Results-driven MBA Post Graduate & Passionate Assistant Manager with a proven track record of 13 years in the dynamic intersection of Health Insurance and Corporate Industries. Expertise spans diverse roles such as Claims Adjudicator, Auditor, Subject Matter Expert, Team Leader, and Account Manager. Proficient in multi-dimensional processes like Claims, Customer Service, and Enrollment.Demonstrated success in managing US and International Health Insurance intricacies, specializing in Providers & Members Reimbursements. Noteworthy accomplishments include streamlining processes, leading effective transitions, and implementing initiatives with a creative thought process. Possesses Basic Six Sigma Certifications, underscoring a commitment to operational excellence.An effective leader with strong motivational skills, known for optimizing resource utilization. In-depth understanding of Provider Networks, Repricing, Arbitration, and Discounts. Exceptional written and verbal communication skills further enhance the ability to convey complex information.Eager to contribute this wealth of experience and skill to a challenging role.

Worked on various roles like claims adjudicator, Auditor, Trainer and Subject Matter expert in Optum.Started my career with Optum as Claims Associate within 6 months promoted as Senior Associate and later promoted as Auditor.Cracked an IJP and promoted SME(Subject Matter Expert) within a span of 1 and half year.Served as SME until resign from OPTUM in Apr 2013