Raju Joseph
Halifax,Canada
Overview
3
3
years of professional experience
Work History
Claims Examiner
NTT DATA
Halifax, NS
03.2021 - 11.2021
- Analyzing and processing claims transactions in accordance with plan provisions.
- Adjudicated claims based on knowledge of covered benefits, insurance and provider contracts.
- Collaborating with management and other team members to proactively address service issues and concerns.
- Working with team lead and audit team on audit findings.
- Analyzing medical claims which do require coding knowledge with CPT,HCPCS, ICD 9/10 and member enrollment function.
- Provided service with individual and group products including medicare, dental/vision,critical illness and voluntary plans.
- Experienced in data entry that require a focus on quality and learn new software tools such as HRP, MACESSES, MEDHOK, RADMD, IMS and EVICORE.
- Observed strict procedures that required prioritizing workload to meet deadlines.
Insurance Administrator
Capgemini Tecnologies
Halifax, NS
10.2018 - 07.2020
- Provided high level of accurate administration and customer service of the various Life Insurance for RBC Clients.
- Provided Client service related to Compensation,Maintenance and support function.
- Worked on tasks such as AOR, Profile change, Sales Rep
Timeline
Claims Examiner
NTT DATA
03.2021 - 11.2021
Insurance Administrator
Capgemini Tecnologies
10.2018 - 07.2020