At Sagility India Pvt Ltd, I worked as a Sr. Process Consultant on Aetna claims. I reviewed medical claims and supporting documents, checked policy coverage, and assessed medical necessity against policy guidelines.
I handled high-dollar claims, bulk claim volumes, and reconciliation claims, helping ensure compliance and timely resolution. I also reduced claim discrepancies through proactive analysis and process improvements.
At Aegis Customer Support Services Private Limited, I worked as an Executive - Operations on Flipkart (FRM). I reviewed return-related concerns and customer-submitted images, approving genuine cases and rejecting fraudulent or invalid claims in line with fraud management protocols.
