Operations (UAE)

EMPLOYEE POSTING

Candidate Reference No.:

MECPR5258

Date Posted:

18/03/2018

Personal Information

Title:

Mrs.

First Name:

Soumya

Last Name::

Raveendran K P

Nationality:

India

Gender:

Female

Date of Birth:

21/02/1990

Educational Qualification

Education:

Bachelor of Engineering in Computer Science Engineering

Training/Certifications:

ORACLE CERTIFIED SQL EXPERT 2012

Skills:

MS Excel, MS Office, SQL, SSRS, analyzing professional and institutional claims billed, general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims,

Work Details

Work Experience: (please provide your last 3 positions):

Claims Rep Assc -

• Worked at United Health Group as Claims Analyst under Key2Corp Consultancy (Nov 2012- Feb 2014).
• Worked at United Health Group as Clms Rep Assc (March 2014 - June 2016).

Preferred Location:

United Arab Emirates

Areas of Interest:

Operations

Expected Salary/Perks:

4000 AED/Month

Contact Information

Phone:

+971547054748

Mobile:

+971547054748

Email:

souknr@gmail.com

Postal Address:

Villa No 15 Al Ghafiyah Sharjah AE

 

 

Any other information:

I have 3.8 years of experience in health insurance as Claims Rep Associate in United Health Group. UHG is an American managed health care company. UHG which provides a comprehensive array of consumer-oriented health benefit plans and services for large national employers including US govt Medicare and Medicaid claims.

I was responsible for :
-Analyzing professional and institutional claims billed
-Reviewing, researching, investigating, negotiating, processing and adjusting claims.
-Conducting data entry and re-work; analyzing and identifying trends and providing reports as necessary.
-Resolving the ticket issues which was raised by the member/provider based on the CMS guidelines
-Recovering and retrieving funds from providers due to overpayment and adjusting provider claims for overpayment and underpayments.

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