Aayaat Rajput
S
Las Vegas,NV
Summary
Goal-driven analytical highly effective at coordinating documents and processes between departments, individuals and government offices with regulatory compliance. Expert negotiator, problem solver and organizer. Approachable Medical Claims Processor and Escalation Specialist , proudly offering over 5 years' experience in handling multiple administrative responsibilities in fast-paced office environments. Hardworking professional interacting with providers to discuss claim status or denials. Attentive to details and highly collaborative.
Overview
6
6
years of professional experience
Work History
ERC Document Specialist
Erc Insurance Agency
Las Vegas, NV
07.2023 - Current
- Reviewed contracts to determine documentation required for each phase of project.
- Identified errors and suggested appropriate edits.
- Utilized document control database system to allow for better tracking and revision identification.
- Submitted project documentation to management for approval, transmitting approved documents to customer.
- Delivered detailed project management control documents for key project oversight.
- Evaluated various forms of documentation and reports for accuracy and completeness, identified deficiencies and advised on appropriate corrective measures to improve information details or processes.
- Coordinated new employee onboarding with orientation scheduling and preparation.
- Processed, verified and maintained personnel-related documentation.
- Supported recruitment with resume screening, interview scheduling and candidate job offers.
- Processed paperwork related to grievances, performance evaluations, classifications and employee leaves of absence.
- Answered questions regarding salaries, benefits and other pertinent information.
- Explained company personnel policies, benefits and procedures to employees or job applicants.
- Coordinated training schedules and filed crucial administrative paperwork.
- Gathered personnel records from other departments or employees.
Sr Claim Specialist
Molina Healthcare
Las Vegas, NV
09.2022 - Current
- Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
- Documented specific claims by completing and recording forms, reports and logs.
- Communicated with other departments to establish action plans and manage open claims to closure.
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
- Planned and conducted investigations of claims to confirm coverage and compensability.
- Investigated and analyzed requirements to improve timeliness of reports to customers.
- Assessed and conducted negotiations within authority limits to settle claims.
- Established proof of loss by studying documentation and assembling additional information from outside sources.
- Provided beneficiaries with information about plan benefits and eligibility determinations.
- Responded to member questions regarding plan benefits and provisions.
- Expertly assigned charges and payments for medical procedures.
- Maintained positive working relationship with fellow staff and management.
- Handled new enrollments by entering customers' data and reviewing information.
- Explained eligibility details and affordability options to patients with kindness and respect.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Demonstrated leadership by making improvements to work processes and helping to train others.
- Prioritized and organized tasks to efficiently accomplish service goals.
Sr Loan Processor
FAIRWAY MORTGAGE
INDIANAPOLIS, Indiana
10.2020 - 12.2022
- Managed conditions sent from underwriting departments.
- Created and completed loan submission packages.
- Communicated with customers in person and via telephone to answer questions, process transactions and resolve issues.
- Evaluated financial statements and contacted institutions and customers to clarify details.
- Maintained complete confidentiality of submitted information according to release guidelines.
- Checked approvals against established bank and government lending standards.
- Discussed loan needs and financial histories with clients and conveyed information regarding application processes.
- Filed completed packages quickly and efficiently.
- Completed closing process by collaborating with attorneys, title companies and government clerks.
- Interfaced with borrowers to obtain needed items and prepare applications for underwriting review.
- Calculated income, assets and liabilities to meet lender requirements.
- Upheld compliance with privacy and security requirements, as well as federal statutes covering VA loans.
- Structured loan packages by properly analyzing credit reports, income and asset documents.
- Reviewed and verified borrowers' income, credit reports and property appraisals to prepare documents for underwriting.
- Supported loan officiant and underwriter teams by ensuring timely, judicious and accurate loan processing.
- Organized loan files, updated databases, prepared general correspondence and communicated with stakeholders.
- Maintained fast-paced schedule by consistently providing satisfactory application approval turnaround times.
- Interviewed applicants to identify needs and evaluate eligibility for loans or mortgages.
- Reviewed initial client documentation to structure and submit loan package.
Compliance Specialist
Pennymac Financial Services Inc
Los Angeles, CA
04.2017 - 09.2020
- Provided support to department by assisting with special assignments and projects.
- Checked records for required signatures by closely reviewing documents.
- Advised staff and customers through audits and remedy compliance issues.
- Discovered flaws in client safety program and provided immediate remediation to keep operations in compliance with federal regulations.
- Improved compliance with government accounting systems and control requirements to maintain eligibility for government contracting.
- Mitigated risk by coordinating plans and specifications to maintain safety and compliance.
- Checked adherence to federal and state regulatory requirements by performing quality control reviews of loan packages.
- Determined acceptance or ineligibility on loans by reviewing and identifying discrepancies, deficiencies and misinformation.
- Maintained compliance frameworks, policies and documentation to support audits.
- Planned and executed compliance audits to check company policies, procedures and controls.
- Monitored compliance risk controls to identify deviations and offer recommendations.
- Adhered to deadlines in optimizing regulatory and operational performance.
- Analyzed data from multiple sources to systematically document work and results.
- Analyzed data to provide insights and recommendations for mitigating conduct risk.
- Stayed abreast of applicable laws and state or federal regulation to report violations.
- Utilized risk management techniques and business knowledge to improve compliance programs.
- Organized training programs to educate company staff on benefits and consequences of complying or defying regulations.
Education
Associate of Science - Database Management
Johns Hopkins University
Baltimore, MD08.2023
Associate of Science - Data Management Technology
Johns Hopkins University
Baltimore, MD01.2019
Skills
- Document Management
- Credit Reports
- Dedicated Work Ethic
- Property Inspection Requirements
- Escrow Account Management
- Risk Management
- Customer Service
- Mortgage Loan Software
- Financial Data Analysis
- Attention to Detail
- Error Research
- Loan Servicing
- Interpersonal Communication
- Application Process Management
- Complex Mathematics
- Title Research
- Borrower Correspondence
- Teamwork and Collaboration
- Employment Verification
- Loan Closing
- File Management
- Regulatory Compliance
- Verbal and Written Communication
- Decision Making
- Lending Software Systems
- Information Verification
- Customer Communication
- Financial Data Collection
- Problem Solving
- Time Management
- Legal Documentation
Languages
English
Native/ Bilingual
Hindi
Native/ Bilingual
Bengali
Native/ Bilingual
Punjabi
Native/ Bilingual
Urdu
Native/ Bilingual
Timeline
ERC Document Specialist
Erc Insurance Agency
07.2023 - Current
Sr Claim Specialist
Molina Healthcare
09.2022 - Current
Sr Loan Processor
FAIRWAY MORTGAGE
10.2020 - 12.2022
Compliance Specialist
Pennymac Financial Services Inc
04.2017 - 09.2020
Associate of Science - Database Management
Johns Hopkins University
Associate of Science - Data Management Technology
Johns Hopkins University