Mamta Singh

Experience

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  KRISHNA AUTOMOBILES

  Mar 2004 - Dec 2005

  Sales Represantative
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  Concentrix India

  May 2007 - Apr 2017

  Primary job resposbilities is adjudication of Health Insurance Claims:Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.Resolve complex, severe exposure claims, using high service oriented file handling.Pay and process claims within designated authority level.Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.Contact claimants, doctors, medical specialists, or employers to get additional information.Examine claims form and other records to determine insurance coverage. ACHIVEMENT:Promoted to Senior Claim Benefit Specialist in June 2009Cross Trained in second LOB in August 2009Become a Mentor for Parent LOB Cross Trained in Third LOB in March 2010Become a High Doller Claims Auditor for Parent LOB in Feb 2011Promoted as Lead Operations in July 2012 Show less

  • Assistant Manager Operations

    Aug 2015 - Apr 2017

  • Lead Operations

    Jul 2012 - Jul 2015

  • Sr. Claim Benefit Specialist

    Jul 2009 - Jun 2012

  • Claim Benefit Specialist

    May 2007 - Jun 2009
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  Sun Life

  Apr 2017 - now

  • Manager Best Practice

    Apr 2023 - now

  • Best Practice Consultant

    Oct 2021 - Mar 2023

  • Assistant Manager

    Apr 2017 - Sept 2021