krishnakanthgd
About Candidate
Seeking a Challenging opportunity with an organization where my knowledge, skills and experience can be
extensively applied and enhance my career with positive attitude by developing leadership skills and have a
measurable positive impact on reaching destinations.
Location
Education
Work & Experience
Process consultant, dedicated to handling and processing the healthcare claims under the client Blue shield of California guidelines. - Involved in monitoring documents, analyzing the Primary insurance policy terms and conditions for the effective Claims Processing. - Adjudicated all types of Hospital claims, delivering timely customer service to members, providers, billing departments and other insurance companies on the subject of claims. - Responsible in handling COB adjustments and calculations to provide pricing details for claims like SNF, Hospice and unassigned drugs. - Conducted trainings to the new associates and performed audits on the process carried out. - Provided actionable data to various internal support groups whenever needed and supported in process amendments.
Involved in Registration process of Handling the registrations of Sale Deeds, Sale Agreements, MoDTs and other documents. In assisting the customers in representing the company services. - Involved in 10A Certifications, documents of E stamps for various documents like Tripartite, Maintaining the Original records and scan copies of E-Khatas to related projects with all customer KYC details and others - Reviewing and verifying of Sale Deeds sale agreements and other documents and Essential understanding on Kaveri 2.0 portal.
