Hema Latha User

I’m a results-driven finance and operations professional with an MBA in Banking, Finance & Insurance, and I focus on precision, speed, and compliance in high-volume processing. In my current role as a Claims Associate, I handle complex claim workflows while ensuring strong audit readiness and regulatory adherence.

I process 100+ claims daily with 99% accuracy, performing validation of claims data to minimize discrepancies and improve financial accuracy. I manage end-to-end claim lifecycles across the West region and multiple Central states, balancing operational throughput with careful review.

I’ve worked extensively with complex JAA Inter-Plan Teleprocessing System (ITS) claims, navigating inter-plan communications and reimbursement protocols. My approach also centers on compliance expertise—applying HIPAA compliance along with ICD-10, CPT, and HCPCS coding to reduce denial rates and streamline processing, including Coordination of Benefits (COB) and Medicare/Medicaid claims.

Beyond operations, I bring analytical capability through projects and reporting. I’ve analyzed five years of financial data in Excel, evaluating ratios such as ROE, Net Profit Margin, and Debt-to-Equity, and I’ve built Power BI dashboards to visualize fintech market trends and cost-efficiency insights—skills I’m ready to apply in Finance, Accounts, Banking Operations, Financial Analysis, and Shared Services.