Summary

Polished in identifying and implementing process improvements and able to handle challenges with a proven history of increased productivity. Effectively organizes resources and clerical support to maintain smooth and efficient operations and enhance team success. Successful at satisfying customer needs while tackling daily office priorities. Smooth when handling administrative tasks by coordinating mail, records and travel arrangements. Ability to work effectively in a team and prove oneself to be an asset for the team.

Experience

Amazon Warehouse Mississauga, Canada FC Associate Jan’22 to Till Date

Perform quality audits and work on critical accounts.

Give feedback to fellow associates on their quality of works.

Cross training in different departments.

Assisting associates on day-to-day processing and solving the complex customer’s account.

Dependable professional with excellent time management and team work abilities.

Self Employed Burlington, Canada Self Employed Jan’20 to Jan’22

R1RCM Gurgaon, India Sr. Analyst Aug’18 to Apr’19

Analysing and Tracking data to improve ongoing update and accuracy

Managing and updating Standard Operating Procedures, operations Issues, client data and business issues.

Assuring best practice in quality.

Keep updated with clients regarding the process flow and effectively make use of technology within the team

Analysing and illustrating to client’s query from business escalations

Process integration in regard to business need and aim to automate process to improve quality and decrease effort.

Handling Attorney request and provide documents as per the guidelines.

Publish weekly audit reports.

Team Leader Sovereign Health Group Gurgaon, India Jul’14 to Jul’18

Handling Performance Appraisal, production, quality & Team attendance.

Compile data, statistics and other information to support research activities.

Managing office and administrative duties Admin, Internal communication, front desk duties

(Electronic enquiries, Calls, chat etc).

Schedule sessions between clients and stakeholders.

Monitoring the overall functioning of processes, identifying improvement areas and implementing adequate measures to maximize customer satisfaction level and co-ordinate the flow of information internally and with other departments and organizations.

Developed, implemented, and managed comprehensive project plan and insured completion of milestones within the triple constraints of time, cost and scope.

Responsible for research and determine efficiency and effectiveness of managerial policies and programs. Managing regular assessments and propose improvements to methods, systems and procedures in areas such as operations, records management and communications.

Conduct quality audits and supervise to arrange Training & Cross Training for Team members as and when required. Re-structuring the operations for an ongoing future establishment.

Provide guidance and support to businesses on regulatory policies and procedures; ensure internal compliance with regulatory requirements; and prepare submissions and filings with regulatory bodies.

Prepare, key in, edit and proofread correspondence, presentations, reports and related material.

Developed, implemented, and managed comprehensive project plan and insured completion of milestones within the triple constraints of time, cost and scope.

Look after the inventory (Ordering and Maintaining). Set up and maintain manual and computerized information filing systems.

Determine and establish office procedures and organize conferences and prepare minutes of meetings.

UnitedHealth Group - Gurgaon, India Sr. Claims Associate Dec’08 to Jun’14

(Currently known as Optum Global Solutions)

Responsible for the accurate processing of completion of Medical, Dental and Pharmacy Claims.

Proficiency in product lines applicable to processing unit.

Deductible, Co-insurance, Co-pay, Out of Pocket, State Variation.

Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits and adhere to quality improvement initiatives.

Frequent communication and collaboration with US nurse line team and handling day to day Customer Advocates Email and Replying to their Queries providing resolution.

Maintain the policy benefit sheet on daily basis (Authorization Sheet) and Process claims, that route out of automatic adjudication with in current turnaround standard time

Skills

Planning and Organising

Talent Acquisition

Microsoft Office expertise

Team Handling, Training and coaching

Proactive Solutions

Setting objectives

Honesty and Integrity

Leading personal development plan

Assigning duties

Address concern and Problems

Manage performance and motivate team

Education

Master of Commerce from Purvanchal University (2006 – 2008)

Bachelor of Commerce from Purvanchal University (2003 – 2006)

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