Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Naga Bhushanam Poturi

Hyderabad,Telangana

Summary

Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering "3" years of insurance experience. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Senior Associate position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

3
3
years of professional experience

Work History

Senior Claims Associate

Carelon Global Solutions
04.2023 - Current
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Analyzed and addressed escalated claims to resolve issues quickly.
  • Collaborated with internal departments and external vendors to achieve fast resolution of claims.
  • Updated claims system to track claim status and provide relevant information to other department.
  • Maintained accurate and up-to-date records of claim information for future reference.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Calculated adjustments, premiums and refunds.
  • Negotiated claim settlements with claimants and attorneys to resolve claims efficiently and fairly.
  • Generated, posted and attached information to claim files.
  • Trained new 25 FTE's on basic training.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.

Claims Associate

Carelon Global Solutions
10.2020 - 03.2023
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Updated claims system to track claim status and provide relevant information to other department.
  • Followed up with customers on unresolved issues.
  • Analyzed and addressed escalated claims to resolve issues quickly.
  • Developed and implemented strategies to improve claim processes.

Education

MBA - Finance

St. Johns PG College
Chengicharla
09.2022

Bachelor of Commerce - Computers

Bhavans Vivekananda Degree College
Malkajgiri
04.2020

CEC - Commerce

Loyola Academy Junior College
Alwal
04.2017

SSC - Schooling

New Lilly Model High School
Malkajgiri
04.2015

Skills

  • Accident Investigations
  • Quality Assurance
  • Documentation Research
  • Liability Determinations
  • Billing Codes
  • Current Procedural Terminology (CPT)
  • Claims Understanding
  • Data Quality
  • Medical Claims Submission
  • HIPAA Regulations
  • Inventory Accuracy

Languages

English
Full Professional
Hindi
Native or Bilingual

Timeline

Senior Claims Associate

Carelon Global Solutions
04.2023 - Current

Claims Associate

Carelon Global Solutions
10.2020 - 03.2023

MBA - Finance

St. Johns PG College

Bachelor of Commerce - Computers

Bhavans Vivekananda Degree College

CEC - Commerce

Loyola Academy Junior College

SSC - Schooling

New Lilly Model High School
Naga Bhushanam Poturi