Sangeetha Thurairajasingam

• Maintained suspicious claims database and prepared reports for supervisors.
• Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.

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• Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
• Analyzed information gathered by investigation and report findings and recommendations.
• Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
• Conducted comprehensive interviews of witnesses and claimants to gather facts and information.

• Worked collaboratively with PSWs, RNSs and RPNs and assisted with scheduling and coordination of PSW, RN and RPN services
• Responsible for scheduling assignments of nursing and home supports staff to clients
• Collected entrees all pertinent client data into the computer system
• Respond to inbound calls from patients and healthcare providers to provide general information regarding the program and the services offered

• Completed data entry and maintain accurate current scheduling documentation.
• Responded to all caller inquiries with efficiency and appropriate urgency
• Provided list, schedules and performs other administrative duties
• Acts as a problem solver for clients and responds to inquiries from CCAC

• Responded to the phone, online and in person inquiries from clients, staff and funding agencies
• Entered, maintained and updated client/staff information in the computer
• Handled and documented client concerns and complaints
• Provide ongoing support to patients by assisting with coordination of clinic visits, drug orders and other support services that may be offered by the program.

• Provided excellent customer service at all times
• Answered inbound/outbound customer service calls at high volume
• Listened carefully and understand customer requests and inquiries, in a high-volume inbound call centre
• Worked diligently and properly with confidential information
• Handled complaints, provide appropriate solutions and alternatives
• Resolved issue quickly and efficiently