Vaishnavi P
@vaishnavip2
Claims operations professional at Cognizant researching US healthcare claims and maintaining 99%+ monthly quality.
IndiaWhat I'm looking for
At Cognizant Technology Solutions India Pvt. Ltd., I process and research US healthcare insurance claims, supporting members and providers through calls and email while maintaining HIPAA compliance.
I submit authorization requests, coordinate insurance approvals, follow up on denials, verify medical equipment utilization, and initiate purchase orders after approval.
I audit about 400 cases a week across four lines of business for a 30-member team, maintaining monthly quality above 99% in every line. I also prepare accuracy reports in Excel and run root cause analysis sessions to address quality gaps.
I’ve trained new hires on the process and reached up to 125% productivity. I’m seeking a remote Claims Analyst opportunity.
Experience
Work history, roles, and key accomplishments
Senior Process Executive
Jan 2025 - Present (1 year 10 months)
Process and research US healthcare insurance claims in a blended calls-and-emails process, handling 45–70 member and provider interactions a day with full HIPAA compliance. Submit insurance authorization requests, coordinate approvals, follow up on denials, verify medical equipment utilization, and initiate purchase orders after approval.
Handled inbound and outbound healthcare interactions on voice and non-voice channels, working with patients and providers to close service requests. Resolved escalations within service-level timelines and kept CRM records accurate and audit-ready.
HR Recruitment Specialist
CIMS Medical Recruitment
Nov 2021 - Oct 2023 (1 year 11 months)
Coordinated hiring end to end, from screening and interview scheduling to client communication, while meeting daily targets. Kept documentation and CRM records accurate and handled a high volume of inbound and outbound calls.
Customer Service Executive
ALFA International
May 2020 - Nov 2021 (1 year 6 months)
Screened candidate profiles, verified documents, scheduled interviews and made high-volume outbound recruitment calls.
Education
Degrees, certifications, and relevant coursework
Kerala Education Society
Senior Secondary (CBSE), General
Completed Senior Secondary education (CBSE) in 2018.
Cognizant Learning & Development
Risk Essentials, Risk Management
Completed Risk Essentials certification.
Cognizant Learning & Development
Insurance Process Training, Insurance
Completed Insurance Process Training certification.
University of Delhi
Bachelor of Arts, Arts
2019 - 2023
Pursued a Bachelor of Arts degree from the University of Delhi from 2019 to 2023.
Cognizant Learning & Development
Business Continuity Management, Business Continuity
Completed Business Continuity Management certification.
Kerala Education Society
Secondary (CBSE), General
Completed Secondary education (CBSE) in 2015.
Cognizant Learning & Development
Lean Six Sigma White Belt (Accredited), Process Improvement
Completed Lean Six Sigma White Belt (Accredited) certification.
Cognizant Learning & Development
MS Excel (Intermediate), Computer Applications
Completed MS Excel (Intermediate) certification.
Cognizant Learning & Development
Understanding & Complying with HIPAA, Healthcare Compliance
Completed Understanding & Complying with HIPAA certification.
Cognizant Learning & Development
Introduction to Insurance, Insurance
Completed Introduction to Insurance certification.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Salary expectations
Social media
Job categories
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