Shashi Vats Email and Phone Number
I am an experienced operations leader in the insurance industry specializing in healthcare claims (medical, dental, and behavioral) processing. Demonstrated success in reviewing and approving claims as per policy requirements, negotiating fair settlements for all stakeholders, handling grievances, building and coaching teams, managing internal and external stakeholders, and delivering on engagements for clients in insurance industry. I also have remediation experience and familiarity in audit protocols for claims.I have recently moved to Canada and looking to network with professionals here. Feel free to reach out shashivats.1991@gmail.com or ping me here!
City Of Toronto
View- Website:
- toronto.ca
- Employees:
- 14961
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Yoga InstructorCity Of Toronto Nov 2023 - PresentToronto, Ontario, Canada• Taught and tailored yoga classes to suit participants’ age, flexibility, and body type, ensuring a personalized experience.• Conducted workshops (thrice) for 20+ participants of intermediate and advanced levels (level 2 and level 3)
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Team Lead, Claims Examination And AdjustmentConcentrix Jan 2021 - Apr 2023Pune, Maharashtra, India• Orchestrated the establishment of three internal workstreams for medical, dental, and behavioral health claims; increased efficiency of several claims processed by 1.5X from 300K to 500K annually.• Developed and delivered training sessions for new staff and implemented a streamlined documentation process, resulting in a 30% improvement in claim handling accuracy.• Negotiated settlements of $6M annually, demonstrating strong negotiation skills while maximizing claimant satisfaction.• Investigated fraudulent claims, preventing fraudulent payouts totaling $1.5M over 2 years. -
Senior Claims Examiner– Aetna (Cvs Health)Concentrix Jun 2018 - Jan 2021Gurugram, Haryana, India• Analyzed a broad range of health claims; processed an average of 1500 claims per year, each up to $10K/claim.• Surveyed healthcare practitioners to identify claims filing challenges and instituted best practices for claims submission.
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Claims Adjuster – United Healthcare GroupConcentrix Aug 2016 - Jun 2018Gurugram, Haryana, India• Scrutinized claims forms and records to ensure accurate insurance coverage disbursement.• Specialized in medical claims analysis and gained proficiency in diverse claim types.
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Data Analyst – Accounts Payable Team (Dhl India)Ads Bpo Pvt. Ltd. Jun 2015 - Aug 2016Gurugram, Haryana, India• Analyzed accounts payable data for discrepancies such as missing entries or duplicates and rectified it; realized savings of $300K for DHL through accurate data entry and processing.• Trained new members on the team in data entry and processing.
Shashi Vats Education Details
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Business/Commerce, General -
Business/Commerce, General
Frequently Asked Questions about Shashi Vats
What company does Shashi Vats work for?
Shashi Vats works for City Of Toronto
What is Shashi Vats's role at the current company?
Shashi Vats's current role is Insurance Claims Expert | CIP pursuing | Yoga Instructor | Friend of 4 Retrievers.
What schools did Shashi Vats attend?
Shashi Vats attended Singhania University, Maharshi Dayanand University.
Who are Shashi Vats's colleagues?
Shashi Vats's colleagues are Lily Deng, Mark Latremouille, Folashade Okomayin Rssw, Raphael Dumas, Robert Jones P.eng, Pmp, Sandra Fearon, Nolan Ryan.
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Shashi Vats
Delhi, India -
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