Diligent, forward-thinking professional with 16+ years of experience, including 10+ years of experience in Healthcare insurance industry. Versatile leader with Six sigma certification who thrives in dynamic, challenging and fast-paced professional environments. Adept at coordinating and managing multiple projects simultaneously. Currently pursuing PMP.
• Successfully completed assessment and transition of five complex processes within the defined timeline. Managed Service deliverable, Resource planning & hiring, Resource utilization & IT functionality
• Efficiently led User acceptance testing, transition of Quality audit platform & improve auto-adjudication projects for Facets Transformation.
• Efficiently initiated, master-minded and implemented automation of Non-Participating provider creation, Rejection letter creation, auto-capturing of Coordination of Benefits during data entry.
• Led various Organizational Six Sigma initiatives to improve Customer focused cost reduction project, improve profit margin & improve consistent delivery at par SLA for the account.
• Efficiently gathered requirements, executed, monitored and implemented transformation of Data entry to in-house OCR process.
• Consistently maintained account profit margin above 40%-45% focusing on Resource utilization, Identifying and removal of waste processes and accelerating productivity through Robotic automation.
TRAINING & MENTORING
• On-the-demand trainer for several batches for cross-training and new-bies on Claims adjudication
• Consistently generated 85 % average scoring classes of Undergraduates and Post-graduates on complex subjects in the field of Bio-Chemistry
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