Madhushalini .s

Senior Process Consultant with healthcare industry expertise. Proficient in international insurance claims processing and compliance with SLAs. Skilled in handling high-dollar inpatient claims and maintaining TAT. Experienced in investigating CCR cases and presenting comprehensive reports. Adept at mentoring new team members and identifying process improvements. Previous experience in Executive AR, resolving denied and non-denied claims.

Senior Process Consultant at Sagility Private limited (2021-09 – 2025-01)

• Gained hands-on experience in investigating and processing international insurance claims.
• Processed CCR cases(Clinical Claims Review), as well as handling claims related to both inpatient and outpatient medical claims.
• Handled high-dollar inpatient claims worth more than 15,000 dollars.
• Maintained TAT (Turnaround Time)
• Took reports of aging claims and ensured that team members completed them on time.
• Compiled relevant data and presented comprehensive reports to higher management, detailing the goals and targets achieved by the entire team. These presentations provided insights into our team's performance and contributions towards organizational objectives.
• Ensuring compliance with Service Level Agreements (SLAs) in both quality and production.
• As a mentor I provided training to new team members on the CCR claim process.

Master of Business Administration – GSSSIETW College (2019 – 2021)

Bachelor of Commerce – JSS College for Women (2016 – 2019)