Alex Swarna.t

Nearly 3 years of experience in US Healthcare Claims Adjudication (Non-Voice process). Skilled in claims processing, denial management, eligibility verification, and payment resolution. Hands-on experience in tools like QNXT, PEGA and Salesforce. Seeking a backend/non-voice role to further grow in the healthcare domain.

Claims Adjudicator (Non-Voice) at Firstsource Solutions Ltd (2023-07 – Present)

• Processed and adjudicated US healthcare claims with high accuracy
• Handled denial management and reprocessing of claims
• Verified eligibility, authorization, and required documentation
• Managed claims related to COB, duplicate, corrected claims, invoices, and consent forms
• Ensured compliance with healthcare policies including deductible, co-pay, and coinsurance
• Achieved daily productivity and quality targets consistently as per SLA
• Handled claim adjustments using PEGA and Salesforce

UG – Prof. DhanapalanCollege of Science and Management (2020 – 2023)

12th – Government Higher Secondary School (2020)

10th – Government Higher Secondary School (2018)