Avishek Dhital
Irving,TX
Summary
Dynamic Business Support Administrator with expertise in claims adjudication and compliance review at BM TECH. Proven track record in optimizing data analysis and project coordination, enhancing operational efficiency. Strong critical thinking and problem-solving skills led to the successful resolution of disputes, minimizing litigation, and being a strong communicator with a proven ability to collaborate with stakeholders at all organizational levels and deliver measurable results.
Overview
8
8
years of professional experience
Work History
Business Support Administrator
BM TECH
Haslet, USA
10.2022 - Current
- Reviewed insurance claims to ensure compliance with company policies and regulations.
- Built and optimized Adobe and Excel dashboards to provide campaign metrics and optimization opportunities.
- Collaborated across business units and facilitated workshops to ensure campaign initiatives aligned with organizational objectives.
- Managed communication between departments to ensure efficient operations.
- Assisted in the development of new policies and procedures related to claim adjudication.
- Maintained detailed records of claims and communications for efficient tracking.
- Reviewed and evaluated insurance claims for coverage, accuracy, completeness and compliance with company standards.
- Resolved claim disputes through mediation and negotiation, minimizing the need for litigation.
- Engaged in continuous learning to stay current with industry trends and best practices in claims management.
Quality Analyst - Technician
CTDI
Flower Mound, USA
02.2019 - 03.2021
- Inspected incoming materials for compliance with quality standards and specifications.
- Conducted regular audits of production processes to ensure adherence to safety protocols.
- Collaborated with production teams to identify and resolve quality issues promptly.
- Utilized inspection tools to measure product dimensions and assess quality characteristics.
- Documented inspection results and maintained accurate records of quality control activities.
- Trained new staff on quality control procedures and best practices for inspections.
- Monitored production processes to ensure quality standards were met and documented results of inspections.
- Analyzed insurance claims for accuracy and compliance with company policies.
- Reviewed documentation to determine eligibility and policy coverage details.
- Communicated with clients to gather additional information for claims processing.
- Assisted in training new analysts on procedures and best practices for claims handling.
Business Support Intern
OM Networks
Kathmandu, Nepal
06.2018 - 08.2018
- Partnered with e-commerce and marketing teams to analyze campaign performance, customer behavior, and engagement metrics.
- Created dashboards and reports for email and digital campaigns, presenting insights that optimized targeting and messaging.
- Conducted GAP analyses and JAD meetings with stakeholders to ensure campaign readiness.
- Coordinated product launches and marketing assets with supply chain timelines to ensure seamless execution.
- Answered incoming calls in a professional manner while providing accurate information.
- Assisted with customer service inquiries and order processing via phone and email.
- Generated sales reports from customer databases using Excel spreadsheets.
- Resolved customer complaints in a timely manner by providing appropriate solutions.
- Analyzed customer feedback data to identify opportunities for process improvement.
- Demonstrated strong organizational skills while managing multiple projects simultaneously.
Education
Master of Science - Business Analytics
Texas A&M University
Commerce, TX01.2021
Bachelor of Business Administration -
Tribhuvan University
Nepal01.2018
Skills
- Claims adjudication
- Compliance review
- Critical thinking
- Problem-solving
- Data analysis
- Project coordination
- Risk management
- Claims file documentation
- Decision-making
Timeline
Business Support Administrator
BM TECH
10.2022 - Current
Quality Analyst - Technician
CTDI
02.2019 - 03.2021
Business Support Intern
OM Networks
06.2018 - 08.2018
Master of Science - Business Analytics
Texas A&M University
Bachelor of Business Administration -
Tribhuvan University