Adithya Sidagam

Hardworking and reliable professional with over 4 years of experience in healthcare operations and customer service. Skilled in processing insurance claims, handling customer queries, and managing appeals. Known for strong communication, attention to detail, and the ability to work under pressure. Comfortable using various software tools and always eager to learn and grow.

Healthcare Associate at Carelon Global Solutions (2022-06 – 2024-08)

• Worked on different types of health insurance claims using tools like IBM Mainframe, WCF, WGS, SharePoint, and Blue Shield.
• Reviewed appeals from clients and checked if claims were paid correctly based on policies like copay, deductibles, and coinsurance.
• Did research on previous claim records to understand trends and patterns.
• If claims weren't paid right, I prepared detailed notes and sent them to the adjustment team with supporting info.
• Handled work based on priority and made sure to complete everything on time.
• Managed corporate accounts and helped prepare reports on appeals by collecting and summarizing the data.
• Performed internal audits of claim cases to identify inconsistencies and recommend corrections.
• Verified benefits for clients and checked claim payment accuracy against documented guidelines.

Customer Care Executive (Swiggy Process) at HRH Pvt. Ltd (2019-05 – 2022-02)

• Helped Swiggy customers with their orders through calls and chats.
• Solved issues related to late deliveries, refunds, order problems, and more.
• Stayed calm and polite even during tough situations and made sure customers were satisfied.
• Used support tools to track and resolve issues quickly.
• Maintained quality even when handling a high number of calls.
• Met key goals like customer satisfaction and resolving issues in the first interaction.

Bachelor of Commerce in B.Com – GITAM University (2021-06)