Nirav Patel Email & Phone Number

Windermere, Fl, Us

Orlando, Florida, United States

Iowa, United States

Tampa, Florida, United States

• Contact delinquent or high-risk customers to secure payment arrangements and the determine reason for delinquency on active or inactive loan, deposit and/or credit card accounts.• Remain positive and professional to build rapport with the client and through information gathered assess and offer the best resolution.• Provide consumer credit assistance, including submission of extension requests and other recovery activities.• Solve complex billing problems and inquiries, and negotiate complex payment programs or arrangements while staying within collections compliance guidelines.• Demonstrate empathy for the client’s situation using ethical behavior that is consistent with the bank’s code of conduct.• Adhere to quality and regulatory guidelines in order to appropriately service customers and minimize risk for the bank.• Achieve key performance indicators as outlined by the business leaders.

New Jersey

Provide resolution to identified overpayments utilizing various methods i.e., written correspondence, outbound call, or adjustment to a claim. - Research/adjust claims (i.e., Coordination of Benefits, no-fault, claim policy, authorizations, and referrals) in accordance with Plan contract provisions and all other governing policies and/or procedures.- Research and resolve Accounts Receivable (AR) issues to include the disposition of Cash Receipts in Universal Payment System (UPS).- Ensure accurate and timely resolution of service requests and activities is provided in accordance with the customer's health benefit coverage and company policy. Anticipate and resolve potential issues and follow through on commitments made to the customers. - Coordinate with other areas within and outside of Service to address customers' inquiries regarding claim payment, benefits and/or appeals.- Follow up on unresolved issues via outbound calls, emails or faxes. - Share knowledge and information willingly with team members to achieve team, division, and Enterprise goals while enhancing service quality.- Submit provider file updates as appropriate.- Receive inbound telephone calls as they relate to recovery efforts- Perform other related tasks as assigned by management.Core Individual Contributor Competencies:Personal and professional attributes that are critical to successful performance for Individual Contributors:Customer FocusAccountableLearnCommunicate

New Jersey

• Handled customer inquiries via multiple communication channels that involved private information (i.e. member ID, claim number, name, social security, d.o.b., address)• Reviewed computer systems and reference materials to complete verification process• Initiated investigation process based on the nature of the inquiry (claim, member information, benefits, enrollment, appeals)• Utilized available resources to quickly and efficiently resolve or redirect inquiries in accordance with prescribed departmental process• Documented customers’ inquiries and actions taken in accordance with departmental quality guidelines to ensure appropriate follow up• Facilitated unresolved issues, recommended key metrics to be captured and reported escalating call trends to management• Delivered customer service with quality and production standards• Streamlined claim processes into standard core processes which can be leveraged across the claims organization • Initiated the continuous improvement program, engaged resources, and assisted in developing program governance, structure, and methodology to improve quality by 20%+• Provided excel reports for data analytics, improvement opportunity identification and prioritization• Guided and advised new joiners to claims organization• Acted as a Claims SME and collaborated with IT team to consult on claims business applications