Kavitha Mude

Experienced Healthcare Claims Processing Executive with 1.5+ years of experience in US healthcare claim adjudication and rework claims at Hinduja Global Solutions. Skilled in medical claims processing, benefit verification, healthcare compliance, and quality analysis. Strong analytical and problem-solving abilities with experience supporting team operations, auditing claims, and handling healthcare data accurately in fast-paced environments.

Seeking work-from-home opportunities in healthcare operations, claims processing, data analysis, or customer support roles.

Senior Claim Processing Executive - Hinduja Global Solutions

Experience: 1.5+ Years

• Verified insurance coverage and benefits for providers and members.
• Processed manual medical and hospital claims with accuracy and quality standards.
• Reviewed claims and supporting documents to approve, deny, or return claims for additional documentation.
• Conducted claim audits based on benefit packages, pricing, policies, and healthcare regulations.
• Identified underpayments and overpayments in claims and contracting processes.
• Analyzed contracts, fee schedules, and pricing structures for claim accuracy.
• Prepared reports, memos, and claim-related documentation as per company procedures.
• Supported team quality objectives and trained new employees on process workflows.
• Worked with healthcare data, coordination of benefits, and compliance procedures.

B.Sc - Gate Degree College (2014 - 2017)

Diploma in ECE - Electronics and Communication Engineering - Sri Padmavathi Women's Polytechnic (2011 - 2014)

Class X - Gurukul English Medium School (2011)