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Bengaluru
Tej Kumar

Tej Kumar

Healthcare specialist

Insurance

Bengaluru, Bengaluru Urban

Social


About Tej Kumar:

Entering patient information into system with 100% accuracy
 Monitor and provide support to workfows and provide expert knowledge
 Client communication (inbound + chat CRM, Jira ticketing tools

Experience

Communicate via emails & phone calls with customers on timely maner
 Running monthly billing usage, respond to customer billing question and 
concerns.
 Enrollment of new clients submission. 
 US sales updating all information into CRM/Sales force software application.
 Research complex Benefits issues and formulates resolutions/recommendation
by analyzing fact patterns and applying plan provisions and best practice.
 Connecting with other teams and raise support ticket for all issues, analyze 
root cause and assist in efcient resolution of all production processes
 Monitor all alerts & escalate all issue for all procedures & system related issue
 Build & maintain client relationships track and record metrics throughout the 
process
 Validate healthcare enrollment plans send it to next level of clearing
 Experience in dealing with customer resolving quires on time
 Collect the required documents from medical department on time and 
resolving issue needed on time. Completing application on timely manner
 Generate / clearing healthcare enrollments on time, Good knowledge of 
hospital billing 
 Managing invoices/documents with company rules & regulation in timely 
manner.
 Handle Escalation and Red Flags emails receive f rom Client and work with
Vendor on Employee’s Benefits.
 Provider day to day client and third-party administrator contact for participant
processing inquires.
 Proactively identify training needs and provider necessary coaching as 
required to colleagues.
 Maintain and share the resolution status report with Team Manager and
Clients on daily basis.
 Work on test failure analysis area and identify root cause and fix the issue

Education

Communicate via emails & phone calls with customers on timely maner
 Running monthly billing usage, respond to customer billing question and 
concerns.
 Enrollment of new clients submission. 
 US sales updating all information into CRM/Sales force software application.
 Research complex Benefits issues and formulates resolutions/recommendation
by analyzing fact patterns and applying plan provisions and best practice.
 Connecting with other teams and raise support ticket for all issues, analyze 
root cause and assist in efcient resolution of all production processes
 Monitor all alerts & escalate all issue for all procedures & system related issue
 Build & maintain client relationships track and record metrics throughout the 
process
 Validate healthcare enrollment plans send it to next level of clearing
 Experience in dealing with customer resolving quires on time
 Collect the required documents from medical department on time and 
resolving issue needed on time. Completing application on timely manner
 Generate / clearing healthcare enrollments on time, Good knowledge of 
hospital billing 
 Managing invoices/documents with company rules & regulation in timely 
manner.
 Handle Escalation and Red Flags emails receive f rom Client and work with
Vendor on Employee’s Benefits.
 Provider day to day client and third-party administrator contact for participant
processing inquires.
 Proactively identify training needs and provider necessary coaching as 
required to colleagues.
 Maintain and share the resolution status report with Team Manager and
Clients on daily basis.
 Work on test failure analysis area and identify root cause and fix the issue

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