
Tej Kumar
Insurance
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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