Auditor Processor

RESUME

Name : Y.Gnanamani

Father name : S. Yakkobu

Address : No-73, Irulandi kalani devar street,Viratipathu

Date of birth : 08-05-1991

Sex : Female

Contact no : 875-***-****

E – Mail id : *****.******@*****.***

Language known : Tamil, English

Computer knowledge : Ms-office, oracles, multimedia

Visual basic

Hobbies : listening music, Reading books

EDUCATIONAL QUALIFICATION:

COURSE

INSTITUTE

PERCENTAGE

YEAR OF PASS

CLASS

X

S.B.K Hr.sec.school, kalloorani

60%

2006

first

XII

S.B.K.Hr.sec.school, kalloorani

75%

2008

first

B.COM.CA

S.B.K college, Aruppukottai

67%

2010-2011

first

M.B.A

Sri. Meenakshi govt college for we men(A), Madurai

68.18%

2012-2013

first

TRAINING:

●In-plant training in RAMALINGA SPINNING MILLS (L)., in aruppukottai 1st may

To 31st May 2009.

●In-plant training in MADURAI DISTRCT COOPEATIVE MILK PRODUCER

UNION (L). In Madurai 7th May 2011 to 31st May 2011.

PROJECT:

A study on “OFFICE MANAGEMENT” in Aruppukottai.

PERSONAL TRAITS:

Strong leadership qualities

Flexible, approachable with innovative solutions

Effective communicator

Strong concept selling skills

WORK EXPERIENCE:

Company Name : Source HOV

Project : PCDM

Designation : Senior Processor

Process Experience : 2013 November to March 2020

Key Projects handled at HOV Services

PCDM (Provider Contract Database Management)

Claim Processing (US Health Care Claims and US Military & Veterans Claims)

PCDM (Provider Contract Database Management)

Role: Senior Processor & Buddy Leader & Global Auditor

Team Size: 100

Role: Senior Processor

We are working for Provider side and will maintain the contracts of the provider.

Provider may be delegated or non-delegated and we will process both delegated and non-delegated providers.

Provider submits a request to maintain the contracts in application.

We process several types of requests,

Add Request

Change Request

Term Request, etc.

Application known: PHYCON, WMS, MIDAS.

Platform Known: NDB, FACETS, NICE, COSMOS.

Role: Buddy Leader

To provide floor support to the team.

To prioritize the aged items in allocations.

To be part of the error review and propose action items.

Identifying the knowledge gaps within the team based on the questions raise by DLA on floor.

To provide support on managing the overtime if required.

Providing prior notification for any lack of inventory.

Role: Global Auditor

I have working a global auditor in Source HOV.

I audited WMS queue in whole healthcare industry.

DECLARATION

I here declare that the information provided in this form is true to the best of my knowledge and beliefs.

Place: Madurai Signature of the Candidate

Date: Y. GNANAMANI

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