• Spearheaded the All-India Corporate Division, leading a team of 10 doctors specialized in cashless claims processing.● Delivered comprehensive onboarding training for over 50 individuals on company products, processes, and payer policies, effectively mentoring them to ensure job readiness.● Achieved a TAT improvement of 95% within six months by driving process optimization and fostering a high-performance culture.● Delivered exceptional results in claims resolution, maintaining a precision rate of 99.98% for all corporate claims.● Addressed customer inquiries effectively, achieving an error rate of less than 0.2% and in query resolution 96%.● Managed the end-to-end claims processing workflow, implementing strategic initiatives that significantly enhanced customer satisfaction while ensuring alignment with organizational objectives.

•Evaluates and processes claims in accordance with company policies and procedures.•Reviews and analyzes data for in-process claims in order to identify and resolve errors prior to final adjudication.•Exercises good judgment and remains knowledgeable in related company policies and procedures.•Achieves teamwork, production and quality standards in order to assure timely, efficient and accurate claims processing.•Activity, plan design, and CMS guidance in determining accurate claim payments and accumulations.•Interpret and process medical claims using knowledge of ICD-9 and ICD-10 codes, billing, benefits, and company policies.