Priyanka Choudhary

Contact Number +91-991*******

E-mail- adn9jw@r.postjobfree.com

Career summary:

•A competent professional having experience of 6 years in client services and support and services with blend of quality assurance.

•Proven abilities in handling and managing clients.

•Experience in leading the quality assurance of Customer Experience solutions.

•An effective leader in leading the deployment support activities and client interactions.

•Experience involves customer services, quality analysis.

Employment details:

Wipro as Senior Processor for Transaction Risk and Control - June 2016 -Present

Role and Responsibilities:

•Perform audits for the various USA and Canada client teams for their Health and welfare benefits as per their rules and requirements.

•Works on E-Wat, Lotus Applications, TBA, Excel, Word and PowerPoint.

•Trained on Domain Health and Welfare

•Assisting client's questions on their benefits through their employer.

•Responsible for Quality Management and feedbacks of the work done by colleagues.

•Assisting supervisor with colleagues scores for their respective

•Trained new hires on domain (Health and Welfare) and used to monitor their performance while they were in training.

•Actively involved in suggesting process improvement ideas to the management most of which have already been implemented by Aon Hewitt / Alight Solutions.

•Maintained the daily Report of the Team and sending to the Supervisors.

•Used to discuss the processing Errors to improve Quality with onshore Team and SMEs.

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•Lead team huddles and mentored new hires.

Achievements:-

•I have received performer of the month award several times

•Worked as a mentor in a mentor mentee program and helped new hires to come out of their learning curve.

•I have received the appreciation directly from the client for assisting the employee in her critical situation within

•I have also received the appreciation from the stakeholders for managing and performing critical clients with the quality and proper efficiency

Projects Handled:

Special Auditing skilled required performing critical audit for the client. During the processes reviewed gaps identified in the process specific which could lead to financial implications at organisational level

●Boeing Client

●CNA Financial Client

●CIBC (Canadian Bank of Commerce)

DELL INTERNATIONAL SERVICES PVT LTD - 1 Year 2015-2016

Responsibilities:

•To contact US Insurance companies for unpaid or underpaid claims

•Processing of Insurance claims on behalf of Doctors, Hospitals and Health Insurance Companies.

•Posting payments in patient ledgers and entering claim particulars in the Client Software

•Taking action based on the outcome and analysis as per instructions provided

•Analyses and initiate adjustments/refunds process based on the business rules and contract/benefit information of the insured.

•Review patient & insurance information such correct plan ID/payer/network, insurance and patient responsibility based on explanation of benefits received and contract.

•Requests adjustments and process refunds based on contract review/determination.

•Ensures that insurance claims are posted correctly according to policy holder agreements stipulated on their contract

•Worked on application ACE and insurance companies websites

Strengths

•Good logical and analytical abilities.

•Self-Motivated, Result Oriented.

•Ability to multitask effectively, Adaptable and Flexible.

•Good organizational skills.

•Ability to Complete Research.

Education / Certification

•2014 Graduated From Delhi University(B.COM)

•2011 Passed Class XII th Board Examination C.B.S.E

• 2009 Passed Class X th Board Examination C.B.S.E

Languages Known:

•English

•Hindi

Interests:

•Interacting with people.

•Listening music.

•Watching movies

Personal Details:

•Father's Name: Mr.Gyan kr Choudhary

•Marital Status : unmarried

•Nationality: Indian

•Sex: Female

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