Open to opportunities

Divaanesvary Velayudam

@divaanesvaryvelayuda

Message

Experienced medical claims professional with laboratory science background and strong claims processing accuracy.

Malaysia

Message

What I'm looking for

I’m seeking a mid-level role in medical claims or insurance operations where I can apply claims adjudication and lab technical skills, improve turnaround times, mentor junior staff, and work within a collaborative, compliance-driven team.

I am a medical claims professional currently serving as a claims representative at an international insurer, experienced in processing domestic and international claims while ensuring policy compliance and medical necessity.

I consistently meet daily and weekly processing targets, provide timely responses to providers and payers, and train colleagues while maintaining confidentiality and accuracy in data input. My prior roles as a medical claim executive and insurance data officer sharpened my skills in claims adjudication, customer inquiries, and transforming inbound data into system-readable formats.

I trained as a Medical Laboratory Scientist and can operate and perform QC and basic maintenance on instruments such as Biolis 24i, Access 2, and Mythic 18, reinforcing my attention to quality control and equipment calibration. I seek to apply both claims and lab expertise to improve claims accuracy and operational efficiency.

Experience

Work history, roles, and key accomplishments

Current

Claims Representative

Current

Cigna International

Jun 2022 - Present (3 years 2 months)

Processed domestic and international medical claims ensuring policy compliance and met daily/weekly processing targets; handled provider and payer inquiries and trained colleagues to improve claims accuracy.

Claims Processing Compliance MS Office Data Entry Confidentiality Training

Insurance Data Officer

Asia Assistance (N) Sdn Bhd

Feb 2020 - Oct 2020 (8 months)

Prepared and transformed inbound client data into system-readable formats, identified data irregularities and maintained/updating databases; assisted with health insurance claims and handled agent and client enquiries.

Data Processing Data Quality Database Management Insurance Claims Administrative Support Data Validation Excel Customer Service

Medical Laboratory Scientist

Doctor's Lab Sdn Bhd

Mar 2019 - Oct 2019 (7 months)

Managed sample reception and operated Biolis 24i, Access 2 and Mythic 18 instruments, performing QC, calibration and basic troubleshooting to maintain lab performance; assisted with inventory and monthly payroll processing.

Access Quality Control Performance Calibration Troubleshooting Inventory Management Payroll Processing

Insurance Data Officer

Asia Assistance (N) Sdn Bhd

Nov 2016 - Jan 2018 (1 year 2 months)

Executed general administrative tasks and assisted with hospital administration clarifications and client queries on insurance plans while maintaining accurate records and data entry.

Administrative Support Data Entry Insurance Administration Customer Service Record keeping Data Verification Communication

Medical Claim Executive

Medixepress Malaysia Sdn Bhd

Assessed and processed medical claims for reimbursement per policy guidelines and ensured settlements met turnaround time standards; supported helpline enquiries and maintained document scanning and tracking.

Claims Processing Medical Reimbursement Customer Service Document Management MS Office Data Entry