insurance validation in remedinet technologies which works for the hospital's as a back-end process

● We support hospital's located in Bangalore,Mumbai etc.,

● I had done multi tasks here like validating the pre-discharge & post- discharges as well

Academic Profile:

● Bachelor of Biotechnology (2014-2017)

Vijayam Degree College, Chittoor.

Total aggregate: 74%

● Board of Intermediate Education, A.P. (2012-2014) Vignana Jyothi Junior College, Chittoor.

Bi.P.C: 76%

● Secondary School Certificate Examination (2012)

Sri Balaji Techno EM High School, Santhapet.

S.S.C: 92%

Positive Attitudes:

● Comprehensive problem solving abilities.

● Adaptable to Job challenges and changes.

● Confident, Self-Learning and Hard-working.

● Develop good rapport with management and staff

Personal Information:

Father’s Name : K. Sundarmohan Reddy

Mother’s Name : K. Ramadevi

Date of Birth : 11 Oct, 1996

Marital Status : Un-Married

Hobbies : Listening Music, Reading Books, Gardening,Dancing. Languages known : Telugu - Native

English - Fluent

Tamil - Native


I am keen to continue my career and prepared to work hard in order to achieve my organization objectives and I hereby declare that the information furnished above is true to the best of my knowledge

Place: Banglore.


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