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
SCARBOROUGH TORONTO
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
Hyderabad
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 INDIA07-2020
Skills
Extensive experience in claims management and adjusting
Excellent Organizational and Time Management Skill
Profound knowledge of insurance contracts, coverages, claims management programs and all related medical and legal terminology
Successfully track record in solving complicated assignments
Highly experienced in investigation of unusual or complex claims
Discipline and positive attitude with high sense of responsibility
My smart working nature gives me ability to work under any circumstances
Punctual and hardworking
Ability to self-motivate and work independently
Quick Learner and have strong commitment towards work
Handling critical situations
Microsoft Office - Excel, Word, Power Point
Healthcare Accounts Receivable - NASCO
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