Aimed to be associated with Progressive Organization which offers me to enhance my knowledge and to have a professional career in an organization that ensures an excellent opportunity for continued professional growth. SKILL SET

Computer/Internet/Good working

knowledge in MS Office

Good understanding of Business

process

Good leadership skill

Typewriting - Lower in English

CORE STRENGTHS

Flexibility and Adaptability

Positive attitude: Creating positive

work environment

Managing multiple Priorities

Self-motivated

Taking initiative

Punctuality

ACADEMIC DETAILS

B.Com Accounts & Finance from

Vels University in 2016 -56%

12th from Govt Hr. Sec. School,

Anakaputhur-600070

in 2013 - 52%

10th from Govt Hr. Sec. School,

Anakaputhur-600070

in 2011 - 56%

PERSONAL DETAILS

Date of Birth: 13th May 1995

Languages Known : English & Tamil

Address: No-26, Pillaiyar Kovil Street,

Anakaputhur, Chennai – 600070.

PROFILE SUMMARY

Senior Process Associate with around 4 years experience with Accenture Solution Pvt Ltd in BPO/Healthcare insurance industry.

Good Process knowledge in Healthcare Insurance Industry.

Good knowledge in Enrollment Inquiries.

Knowledge about Background concept in Enrollment and Healthcare

Effective participation with project and reduce the overall reject % and handled 10% more volume.

Strength lies in analyzing problems, probing facts and identifying by evaluating assumptions & issues to arrive at effective solutions.

Organizing and planning skills.

Good leadership and knowledge sharing skills.

Excellent team player with good communication and problem solving skills.

ORGANISATIONAL EXPERIENCE

Key Result Areas:

Review enrollment applications to determine eligibility of individuals for coverage in accordance with applicable contracts.

Obtain and evaluate additional documentation from applicants as necessary.

Provides eligibility screening and enrollment assistance for the uninsured and underinsured patients.

Obtains missing information for enrollment completion.

Taking care of sample audit and provide feedback to the team for any errors or corrections.

Investigate, analyze, and resolve outstanding issues to achieve customer satisfaction and takes responsibility for following through and bringing issues to closure.

Maintain complete accurate documentation of all customer interactions and maintain production levels and quality goals.

Maintain compliance with internal and regulatory standards.

As a Senior Associate, I participate in the planning of the audit.

Attend and participate in team quality meetings to report on progress.

Performs other duties as assigned and update factory model board. PRABHU MOHAN

Senior Process Associate

adnicx@r.postjobfree.com

+91-956*******

PR O F E S S I O N A L EX P E R I E N C E

Sl. #. Name Of The Organization Joining Date Relieving Date Location 1 Accenture Solution Pvt. Ltd 2017 April 13 2021 May 1 Chennai MAJOR PROCESS

Process: Health Care BPO – Enrollment & Case Installation Nature of Job in Accenture:

Working for one of the Leading US Health Insurance Company on the Payer side for Enrollment Inquiries.

Approach to improve the efficiency of the process by reducing the error %.

Process moderately complex enrollment documents (New applications, changes, deletions) using the organization's enrollment processes.

Involved in checking the processes for eligibility verification, system updates, research and the resolving of enrollment issues on a timely, accurate basis

Knowledge in Enrollment Inquiries and Claim Enquiry

Worked in two major healthcare teams by involving on both Member Side & also Provider side. Achievements

Appreciation for “Top Performer” from Project Manager

Appreciation for “High Quality” from Quality Manager

Have been identified as the top performer and being received Platinum category in the Monthly score card.

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