Summary
Overview
Work History
Education
Skills
Certificates
Workexposure
Accomplishments
Timeline
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Momula Vikas

Toronto,ON

Summary

Highly organized and trained claims specialist with a proven track record of successfully managing claims. Creative and independent problem-solver who seamlessly collaborates with leadership and other company employees. Flexible and willing to cover weekends and handle emergency situations as needed. Able to handle multiple priorities with a bias for action and a genuine interest in professional development. an excellent ability to handle complex customer issues and ensure positive experiences. Driven by efficiency and possessing strong organizational skills, with a team-oriented mentality and unwavering dedication to customer satisfaction, business goals, and sales excellence. Expertise in coordinating documentation and managing payments.

Overview

4
4
years of professional experience
3
3
Languages

Work History

Logistics Coordinator

Hudson's Bay
11.2023 - Current
  • Tracked orders and notified customers of status or potential delays.
  • Coordinated with suppliers to ensure timely delivery of goods, minimizing stockouts.
  • Developed relationships with key vendors, securing preferential treatment in pricing and terms negotiation.
  • Collaborated with sales and customer service teams to address client concerns and expedite orders when necessary.
  • Strategized best methods and tactics for efficient storage and handling of materials.
  • Managed inventory levels to verify availability of stock for customer orders.

Claims Associate

Legato Health Technologies
12.2020 - 07.2023
  • Reviewed and released reimbursement to various customers
  • Consistently met and exceeded all productivity outlines
  • Worked independently and as a team member
  • Recognized for consistency of 100% accuracy in claims processing
  • Worked on high dollar claims
  • Kept accurate records of all activity and conversation for each file
  • Researched and resolved denials with Explanation of Benefits (EOB) rejections within standard billing cycle time frame
  • Corrected and Resubmitted claims, denied by insurance company
  • Enhanced claim processing efficiency by streamlining workflows and implementing new software tools.
  • Collaborated with team members to develop strategies for efficient claims processing and improved customer experiences.
  • Optimized resource allocation by regularly monitoring workload distribution among team members.

Education

Post-Graduate Certificate - Project Management

Barrie, None
05.2001 -

Post-Graduate Certificate - Logistics And Supply Chain Management

Fleming College
Peterborough, None
05.2001 -

Master's - commerce

Dr BR Ambedkar University
HYDERABAD INDIA
05.2001 - Current

Bachelor of Commerce honors - Information Technology

Aurora Degree College
HYDERABAD INDIA
07-2020

Skills

Extensive experience in claims management and adjusting

Certificates

  • Green Belt Lean Six Sigma.
  • Certificate In International Freight Forwarding.
  • Certificates in MS-Office.
  • Certificate in Healthcare Management.
  • First Aid & CPR Certificates.
  • Certificate of Appreciation - Go Above Award for Procedural & Financial accuracy at 100% and productivity stands at 105%.
  • Awarded for consistently maintaining 100% Quality performance for last 6 months.
  • Certificate of Appreciation - flexibility on the overtime contribution whenever we have business requirements and ensuring the deliverables.

Workexposure

Claims Associate
Legato Health Technologies, Hyderabad, Telangana

  • Processed high-volume claims with 100% accuracy, resolved denials, and maintained detailed records.
  • Coordinated with teams to ensure efficient workflows and exceeded daily productivity targets.

Warehouse Coordinator
Hudson's Bay, Toronto, ON

  • Managed inventory, supervised shipping and receiving operations, and streamlined logistics to improve efficiency.
  • Oversaw team activities and ensured timely execution of tasks in alignment with organizational goals.

Accomplishments

Internship at Kims Healthcare Clinic: Assisted with patient scheduling, data entry, and ensuring compliance with clinic policies.

Lead Volunteer for Vaccine Distribution: Supervised scheduling and ensured smooth operations at a COVID-19 vaccine drive for underserved populations.

Timeline

Logistics Coordinator

Hudson's Bay
11.2023 - Current

Claims Associate

Legato Health Technologies
12.2020 - 07.2023

Post-Graduate Certificate - Project Management

05.2001 -

Post-Graduate Certificate - Logistics And Supply Chain Management

Fleming College
05.2001 -

Master's - commerce

Dr BR Ambedkar University
05.2001 - Current

Bachelor of Commerce honors - Information Technology

Aurora Degree College
Momula Vikas