Shardul B. Email & Phone Number

San Antonio, Texas, Us

San Antonio, Texas, Us

Present product and services description in a complete and accurate manner and educate about the best option that should beneficial to member and address their unique needs.Define company practices in an transparent and understandable manner.Keep in mind the most appropriate way to address every unique audience by their rank and designation.Also, recognize and address their concerns and respond professionally to their objections in courteous manner.Be vigilant all the types of process and report any inappropriate practices.

San Antonio, Tx, Us

Providing expertise and service support to members, customers, and providers to resolve a wide variety of inquiries.Resolve payment and adjudication questions explaining calculation methodology, contract terms, procedures etc.with help of Tools and work instructions and manuals.To offer additional options such as online access to the relevant information and information regarding provider payments online.Identify and communicate steps or solutions to care providers with problem solving skills and explain the relevant processes.If required make calls to resolve procedural delays at providers/brokers/pharmacies.

Mountlake Terrace, Washington, Us

Respond to various external partner’s inquiries regarding health insurance benefits, eligibility and claims.Analyze problems and provide correct information and solutions.Establish and maintain effective working relationships with physician office staff.Read, comprehend and verbalize processes and procedures of the organization and of health insurance.

Woonsocket, Ri, Us

• Resolve service requests received from Clients, Account Management Team and Customer Care in a timely and efficient manner with due diligence so as to ensure there are no service warranty issues later. • Review all documentations, client authorizations and client information forms including contractual forms while processing a service request. • Plan benefit overrides support at client request or upon receiving instruction from the account support team as authorized by the client.• Providing feedback and coaching to Customer Care management on servicing incidents and assist to set up positive service trends. • Partnering with Account Management team to ensure maximum client satisfaction. • Contacting participants at client’s request. • Representing Caremark at client benefit fairs as needed. • Assisting with Client Infusion Training as needed.

Woonsocket, Ri, Us

•Provide effective and prompt resolution to the members while answering to questions or share information in a simple manner so that they better understand their coverage and options. •Explain various plan designs, like Maintenance Choice, Out of Pockets and Co -Pay structures.•With efficient use of knowledge and resources offer the solutions needed to help simplify their health care experience like drug cost and coverage by performing test claims.•Offer affordable alternatives by partnering with the clinical team, avoid missed dosages through bridge supply or bulk ups due mail order delays or delayed prescriber response.•Ensure timely availability of prescribed fils/refills by coordinating with the pre-authorization team.•De-escalate calls by professional interaction and ownership and seeking senior "assist" rather than doing a procedural transfer.

Woonsocket, Ri, Us

• Maintain insurance authorizations for new and current members.• Research and follow up on authorization denials • Work closely with pharmacy technicians and manufacturer co-payment assistance programs for patient eligibility.• Review and update primary and/or secondary insurance coverage in the health benefit records system• Correct or cancel the invalid details into electronic records system & notify appropriate departments. • Submit changes to patient prescriptions in the system and obtain authorization for payment.

Woonsocket, Ri, Us

Advancing towards client management role where Job responsibilities shall include:∙ Ensuring complete tracking of client contact in database to build contact history, identifytrends, facilitate relationship building and provide management and client reporting.∙ Receiving and responding to client issues in a timely manner via email, fax and telephone.∙ Responsible for timely follow up on requests to ensure resolution.∙ Managing complaints, suggestions and comments in queue.∙ Providing plan benefit override support at client request.∙ Providing feedback to Customer Care management on servicing incidents and developingservice trends.∙ Partnering with Account Management team to ensure maximum client satisfaction.∙ Contacting participants at client’s request.∙ Representing Caremark at client benefit fairs as needed.∙ Assisting with Client Infusion Training as needed.

Nowhere, Us

Provided customer support while working at a BPO providing resolution with technical proficiency and smart use of software resources. Reliability rate consistently more than 90%.Productivity maintained higher than 98%. Arrested erosion in customer base and improved retention. Efficient handling of service related issues helped to maintain escalation rate below 10% against the allowance of 18% thus contributed to profitability.

La Mirada, California, Us

Working with end users and helping them to crystallize specific requirements with the help of superior product knowledge and information , consistently increased individual Sales performance to register 42% growth in Revenues within first two quarters. Became a major contributor to the SBU's sales targets as improved close rate by 83%, raised SPH by 85%. thus, maintained top position for the location's performers during the entire tenure.

Bentonville, Arkansas, Us

Inducted to improve the sales of deli products. Used innovative marketing strategy to reduce wastage of perishable items. Received praise from management for giving new suggestion for zoning of some fast moving items.

London, Gb

Trained more than 300 corporate employees at a leading API manufacturing company August 2013.Mentored the Managers of a Multinational company and a Global Leader in smart irrigation solutions during Marketing Managers' Workshop- Learn, Collaborate, Grow and Excel; organised on 18th and 19th March 2013 at Vadodara, Gujarat, where 20 marketing managers from all the regions of India participated in the two day event. The event was aimed to arrive at LRP Marketing Plan 2013-15 for the company.Advising new businesses on formation of corporations and business structures, drafting privacy policies and structuring commercial transactions. Project Management, consulted new development for a pharmaceutical company with focus on manufacturing unique export related products for Latin American markets.Collaborated at various levels of Management for business process improvements with MSMEs.Consultations given about Brand development, Website traffic growth, SEO optimization and increasing advertising revenue. Strategic Consulting for business process improvement and framing / refining sales strategy. Re-modelling sales structure and refining marketing strategy for improved return on inputs. Built and maintained mutually beneficial business relationships with decision-makers, opinion leaders, and end users with all client and prospective businesses.

Vadodara, Gujarat, In

Managed an existing set of direct corporate and distribution accounts, as well as expanded the business for the company by new account acquisition and enhancing business share of the existing accounts in the end user sectors such as, Textiles, Paper, Specialty Chemicals, Food processing, Pharma, Paints, Dyes and Rubber Industry. Liaison with various Government agencies for issues related to company’s business & coordinate for timely response on proposals/approvals.Remained current with competitive trends, staffing/human resource issues, and market conditionsOperated within company policy while exercises discretion and independent judgment in making decision as the head of marketing function.

In

Direct servicing of corporate clients like Unilever group,PepsiCo, CocoCola, Nestle, etc improved corporate business relations resulting into increase in volumes and improved flow of receivables thus speeding profitability.

Mumbai, Maharashtra, In

Effectively managed marketing tools such as market research, competitor and customer surveys for generating MIS reports.Liaison with other Co. functions as necessary to aid business and organisational needs.Managed the channel sales for effective distribution and timely realization.

Mumbai, Maharashtra, In

Senior Executive Sales & Marketing; Detailed Market Survey of an import substitute product, with demand forecast and suggestions on pricing policy to capture market share.Handled sales administration, contract negotiation and coordination with other relevant departments on financial and legal matters.

Increased the market share by 50%.Sales grew from Rs.30 Mn/A to Rs.60 Mn/A in just 3 years.

Pgdbm, Marketing And Sales Management

Bachelor Of Science, Microbilogy

Hgher Secondary School Certificate, Maths Science Chemistry