Sweta Saha
@swetasaha
Process Associate at WIPRO Ltd. who validated medical service claims and flagged ineligible claims before payment.
IndiaWhat I'm looking for
At WIPRO Ltd., I validated providers’ medical service claims and reviewed them for compliance with payer policies and guidelines.
I detected duplicate claims and corrected mismatches in patient, service date, and provider details before payment processing. I assessed claims against insurance policies, eligibility criteria, and coverage limits, then approved, denied, or flagged them for further investigation.
I completed Information Technology Application coursework at YUVA KENDRA and hold a B.A. in English (H) from CALCUTTA UNIVERSITY.
Experience
Work history, roles, and key accomplishments
Validated medical service claims of providers, reviewed payer's policies and guidelines compliance, and detected and rejected duplicate claims. Rectified mismatches in claim details and processed claims based on insurance policies, eligibility criteria, and coverage limits.
Education
Degrees, certifications, and relevant coursework
Calcutta University
Bachelor of Arts, English
Grade: 71.00%
Completed a Bachelor of Arts in English (Hons) from Calcutta University in 2023.
W.B.C.H.S.E
Higher Secondary
Completed Higher Secondary education from the West Bengal Council of Higher Secondary Education in 2020.
W.B.B.S.E
Secondary
Completed Secondary education from the West Bengal Board of Secondary Education in 2018.
Yuva Kendra
Professional Coursework, Information Technology
Completed professional coursework in Information Technology Application from Yuva Kendra.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Salary expectations
Job categories
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