PKPraveen Kumar
@praveenkumar17
Senior process consultant with expertise in U.S. health insurance.
IndiaWhat I'm looking for
I am a dedicated Senior Process Consultant with over 10 years of experience in the U.S. health insurance sector. My career began at Hinduja Global Solutions, where I honed my skills in managing high-dollar quality claims and enrolling members into new plans. I have consistently delivered 100% results on all operational parameters, demonstrating my commitment to excellence.
Throughout my tenure at Voluntary Health Services and Sagility, I have taken on increasing responsibilities, including performing YTD audits and training team members. My efforts have been recognized with the Wall of Fame Award for continuous quality, reflecting my dedication to maintaining high standards in all aspects of my work. I am passionate about translating knowledge into value for my organization and thrive in team environments.
Experience
Work history, roles, and key accomplishments
Senior Process Consultant
Sagility
Nov 2020 - Jul 2023 (2 years 8 months)
Managed high-dollar quality claims and enrolled members into new health plans. Maintained assigned group members' accounts and performed YTD audits on group accounts. Provided training and grooming to team members, updating them on routine process changes.
Senior Process Consultant
Voluntary Health Services
Jan 2020 - Oct 2020 (9 months)
Handled high-dollar quality claims and enrolled members into new health plans. Maintained assigned group members' accounts and performed YTD audits on group accounts. Worked on client-escalated claims and emails, ensuring 100% results on all operational parameters.
Senior Process Consultant
Hinduja Global Solutions
Jul 2013 - Jan 2020 (6 years 6 months)
Managed high-dollar quality claims and enrolled members into new health plans. Conducted YTD audits on group accounts and resolved client-escalated claims and emails. Achieved 100% results on all operational parameters and maintained turnaround time on assigned tasks.
Education
Degrees, certifications, and relevant coursework
C.V. Raman University
Bachelor of Business Administration, Business Administration
Completed a Bachelor's Degree in Business Administration. Focused on developing core business skills and understanding organizational management.
Karnataka Pre-University Board
Higher Secondary Schooling, General Studies
Completed Higher Secondary Schooling under the Karnataka Pre-University Board. Gained foundational knowledge across various subjects.
Karnataka State Secondary Education Board
Secondary Schooling, General Studies
Completed Secondary Schooling under the Karnataka State Secondary Education Board. Developed fundamental academic skills.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
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