Deepika Singh H
Bangalore,KA
Summary
Detail-oriented Subject Matter Expert in healthcare claims processing, skilled in problem solving and root cause analysis. Successfully conducted training sessions and team huddles, fostering communication and collaboration to improve operational efficiency.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Subject Matter Expert
Carelon Global Solutions
04.2024 - Current
- A strong processing knowledge in Host Secure Message or Rework claims.
- Served as an SME with providing guidance and support to the central host team.
- Excellent communications skills and collaborative with QA's and OE's.
- Conducted daily team huddles to ensure smooth communication and alignment.
- Handled complex scenarios.
- Conducted weekly Error session to ensure all the errors are discussed and the team is educated on the scenarios.
- Supported the team in achieving production and quality.
- Analyzed defects thoroughly and conduct process-oriented Root Cause Analysis (RCA), including detailed process walkthrough.
- Ensured focus audits and derived RCA Corrective and Preventive Actions (CAPA).
- Conduct process knowledge assessments, maintain an error repository, and share updates and key findings with the team.
- Actively participate in calibration sessions with offshore and onshore teams to align quality standards.
- Developed training materials for new employees for nearly 5 batches.
Senior Associate
Carelon Global Solutions
04.2022 - 04.2024
- Mentored junior associates, fostering skill development and team collaboration.
- Conducted regular assessments of operational workflows, recommending enhancements for productivity.
- Have ensured able to handle different states and complicated scenarios.
- Have cross trained on National claims and IT Host provider inquiries.
Claims Associate
Legato Health Technology
02.2020 - 04.2022
- Analyzed claims data to identify patterns and improve processing efficiency.
- Reviewed and verified documentation for accuracy and compliance with policies.
- Processed high-volume claims while ensuring adherence to deadlines and quality standards.
- Achieved production and quality for most of the months.
Education
Bachelor of Commerce - Banking And Insurance
Gopalan College Bangalore University
06-2019
12th - BACS
Ujjwal Vidyalaya Bangalore University
05-2014
Skills
Core competencies: Domain Knowledge in US healthcare,Training and mentoring,Teamwork and collaboration, Audit reporting,Task prioritization and Problem solving
Soft skills: Communication, Time management
Technical skills: MS Office(Excel, Word & PPT)
Certification
recognition for above and beyond excellence for Q3- 2025
Certified in PAHM in 2022.
Timeline
Subject Matter Expert
Carelon Global Solutions
04.2024 - Current
Senior Associate
Carelon Global Solutions
04.2022 - 04.2024
Claims Associate
Legato Health Technology
02.2020 - 04.2022
Bachelor of Commerce - Banking And Insurance
Gopalan College Bangalore University
12th - BACS
Ujjwal Vidyalaya Bangalore University