Senior Software Engineer
CurrentAnthem is an American health insurance company founded in the 1940s, prior to 2014 known as WellPoint, Inc. It is the largest for-profit managed health care company in the Blue Cross and Blue Shield Association. It was formed when Anthem Insurance Company acquired WellPoint Health Networks, Inc., with the combined company adopting the name WellPoint.Anthem mainly provide Individual Small Group (ISG) and Large Group (WGS) related claims to subscribers.I am involving in the processing of the claims. The claims flow consists of different stages which are claims loading, Claims validation, Claims Adjudication and Claims Finalization. Anthem will be processing more than 7 lakhs claims in a day. Plays a significant role working as application member in auto adjudication improvement team. Analyze the pend inventory of claims and identify the high hitter edits on the claims in adjudication.And then will provide the possible solution to improve the auto adjudication rate.