Summary
Overview
Work History
Education
Skills
Accomplishments
Disclaimer
Timeline
Generic

Syed Atif Ali

Northridge,CA

Summary

In quest of professional enrichment opportunities that utilize my analytical skills, communication skills, and other capabilities, while providing opportunities for growth. Personable Senior Associate with 7-year background in claims Analyses.

Overview

7
7
years of professional experience

Work History

SR Associate, Subject Matter Expert (SME)

Legato Health Technologies
01.2019 - 08.2022
  • Verified data and processing requirements, making corrections as necessary
  • Followed written procedures and scripts
  • Trained new hires on complete RCM of claims
  • Played key role in leadership groups for new projects
  • Recognized as top performer in Pilot batch
  • Conducted audits and provided feedback for multiple teams
  • Utilized proprietary software tools to access and review claim documents, make decisions, and create escalations when necessary
  • Communicated obstacles to leadership promptly to maintain workflow
  • Supported Claims Analysts with processing questions and escalations
  • Analyzed escalated cases for proper resolution and routing
  • Drafted claimant-facing communications based on provided guidance
  • Reviewed and distributed reports on work assignments, escalations, and QA results
  • Carelon Global Solutions

Senior Process Executive

Cognizant Technology Solutions
09.2015 - 11.2018
  • Adjudicated claims according to established productivity and quality goals
  • Screened claims for accuracy and completeness
  • Proficient in handling COB claims and special projects, processing claims per procedure and policy using various tools such as Manual Pricing, Medical Website Pricing, and Invoice Pricing
  • Released payments to providers and handled overpaid claims with respective departments

Education

Master of Science - Management

Indiana Wesleyan University
Marion, Indiana
04.2024

MBA Finance -

Osmania University
Hyderabad India
12.2016

Bachelor’s in Commerce - Computer Applications

Osmania University
12.2014

Skills

  • WGS
  • CI&W
  • Citrix
  • Jira
  • MS Excel
  • Training and mentoring
  • SQL
  • Web strat
  • Lotus Notes
  • ABS
  • NextGen
  • Global Advantage tools
  • Team Management
  • Leadership Support
  • Process improvement

Accomplishments

    ➢Awarded with UNICORN &SPOTLIGHT Awardsfor Best Performance and quality throughout the year.

    Received “Recognition certificate” from client.

    ➢ Has been an active participant in all the job-oriented tasks.

    ➢ Received appreciation from QC Staff for maintaining Quality.

    ➢ Received Impact award, frontrunner and Went an Extra Mile awards for process expertise and

    handling in the present Organization.

Disclaimer

I do hereby declare that all the information furnished above by me is true to the best of knowledge and I hope to have an opportunity to serve your esteemed organization in the capacity mentioned above.

Timeline

SR Associate, Subject Matter Expert (SME)

Legato Health Technologies
01.2019 - 08.2022

Senior Process Executive

Cognizant Technology Solutions
09.2015 - 11.2018

Master of Science - Management

Indiana Wesleyan University

MBA Finance -

Osmania University

Bachelor’s in Commerce - Computer Applications

Osmania University

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Syed Atif Ali