Aspiring Computer Applications Professional with Healthcare Experience

NISHA

962-***-**** ***********@*****.*** Coimbatore

SUMMARY

Motivated and adaptable early-career professional with a strong academic background and a keen willingness to learn. Possess excellent problem-solving, teamwork, and communication skills. Eager to contribute effectively to a dynamic organisation while continuously improving my knowledge and skills.

EDUCATION

MAHENDRA ARTS AND SCIENCE COLLEGE YEAR 2021-2024

Bachelors of Computer Applications (CGPA-7.3)

WORK EXPERIENCE

Claims Adjudication Examiner – HCSC Project

Cognizant Technology Solutions June 2025 – January 2026

Processed and adjudicated healthcare claims for 65+ member group

Verified eligibility, benefits, COB, and prior authorization

Ensured HIPAA compliance and data privacy

Worked with Medicare coordination and other insurance denials

Reviewed CPT/ICD/HCPCS codes and claim line items for accuracy

Identified duplicate claims, incorrect billing, missing documentation, and potential fraud/waste/abuse cases and escalated where appropriate SKILLS

TECHNICAL SKILLS: Basic excel, MS word, power point, Html, css, java SOFT SKILLS: TIME MANAGEMENT, ADAPTABILITY

CERTIFICATIONS

What is Generative AI – LinkedIn Learning Completed :[Mar,2025]

AI for Beginners – HP LIFE online course Completed: [Feb,2025]

Young Professional – TCS ion Career Edge Completed:[Dec,2024]

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