Kaveri Reddy

Insurance and operations professional with nearly 5 years of experience in claims processing, insurance operations, reporting, stakeholder management, and process improvement. Experienced in reviewing claims, maintaining quality standards, analyzing operational data, and collaborating with cross-functional teams to improve workflow efficiency and compliance. Skilled in Excel, reporting, dashboards, and client communication.

Consultant - Aon Consulting Pvt Ltd

(2023-12)

• Managed multiple client deliverables and coordinated with cross-functional teams to ensure timely project execution.
• Worked within the Center of Excellence (COE) team to support operational strategy, reporting, and process optimization initiatives.
• Analyzed operational data and metrics to identify process gaps and improve workflow efficiency.
• Created business reports, dashboards, and presentations for stakeholders and leadership reviews.
• Collaborated with internal and external stakeholders to manage priorities, escalations, and deliverables.
• Supported process improvement initiatives by streamlining reporting and operational activities.
• Utilized advanced Excel functions including Pivot Tables, VLOOKUP, data validation, and reporting automation.
• Assisted in end-to-end project coordination, tracking timelines, deliverables, and performance metrics.

Claims Associate - Carelon Global Solutions Pvt Ltd

(2020-12 - 2023-06)

• Consistently met expectations in collaboration, efficiency, and accuracy while ensuring timely claim processing.
• Reviewed and analyzed coverage details to determine appropriate claim payment outcomes.
• Handled claim investigations, documentation reviews, and outcome determinations based on policy guidelines and medical coding standards.
• Maintained accuracy in claims data management and supported reporting requirements for operational tracking.
• Collaborated with internal teams to resolve escalations and ensure timely completion of claims processing activities.
• Demonstrated strong understanding of medical terminology, ICD-9, CPT, and healthcare operations.
• Supported continuous process improvement initiatives to enhance workflow efficiency and reduce processing errors.
• Recognized for working independently with minimal supervision while consistently meeting performance expectations.

Bachelor Of Business Administration - Human Resource Management and Communication - Ballari Business College (2017-06 - 2020-06)