Arunkumar R
Chennai
Summary
Motivated Senior Claims Adjudicator with 3 years of positive experience. Adept at training and supporting new Adjudicators. Trained and knowledgeable in US medical claims & Financial recovery refunds process. Ability to handle multiple projects simultaneously with high degree of accuracy.
Overview
3
3
years of professional experience
Work History
Medical Insurance Claims Adjudicator
Exela Technologies
02.2021 - Current
- Researched and resolved complex medical claims issues to support timely processing.
- Provided training for new processors and provided feedback.
- Knowledge and 3 years Experience in the US Health Care Payer System.
- Also worked in financial recovery team processing refund claims.
- Communicated with client and also received training from client's end.
- Paid or denied medical claims based upon established claims processing criteria.
- Handled multiple projects simultaneously for More than 2 years.
Technical Data Processor
Flowserve India Controls
08.2020 - 12.2020
- Proficient in creating production planning and processing data for oil and gas industry.
- Creating excel sheets to manage data.
Education
Bachelor Of Business Administration - BBA
University of Madras
Chennai 12.2023
Diploma - Mechanical Engineering
Sri Nallalaghu Polytechnic College
Chennai, India04.2019
S.S.L.C -
Sri Vidya Nikethan Matriculation School
Ambattur Chennai 04.2016
Skills
- Proficiency in Applications like Facets, Lawson Financials, & Amisys
- Healthcare Common Procedures Coding System (HCPCS)
- Good typing speed
- MS Excel
- Good Team Communication
Accomplishments
- Received best employee award twice.
- Runner up in IIT Madras for Rural development project of designing a palm tree climber.
Timeline
Medical Insurance Claims Adjudicator
Exela Technologies
02.2021 - Current
Technical Data Processor
Flowserve India Controls
08.2020 - 12.2020
Bachelor Of Business Administration - BBA
University of Madras
Diploma - Mechanical Engineering
Sri Nallalaghu Polytechnic College
S.S.L.C -
Sri Vidya Nikethan Matriculation School
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