Manjeesh Sukumaran
61 R Ferry Street, Sydney,NS
Summary
More than ten years of expertise providing medical support, filing subrogation claims, Creating Lien, and recovery. Devoted worker with a reputation for being on time, seeking career opportunities where providing excellent customer service and having a cheerful attitude can be beneficial. Motivated and well-organized worker ready to use organizational and time management abilities in a variety of settings. Looking for ways to develop one's talents while supporting the expansion of the business.
Overview
17
17
years of professional experience
Work History
Lead Assistant Manager - Subrogation Specialist
SCIO-EXL Health Analytics
06.2015 - 11.2023
- HIPAA Compliance, Case Management, Lien Creation, and Claims Recovery.
- Contacted Attorney and Insurance companies to determine liable party on recovery perspective.
- Negotiating lien with attorneys for recovery based on attorney's standard fee and cost.
- Send Emails to in-house counsel with attorney's proposal and forward recommendation to client to obtain approval.
- Handled average 45 cases per day.
- Responding to clients' email inquiries, clarifications, and recommending best intel with process upgrades.
- Attending weekly dashboard meetings with clients.
- Mentored and trained new hire employees in resolving complex liability disputes, policy analysis and enhancing professional development and accountability in workplace.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems, and verification processes.
- Acted as intermediary between insurance companies and customers by researching and assessing information to determine claim validity.
- Established as reliable resource for staff members troubleshooting complex administrative and training issues promptly.
- Initiated timely response to emails, voicemails, and written correspondence.
- Demonstrated knowledge of company mission and goals and mentored employees in reaching objectives aligned with company core values.
- Generated repeat business through exceptional customer service and responded to customer concerns with friendly and knowledgeable service.
- Increased employee performance and job satisfaction to strengthen retention and engagement.
- Supervised day-to-day operations to meet performance, quality and service expectations.
Senior Customer Service Executive
Serco BPO Pvt.Ltd
11.2012 - 07.2014
- Educated customers about billing, payment processing and support policies and procedures.
- Responded proactively and positively to rapid change.
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
- Sought ways to improve processes and services provided.
- Enhanced productivity levels by anticipating needs and delivering outstanding support.
- Met customer call guidelines for service levels, handle time and productivity.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Senior Process Executive - Voice
Cognizant Technology Solutions
05.2011 - 03.2012
- Communicated with doctors, nurses, patients, and other employees to identify and resolve healthcare needs.
- Responded to inquiries from the doctor's office with accurate information.
- Handled more than 50 customer service inquiries via telephone and through email per day.
- Gathered information, assessed and fulfilled callers' needs, and educated them on important policies and procedures.
- Entered patient demographic and insurance data into an electronic medical record system.
- Verified insurance eligibility and coverage for patients.
- Investigated insurance claims denials and appeals.
Service Delivery Consultant
Sutherland Global Service
10.2006 - 04.2011
- Worked for Intuit Quickbooks company as consultant.
- Handled calls and provided codes for software registration including upselling.
- Upselling latest versions of accounting software, technical support plans, payroll service plans, and enrolling customers in merchant account service.
- Achieving above 4% monthly targets and 98% quality for described products.
Education
Bachelor of Arts - Economics
Presidency College
Chennai, India04.2004
Skills
- HIPAA compliance
- Critical Thinking
- Leadership communications
- Attention to detail
- Time management
- Adaptability
- Project management
- Analytical thinking
- Problem-solving
- Negotiation
- Quality assurance
- Healthcare operations
- Insurance practices
- Interdepartmental collaboration
- Organizational standards
- Recording histories
- Computer Proficiency
Timeline
Lead Assistant Manager - Subrogation Specialist
SCIO-EXL Health Analytics
06.2015 - 11.2023
Senior Customer Service Executive
Serco BPO Pvt.Ltd
11.2012 - 07.2014
Senior Process Executive - Voice
Cognizant Technology Solutions
05.2011 - 03.2012
Service Delivery Consultant
Sutherland Global Service
10.2006 - 04.2011
Bachelor of Arts - Economics
Presidency College
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