Adaptable and results-driven professional who is dedicated to delivering outstanding results in the healthcare insurance industry. Experienced professional with over 8 years of experience in the healthcare insurance industry. I have a passion for improving operations and processes within this industry, and I am excited to bring my expertise to new challenges and opportunities.Throughout my career, I have honed my skills and gained valuable experience in a variety of roles. I have spent 5 years working in UAE Health Insurance and have also gained 3+ years of experience in the US Healthcare industry, specifically in Medical Billing RCM. My strong background in both the US and UAE healthcare industries has given me a unique perspective on the challenges and opportunities facing this field. I have experience working in a multicultural and diverse environment.I specialize in leveraging my expertise in Health Insurance operations to improve processes and workflows, including Issuing Medical quotations, client management, processing endorsements, verification of medical claim documents, customer claims & approvals support, Invoicing, and premium collection. I am deft in managing medical claims, denials, and revenue cycles, as well as handling endorsements, quotations, and networking.
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Senior Process AnalystGallagherBengaluru, Ka, In -
Senior Process AnalystGallagher Oct 2023 - PresentBengaluru, Karnataka, IndiaService Support Manager (SSM) -
Operations ConsultantCrossroads Insurance Brokers Llc Aug 2019 - Jul 2021United Arab Emirates Generated medical individual and group quotes from various insurance companies and performed a thorough comparison of terms and benefits Provided expert advice to clients on selecting the best insurance policies based on their specific needs Facilitated a smooth transition for new clients and understood their unique requirements Managed endorsements such as additions, deletions, and corrections to policies, as well as provided assistance with fine payments Assisted insurance providers and clients with the prompt correction of errors in residency and foreigners’ affairs data Conducted initial verification of medical claim documents and updated clients on the status of their claims Provided support to customers for claims and approvals, including following up with third-party administrators and insurance providers for timely action on approvals Ensured that claims are paid to customers within the specified time frame through the proper channels Handling invoicing and premium collection for insurance policies -
Health Insurance SpecialistOrient Insurance Nov 2015 - Jan 2019Abu Dhabi, Abu Dhabi, United Arab Emirates Issued quotations for medical individual and group SME/basic policies Managed the issuance of individual medical policies and group SME/basic policies Built and maintained strong client relationships to ensure a seamless renewal process. Collected and organized documents and data for new and renewal group medical policies Conducted initial verification of medical claim documents before submission to third-party administrators Rendered customer support for claims and approvals, ensuring that approvals are processed within two hours. Verified that insured demographic details match the data enrolled in the Dubai and Abu Dhabi General Directorate of Residency and Foreigners Affairs Assisted clients in correcting errors in the General Directorate of Residency and Foreigners Affairs data Managed policy endorsements, including additions, deletions, and corrections Issued medical certificates such as coverage certificates, certificates of continuity, and travel certificates Handled invoicing for individuals added between the policy period for group policies Calculated and collected Health Authority Abu Dhabi fines for late enrolment in health insurance Issued medical cards using Tatsh and IDSoft software -
Sr. AnalystExl Feb 2014 - Jun 2015Ernakulam, Kerala, India Responded to claim denials by analyzing denial reasons and reviewing accounts receivable notes Contacted insurance providers to obtain the current status of claims Verified patient eligibility for medical services Entered denial information into the practice management software Ensured that all denied claims are reviewed and addressed promptly Posted claim denials to patient accounts and made necessary adjustments in the practice management software
Nitheesh P Education Details
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Human Resources Management And Services -
Computer Technology/Computer Systems Technology
Frequently Asked Questions about Nitheesh P
What company does Nitheesh P work for?
Nitheesh P works for Gallagher
What is Nitheesh P's role at the current company?
Nitheesh P's current role is Senior Process Analyst.
What schools did Nitheesh P attend?
Nitheesh P attended Bharathiar University, Bharathiar University.
Who are Nitheesh P's colleagues?
Nitheesh P's colleagues are Donna Curley, Alma Dornan, Carrie Lin, Arm, Steve Smith, Dajon Sawyer, Amparo Chavarro Cuervo, Amisha Chawre.
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Nitheesh P
Mechanical Engineer | Marketing Innovator | Innovation In Manufacturing |Passion Towards Formula Student | Gokart Iatf 16949:2016 Internal AuditorChennai -
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