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Claim Operation Officer Resume Sample

This resume is a sample for the post of Claim Operation Officer. The Insurance Claim Operation Officer is a job of an analyst, he prepares the basic report after the Client’s application. He inquires after all the existing things, facts and all the requirements that he considers to be important for the further action. And forwards to his officer or senior officer at their satisfaction level. For the company reputation and goodwill companies mostly hire intelligent, comprehensive and skillful person for this post. For wining this job in full stream of competition firstly am foremostly you should build your resume. It should be developed in such a manner that your employer considers your the most suitable person for the job. We given below a sample resume for this purpose which should guide you in constructing a job wining resume. Finally adding references(verified) to your resume will add to the value of it.

Name:XYZ

E-Mail: xxx 

Mobile: 000000

Career Objective (Claim Operation Officer)

Seeking full time career with an organization, which will permit to use my abilities and also to put my skills and practice efficiently in the best interest of the company.

Career Summary (Claim Operation Officer)

Over 5 years of extensive, executive operations management role in organizations; contributed to firm growth by executing business strategies using strong decision making abilities.

  • Strong background in back end operations.
  • Knowledge of Quality assurance, audits, bugs fixing and production management.

Core Competencies:

  • Excellent people manager – Persuader, influence, leader, negotiator and delegate.
  • Team work – Effectively communicates to delegate responsibilities using interpersonal skills.
  • Accuracy and punctuality – Precise with details and facts.

EDUCATION QUALIFICATION:

  • Master of Computer Applications from Osmania University.
  • Bachelors of Sciences (computers) from Kakatiya University.

EXPERIENCE:

Company: United Health Group, Hyderabad

Worked as a Sr Claims Associate in United Health Group, Hyderabad

  Responsibilities:

  • Coordinate with customers and staff and provide support to all data analysis.
  • Perform data analysis on all results and prepare presentations for clients.
  • Perform audit on data and resolve business related issues for customer base.
  • Coordinate with engineering and product management team and ensure accuracy on all deliverable and prepare summaries.
  • Perform data analysis and facilitate in delivery to all end users.
  • Supervise all client issues and coordinate with managers and supervisors and facilitate in deliverable.
  • Monitor and organize all client invoices and perform all timely assessment for all payment issues.
  • Administer all data for customer invoices and provide company metrics.
  • Monitor and resolve all customer invoice data issues and coordinate with various vendors and manage all previous balance.
  • Organize all consumption anomalies and determine defects for data and prepare appropriate resolutions.
  • Supervise process management tools and ensure compliance to all cycle guidelines.
  • Maintain and document library of invoices and resolve all issues in same.
  • Perform internal audit and prepare all invoices and determine quality improvement processes.
  • Maintain and escalate issues to lead analyst if required.

 Company: Sutherland Healthcare Solutions, Hyderabad.

Worked as a Process Associate in Sutherland Global Services, Hyderabad.

  • Assists in implementing production procedures to optimize new and existing manufacturing processes.
  • Gathers research on new and existing technologies and procedures
  • Monitor all transactions and ensure compliance to quality regulations and maintain effective relationships with clients.
  • Manage everyday work activities and informed supervisor appropriately
  • Administer and collect all metrics on processes and identify data points to improve all processes.
  • Documents all transactions on an everyday basis and collate metrics from various associates and prepare appropriate reports.
  • Monitor all data entry operations and ensure compliance to time frame.
  • Ensure and maintain effective professional relationships with staff.
  • Perform quality check assessment on all processes of various associates.
  • Coordinate with team members and ensure achievement of all team objectives and goals.
  • Analyze all issues of internal and external clients and provide effective resolutions for same.

PERSONAL PROFILE:

Name                                       :           XYZ

Father’s Name                           :         XYZ

Marital Status                            :          Married

Nationality                                 :            Indian

Passport No                               :            00000

Visa Type                                  :           Visit Visa

Hobbies                                     :            Playing cricket.

Date of Birth                              :          000