• At Release point, obtain the medical records from the hospitals and healthcare providers by sending requests via fax/email/mail .• The primary uses of the records are for long-term care insurance, disability benefits, insurance claims, and accidental claims.• We receive patient and facility information from onshore to our internal tools.• Selecting the facility (or hospital) where the patient was seen for medication and based on the client requirements and type of records.• Verifying the facility information through an internal database, giving facilities a call, conducting an internet search, and updating the information with the original source.• Sending medical records requests to the facilities by following the guidelines of the facility.• Meeting all designed performance metrics on a daily basis and maintaining production goals. • Retrieving the medical information as per client specification from patient medical records such as physicians notes, lab reports, procedures and diagnoses. Insurance companies• Performing assigned duties. • Converting the raw medical data based upon clients requirement.

• Handling requests for plan changes for involving Medical, Dental, Vision and Life Coverage. • Handling SIC code changes, Rate changes, Bill type changes, Franchise code changes.• Process Claims settlements and update the same to the L2 team.• Follow up with the L2 team, to get the issue resolved in a timely manner.• Follow up with Requester in order to get missing information to complete the request.• Analyze and work on the Eligibility issues with differential coverage, adding or terming employees and dependent coverage.• Creating new sites, linking policies, creating dual options and multi choice groups.• Assist the Onshore teams through chats and emails.• Maintain accuracy and productivity and complete the task as per “TAT”.• Generating the daily status report and submitting to Manager.

In charge of the back end operations for US-Insurance• Verification of details such as demographics, policies ,and other data• Analyze and work on the forms as per the SOP’S• Exceptional abilities to handle a huge volume of forms• Train newcomers to ensure they are competent at pulling the necessary reporting fortheir process.• Ensuretheteamarecustomerfocusedanddeliversrequiredlevelsofserviceatalltimes.• Ensure the Month End Close is completed within the allocated deadline.• Maintain good audit compliance & controls.• Comply with HIPAA regulations

Key Responsibilities: • Office Management: Efficiently managed daily operations, including scheduling, correspondence, and document management, ensuring a smooth and organized workflow. • Calendar Coordination: Scheduled and coordinated meetings, appointments, and travel arrangements for senior management, optimizing time management. • Communication: Acted as a liaison between departments, handling inquiries and providing clear, timely information to internal and external stakeholders. • Document Control: Maintained and updated records, databases, and filing systems, ensuring accuracy, confidentiality, and compliance with company policies. • Vendor Coordination: Liaised with suppliers and service providers, managing office supplies and ensuring timely procurement and inventory management. • Event Planning: Organized and executed corporate events, meetings, and conferences, coordinating logistics and ensuring all arrangements met high standards. • Customer Service: Provided exceptional front-desk support, greeting visitors, answering calls, and addressing client inquiries with professionalism and efficiency. • Expense Reporting: Prepared and managed expense reports, ensuring accuracy and compliance with corporate policies. • HR Support: Assisted the HR department with onboarding, maintaining employee records, and coordinating training sessions.