Rizwan B Shaik Email & Phone Number

Frederick County, Maryland, United States

• Conducted both virtual and phone premium audits to optimize timeliness and productivity.• A working knowledge of CA and other Workers compensation, General liability, payroll and sales audits.• Scheduling appointments with insureds to obtain the necessary documentation.• Ensure quality through correctly utilizing of manual rules and risk classification.• Examining businesses payroll and tax records.Applied rules and company standards to review and audit policyholders'… Show more • Conducted both virtual and phone premium audits to optimize timeliness and productivity.• A working knowledge of CA and other Workers compensation, General liability, payroll and sales audits.• Scheduling appointments with insureds to obtain the necessary documentation.• Ensure quality through correctly utilizing of manual rules and risk classification.• Examining businesses payroll and tax records.Applied rules and company standards to review and audit policyholders' records.• Completing and transmitting audits in a timely manner using NexusAudit, Nexus Management system ensuring adherence to customer requirements and quality standards.• Consistently remaining current on premium audit related rules, regulations and policies.• Reviewed and investigated various aspects of business operations, compiling detailed reports of audit findings. Show less

Maryland, United States

• Conducted comprehensive insurance premium audits for Worker's Compensation, General Liability, Property and Casualty, Sales, Payroll, and other types of exposures.• Examining commercial business payroll and tax records with meticulous attention to detail.• Preparing detailed work papers and correspondence to support audit findings effectively.• Review and consolidate policyholder's payroll, financial records, tax reporting and other ad-hoc reports to determine final audited… Show more • Conducted comprehensive insurance premium audits for Worker's Compensation, General Liability, Property and Casualty, Sales, Payroll, and other types of exposures.• Examining commercial business payroll and tax records with meticulous attention to detail.• Preparing detailed work papers and correspondence to support audit findings effectively.• Review and consolidate policyholder's payroll, financial records, tax reporting and other ad-hoc reports to determine final audited exposures.• Applied rules and company standards to review and audit policyholders' records.• Worked on the Reference Connect tool for SOPs, State rules, research of codes, class codes, and Information related to different agencies.• Worked on Inventory Management tool to manage Worker's compensation, schedules, prepare worksheets, and submit the audits.• Scheduled appointments with insureds to obtain the necessary documentation.• Serve as the point of contact and provide support for policyholders throughout the audit process.• Reviewed and investigated various aspects of business operations, compiling detailed reports of audit findings.• Submitted audit reports using our tool/platform, ensuring adherence to customer requirements and quality standards.• Communicate audit findings with insureds to confirm final exposures and any changes being made.• Consistently met or exceeded performance criteria, maintaining confidentiality and integrity throughout the process. Show less

India

• Worked on the successful processing of insurance claims.• Attend meetings, coordinating and communicating with other team members to support and resolve billing inconsistencies/errors.• Responsible for following up on Claims Related Issues with Clients/Users for Claims Resolution.• Worked, Analyzed, and Resubmitted the Errored Claims as needed. • Submitted the Periodic Status Report of the claims to the Manager.• Validating the disputed claims and resolving them by… Show more • Worked on the successful processing of insurance claims.• Attend meetings, coordinating and communicating with other team members to support and resolve billing inconsistencies/errors.• Responsible for following up on Claims Related Issues with Clients/Users for Claims Resolution.• Worked, Analyzed, and Resubmitted the Errored Claims as needed. • Submitted the Periodic Status Report of the claims to the Manager.• Validating the disputed claims and resolving them by updating necessary information or performing chargeback/adjustments.• Extracting the claims list and assigning the ready to bill claims to other team members. • Preparing necessary reports related to productivity, SLAs and sharing them with clients. Show less

India

• Monitoring and planning strategies to reduce unapplied cash, write offs and bad debts.• Being a part of Transformation and providing ideas for area of improvements.• Auditing and Approving the adjustments, refunds, demand letters and write offs for various business lines.• Customer order receipt, acknowledgement, verification and processing into ERP system• Co-ordination with finance for credit release• Creating Daily Production report, Weekly Audit Report and Monthly… Show more • Monitoring and planning strategies to reduce unapplied cash, write offs and bad debts.• Being a part of Transformation and providing ideas for area of improvements.• Auditing and Approving the adjustments, refunds, demand letters and write offs for various business lines.• Customer order receipt, acknowledgement, verification and processing into ERP system• Co-ordination with finance for credit release• Creating Daily Production report, Weekly Audit Report and Monthly reduction report and sharing with clients• Validating the disputed claims and resolving them by updating necessary information or performing chargeback/adjustments.• Calling the payer (insurance company) for the claims submitted and following up for payment statuses. Show less