Sumandra Adhikari Email & Phone Number

Bengaluru, Karnataka, India

• Oversaw the complete insurance workflow from initiation to closure.• Led and inspired team members to excel in their roles and enhance performance.• Guaranteed timely and accurate processing of insurance pre-authorization forms.• Managed the daily submission of discharge cases, ensuring smooth operations.• Investigated denied claims and implemented follow-ups to resolve issues.• Partnered with senior leadership to discuss and improve service quality.• Addressed and resolved customer complaints related to insurance rejections.• Facilitated customer navigation through the reimbursement process.• Compiled and delivered detailed reports to management regularly.• Implemented solutions based on customer feedback to improve service delivery.

Bengaluru, Karnataka, India

• Administered the entire cycle of insurance reimbursement processes.• Facilitated the collection and submission of post-discharge documentation for claims.• Uploaded required documentation to designated insurance portals.• Pursued resolution of pending cases, fielding inquiries, and resolving discrepancies.• Negotiated with insurance providers to expedite the reimbursement timeline.

Bengaluru, Karnataka, India

• Validated billing information for both local and international patients and processed payment invoices.• Reviewed medical bills against health insurance policies to ensure correct claim reimbursement.• Provided cost estimates for surgical procedures and hospital stays to prospective patients.• Coordinated with insurance agents and agencies regarding medical claims and discharge procedures.• Monitored and reported on discharge process efficiency for audit compliance.• Collaborated with the accounting team to manage daily financial transactions and revenue reporting.

Bengaluru, Karnataka, India

West Bengal, India

West Bengal, India

Post Graduate Diploma, Hospital Administration

Bachelor Of Arts