C N Kumaarr

Knowledgeable with regard to Medical Insurance Claims, Health Insurance Claims, General Insurance Claims Verification & Investigation.

Experience in Field Investigation with TPA or Insurance Company (Health Insurance). Efficient in Microsoft Office including Word, Excel, and Power point.

Good Communication

Skills – Written as well as Verbal

Claims Investigator - HI TPA Pvt Ltd - Hyderabad

(2020-12 - 2024-07)

• Visiting to hospitals and Insured locations as the representative of company and collects all required documents.
• Collects all Medical proof documents, such as ICP, Medicine Bills, Hospital bills, Patient statement etc.
• Investigate and survey the location of the Insured to verify the facts of the claims submitted for the company.
• Focus on the finding the authenticity of the claim submitted by the Insured.
• Investigations on the submitted claims by the insured on behalf of the organization to reach a favorable agreement for both.
• Analyze data on utilization, outcomes and costs to determine trends and identify problem areas.
• Scan and upload documents following set procedures.
• Timely submission of collected documents to the company along with necessary proofs.

Claims Investigator - OMS Pvt Ltd - Hyderabad

(2019-04 - 2020-11)

Sr. Claims Process Associate - ACS - Hyderabad

(2017-11 - 2019-01)

Claims Process Associate - OMH - Chennai

(2014-08 - 2017-10)

Admin Executive - MGH - Khammam

(2007-02 - 2013-12)

B.P.T - Bachelor of Physiotherapy - NTR University (2007)

B.Sc. - Bachelor of Science (Biology) - JNRN University (2003)

Intermediate - Board of Intermediate Education, A.P. (2000)

SSC - 10th Standard - Board of Secondary Education, A.P. (1998)