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Quality Auditor Claims Analyst

Location:
Hyderabad, Telangana, India
Posted:
February 23, 2022

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Resume:

Neesha Gyanmote.

Beema Pride

Near Suchitra circle,

Jeedimetla, Mobile: 91-837*******

Hyderabad-67 Mail: adqa4t@r.postjobfree.com

Career Objective:

A Finance Professional detail –oriented, self motivated person with good analytical skills. Works well independently and a strong team member. Professional expertise includes Risk Management assessing and recommending risk procedures, specializes in business risks and problem analysis and resolution.

Educational Qualifications:

MBA finance from ISBM in 2009.

B.COM (Taxation) from Osmania University in 2006.

Junior college from Maharishi Junior college in 2003.

SSC from Keyes high school in the year 2001.

Experience:

Presently working with Amazon from December 2016.

I worked with Deloitte from January 2013 to December 2013.

I worked with UHG from May 2010 to March 2012.

I worked with ADP from December 2006 to January 2010.

Roles and Responsibilities for Amazon:

Interpreted the data, analyzed the results using stastistical techniques and provided ongoing reports of customer accounts.

I have handled a team of 10 people,where reporting, secound level auditing,manger audit,monthly and weekly reports,was primary work.

Received many awards as star performer of months,best auditor,best fraud detection, week performer,best team performance under different managers.

Independant judgement, problem solving and analytical skills were used to authenticate customers on the platform and the complex transactions.The main tenets was to eliminate e-commerce fraud.

Interpreted and validated technical issues, test solutions, followups and escalate when necessary.

Provided in depth and high level Technical support by resolving inquiries by phone,email,chat and web in a manner and time frame consistent with department and team service levels and goals.

I worked for TRMS where ensuring customer trust, investigating the accounts of customers to stop any fradulent activity and preventing unauthorized usage of cards.

Worked on multiple complex queues with confidential information and handled transactions worth thousands of dollars.

Provide ideas for business where were implemented to reduce replication of work and decrease in FTE(full time employees)and business improvement overall in Reduction of calls which had positive impact on customer and business.

My ideas led to implementation of new tool and improve customer experience on overall, working on different projects which are led my process owners, need to deep dive and provide ideas for business improvement.

Gained knowledge on different marketplaces, with SOP(standard operating procedures)and trained new hires as well, received recognition for same.

POC for queue alignment and SLA reports, fun,customer journey,presentations on Quality update(Standard operating Procedure), Knet(Process knowledge test), Reports on Schedule Accuracy, audit,updation of policies, Projets like (count me in)Leave Management and shrinkage.

Roles and Responsibilities for Deloitte:

I was working as an IT Auditor for Deloitte where my responsibility lies in audit of Database, Operating system and Applications where I analyze and writeIT controls and policies.

I was expected to work in one or more of IT Risk and Assurance services which includes IT security and Risk Management, Threat and Vulnerability Management, Patch Management, IT audits and compliance, IT Infrastructure security services and IT risk management.

Audited internal reporting controls,efficiently complete audits and implement changes,draft reports detailing findings.

I had to visit to clients place for IT security audits, Quality Risk Management of client’s database, internal risks of the firm. I was an IT audit response focal and ERP like SAP.

Roles and Responsibilities for UHG:

Being a senior Claims Analyst, Coaching and Training new hires on Product Knowledge.

I was an subject matter expert and Quality Auditor for the process, supported a team of 15 people.

Worked as an Internal Quality Auditor for the entire team and I also used to send the detailed reports for internal auditing and production reports as well.

I am trained on six sigma (white and yellow belt) and was fun spoc for my team.

I have been maintaining the error log sheet and was responsible for business updates from onshore partners.

Roles and Responsibilities for ADP:

I have been working with FSA Claims Team for the past three years where we had to process claims for benefit services. Being a good performer in a team, I was able to hit 1000 claims per day.

I worked for payments team, where payments for health claims are released after quality check and proper investigation of secoundarylevel audit.

I have been responsible for sending out Monthly Reports for my team for individual accuracy in Production, Quality, Schedule Adherence and Attendance and Time sheets of my team to my Managers and Team Leads.

I have been receiving many spot awards, monthly best performer awards, quality champ and was a fun team as well.

Achievements:

Have received ADP E-recognition for Team work and Responsiveness and client focus.

Have received A-recognition for increase in Quality Accuracy.

Have been a part of sub-winning team internally in the entire process.

Have received appreciation from my manager and team leads for giving good numbers in production and receiving all rounder award.

Have given three process improvement ideas for betterment of process and to help my team members in increasing the production accuracy.

Strengths:

Good Team Player and Quick Learner.

Team building and leadership qualities(people management).

Working with business objectives and to identify potential risks.

Managerial and social knowledge, keen attention to detail.

Good Communication both Verbal and written.

Technical Skills:

Excellent Analytical and problem solving skills, time and task-management, highly organized, Leadership, enthusiam, agility and potential. Demonstrable capability of being team player and resourceful in managing challenges.

Proficient in English verbal and written communication, comprehension,Ms Office and other productivity tools, Technical skills and ability to influence people.

Problem solving, ability to endure and working under pressure, Negotiation and diplomacy.

Minimum 8 yrs of experience in operations, audit, risk management, quality, other administrative role with direct impact on service delivery to end clients.

Personal Profile:

Name : Neesha Gyanmote

Husband’s Name: Mahender Osan

Date of Birth : 03-03-1986

Nationality : Indian

Languages Known: English, Hindi, Marathi and Telugu.

Address : Flt no: 202,Beema Pride, beside chart petroleum, near Suchitra circle, Jeedimetla, Hyderabad

Neesha.



Contact this candidate