Anjali Kanojiya

Healthcare Claims Processing professional with 4+ years of experience in US Healthcare operations. Experienced in Medicare, Medicaid, Member Claims, Provider Claims, Group Claims and Retail Claims processing. Currently working as Health Admin Services Associate at Accenture. Recognized multiple times as Performer of the Month and Performer of the Week. Consistently maintains 98%-100% quality scores while achieving productivity targets of 82+ claims per day.

Health Admin Services Associate - Accenture - Mumbai

(2024-07)

• Process Medicare and Medicaid healthcare claims on a daily basis.
• Handle Member and Provider claims across multiple claim categories.
• Perform claim review, eligibility verification and benefits validation.
• Maintain quality score between 98% and 100%.
• Consistently achieve productivity target of 82+ claims per day.
• Recognized with Performer of the Month and Performer of the Week awards multiple times.

T.P.R Associate - Pyramid Consulting - Mumbai

(2022-07 - 2024-07)

• Worked on Group Claims and multiple healthcare claim types.
• Ensured accurate claim processing and adherence to SLA requirements.
• Supported operational efficiency through timely and error-free processing.

Bachelor of Commerce - B.Com - Bharat College of Art & Commerce