Swapna Shetty
Al Rostamani Building Mankhool,Dubai,UAE
Summary
Dedicated Senior process consultant with a proven track records in US Health Care Claim Adjudication, specializing in Humana Medicare process.
Adaptable individual passionate about delivering excellent customer service through confident, helpful communications. Knowledgeable in Microsoft Office applications for reliable administration. Collaborates well to support team goals.
Articulate Claims Handler skilled in building positive relationships with clients and policyholders to achieve satisfactory settlements. Takes direction well to achieve tasks within time and quality constraints. Works with focus and attention to detail for accurate, reliable recordkeeping.
Enthusiastic senior process consultant with 3.5 years of experience. Secures team success through hard work, attention to detail and excellent organization. Recognized for the outstanding performance and dedication.
Overview
4
4
years of professional experience
2
2
years of post-secondary education
Work history
Claims handler
Sagility Health Care
Bangalore, India
01.2022 - 06.2025
- Reviewing claims submitted for Medicare Part A (hospital insurance and B (medical insurance) and verify the details, includes patient, provider and service information ensuring accuracy of the records and adjust the claim.
- Handled sensitive client information, maintaining confidentiality at all times.
- Ensured customer satisfaction by promptly resolving claims disputes.
- Managed complex insurance claims for successful resolution.
- Assisted in auditing activities, ensuring compliance across all areas of operation.
- Maintained high levels of accuracy whilst reviewing and validating claims documentation.
- Monitored and coached new team members.
Sales Executive
Pavan Jewelers
Bangalore, India
2021 - 2021
- Delivered engaging sales presentations at industry events to attract potential customers and partners.
- Applied critical thinking to analyse problems, evaluate solutions and select best decisions.
- Successfully delivered on tasks within tight deadlines.
- Quickly learned and applied new skills to daily tasks, improving efficiency and productivity.
- Displayed energy and enthusiasm in fast-paced environment.
Education
Bachelor of Commerce - Accountancy, Economics and Business studies
Mangalore University, Mangalore
India 06.2019 - 11.2021
Skills
- Proficiency in MS office
- Written and Verbal Communication
- Time management
- Performance measurement analysis
- Process improvement understanding
- Knowledge sharing
- resilience in difficult situations
- Photo-Editing for online listings
- Knowledge of metals
- Fashion trend insight
Languages
English
Fluent
kannada
Native
Telugu
Fluent
Hindi
Beginner
Affiliations
- Reading books
- Drawing
- Cooking
- Gardening
Accomplishments
Top Gun award for the Best Performance.
Recognized in R&R for achieving 169% of production target with 100% quality.
Timeline
Claims handler
Sagility Health Care
01.2022 - 06.2025
Sales Executive
Pavan Jewelers
2021 - 2021
Bachelor of Commerce - Accountancy, Economics and Business studies
Mangalore University, Mangalore
06.2019 - 11.2021
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