
524_Safiya Ansari
@524_safiyaansari
I process health insurance claims, resolve denials, and support accurate, timely healthcare payments.
What I'm looking for
I've processed and adjudicated US health insurance claims at Concentrix India, verifying eligibility, benefits, and coverage while ensuring timely, accurate payments and HIPAA compliance. I also handled provider payments, operational queries, claim rework, quality checks, and training for new joiners.
More recently, at Credence Resources, I followed up on outstanding invoices, analyzed insurance claim denial codes, and prepared appeals based on payer guidelines. I'm recognized as a STAR Performer for consistent work quality and use MS Excel to prepare MIS reports.
Experience
Work history, roles, and key accomplishments
Executive – Accounts Receivable – Operations
Credence Resources
Feb 2026 - Jun 2026 (4 months)
Followed up with customers regarding outstanding invoices and payments. Worked on insurance claim denial codes, analyzed denial reasons, and prepared appeals based on payer guidelines.
Senior Representative – Operations (Claims Benefit Specialist)
Dec 2021 - Jan 2026 (4 years 1 month)
Processed and adjudicated US health insurance claims, ensuring accuracy and timely payments within TAT. Verified member eligibility and benefits, handled payment processing, and ensured compliance with HIPAA regulations.
Education
Degrees, certifications, and relevant coursework
Pune University
Bachelor of Commerce, Commerce
Completed Bachelor of Commerce from Pune University in 2021.
Maharashtra State Board
12th, General
Completed 12th standard from Maharashtra State Board in 2016.
Maharashtra State Board
10th, General
Completed 10th standard from Maharashtra State Board in 2014.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Skills
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