shilpa nagpure

Led analysis and adjudication of cashless claims, ensuring policy compliance and efficiency. Conducted in-depth audits to detect fraud and highlight risks, driving cost savings through tariff scrutiny. Provided training, mentorship, and quality checks for new team members, contributing to team productivity and achieving processing targets.

Processed and adjudicated cashless claims according to policy terms and internal SOPs, maintaining accuracy and efficiency. Assisted in claims audits to identify potential fraud triggers and ensured quality standards were met. Contributed to achieving daily claim processing targets and supported team operations.

Conducted comprehensive audits of medical claims to verify eligibility and ensure strict compliance with insurance policies. Analyzed potential fraud triggers and determined financial outcomes, collaborating with various insurance teams. Enhanced claims adjudication accuracy through meticulous scrutiny and verification processes.

Led eligibility assessments and financial evaluations for medical claims, ensuring process integrity. Partnered with multiple insurance teams to optimize operational efficiency and minimize errors. Identified fraud-related patterns to maintain claim processing integrity.

Managed daily hospital operations, including minor OT procedures and assisting in major surgeries. Trained nursing staff on critical protocols like biomedical waste management and infection control. Provided patient counseling and monitored patients across multiple specialties, while organizing community health initiatives.

Managed daily outpatient consultations, including patient follow-ups and dietary counseling. Conducted community health check-ups and organized blood donation campaigns. Operated an independent clinic, managing patient care and community outreach.

Trained under senior practitioner Dr. Lalit Agrawal, gaining practical experience in homoeopathic practice. Assisted with patient interactions and learned clinical skills in a supervised environment. Developed foundational knowledge in homoeopathic treatment protocols.

Completed a clinical traineeship focused on Obstetrics and Gynecology at a maternity home. Assisted with patient care and clinical procedures under supervision. Gained practical experience in maternal and child healthcare.

Undertook a Post Graduate Diploma specializing in Hospital and Healthcare Management. Gained knowledge in healthcare administration, operations, and management principles.

Completed a Bachelor's degree focusing on the principles and practice of homeopathic medicine. Studied subjects including anatomy, physiology, pathology, and materia medica.