A P Team Member

AARTHY.A. P

Email: *.*.******@*****.***

Mobile:637-***-****

Career objective:

Seeking a challenging position in a reputed organization where I can learn new skills, expand my knowledge and build a valuable skill set. Looking forward for a challenging career in the high-tech environment to which can bring the best out of me as a professional team member. Address:

88, nethaji nagar,

Nagal nagar post,

Dindigul-624003

Personal details:

Fathers name: A.M. Prabakaran

Mothers name: A.P. Kalpana

DOB: 29-03-1999

Age: 25

Gender: Female

Marital status: single

Academic details:

M.Sc.CS

Institution: Parvathy’s arts and science college, Dindigul University: Madurai Kamaraj university, Tamil Nādu Percentage:78%

Passing:2021

B. sc.IT

Institution: NPR arts and science college, Dindigul University: Madurai Kamaraj university, Tamil Nadu Percentage: 75%

Passing:2019

HSC

Institution: Annamalaiar mills girls higher secondary school, Dindigul Percentage:97%

Passing:2016

SSLC

Institution: Annamalaiar mills girls higher secondary school, Dindigul Percentage:84%

Passing:2014

Core qualifications:

Proficient use of MS Word, Power Point, collecting data and utilizing in Excel sheet

Good source and instructor of denial management concepts

Comprehensive knowledge regarding patient confidentiality and HIPPA rule

Analytical thinker with strategic planning capability. Working experience:

Company name: NTT DATA Coimbatore, TN

JOB ROLE: HC & INSURANCE OPERATIONS ASSOCIATE AUG 2021-PRESENT

Analyzing the rules and denial of the claim and processing it as per workflow.

Thorough knowledge of claims adjustment, reopen claims, SFDC case, review through HRP application (Pricing)

Ability to analyze & investigate claims, member of benefits, member and supplier contracts through HRP tool.

Experience in handling the Coordination of benefits (COB).

Experience in handling copay, coinsurance and deductibles.

Good source of handling the process of claim Adjudication.

Experience in handling corrected claim (CC) and adjustment process.

Noteworthy Credits:

Successfully sent teams production sheets and process updates every day to the team.

Instrumental in generating quality reports and giving feedback to the team members. Trainings attended:

Reopen claims

Quest claims

Corrected claims

Review claims

COB process

SFDC

HRP navigation

Additional Skills:

Prepare PowerPoint presentation for weekly review meetings in Microsoft PowerPoint

Prepare weekly performance report for the team using Microsoft excel.

Well versed in pivot table and view lookups.

Personal qualities:

Taking challenges in development

Meeting different personalities

Able to give the best result in pressure situations.

Strong leadership and patience full skills.

Time management

Learns quickly.

Languages known:

English: Read, Write, Speak.

Tamil: Read, Write, Speak.

Hobbies:

Listening to music

Drawing

Extra-curricular activity:

Attended seminar on “Python” at NPR College of Arts & Science.

Attended workshop on “Copyrights” at NPR College of Arts & Science.

DECLARATION

I do hereby declare that the particulars of information and facts stated here in above are true, correct and complete to the best of my knowledge and belief.

PLACE: yours faithfully

DATE: (AARTHY A P)

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