Sk Habib
@skhabib
Experienced health insurance claims analyst delivering compliant, accurate adjudication.
What I'm looking for
I am a motivated and responsible health insurance professional with over five years' experience in claims adjudication, auditing, and investigation within U.S.-based healthcare processes. I have processed professional and hospital claims using CI&W, Facets, and WGS for major payers, consistently delivering high accuracy and productivity.
I have driven measurable improvements—achieving 100% quality and 125% productivity, training colleagues on Facets, DRG, HCPCS, CPT, and NextGen, and boosting team accuracy by 30% while improving productivity by 20%. I maintain strict HIPAA compliance and handle appeals, EOBs, and remittance advices to secure timely payments.
I am a strong communicator and collaborator who coordinates administrative tasks, supports teammates, and resolves insurer, provider, and patient issues efficiently. I seek roles where I can apply my technical claims expertise and process-improvement mindset to deliver reliable reimbursement outcomes.
Experience
Work history, roles, and key accomplishments
Senior Associate
Processed professional and hospital claims for Elevance Health, Cigna, and UHG with high accuracy, achieving 100% quality and 125% productivity while reducing billing errors and repeat submissions. Trained team members on Facets, DRG, HCPCS and CPT, improving accuracy by 30% and boosting team productivity by 20%.
Education
Degrees, certifications, and relevant coursework
University of Calcutta
Bachelor of Commerce, Accounts
Grade: 59.37%
Activities and societies: Studied commerce subjects with focus on accounting and finance.
Completed a Bachelor of Commerce (Accounts Honours) with a score of 59.37% at University of Calcutta in 2021.
West Bengal Council of Higher Secondary Education
Higher Secondary Certificate, Higher Secondary (Class XII)
Grade: 78.00%
Completed Higher Secondary School (Class XII) with a score of 78.00% under WBCHSE in 2018.
West Bengal Board of Secondary Education
Secondary School Certificate, Secondary Education (Class X)
Grade: 52%
Completed Secondary School (Class X) with a score of 52% under WBBSE in 2016.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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