Malar Sathyaseelan

Seeking a challenging position in the area of Infrastructure management services for a company providing a highly motivated, progressive, friendly environment that allows the pursuit of career advancement and expand my knowledge and skills. Analyzing and verifying of standard medical forms (HCFA and UB-92.) of U.S. healthcare industry, Processing of claims and auditing. Making decision in payment of claims.

Subject Matter Expert - Accenture

(2019-07 - 2026-01)

In my role as an Analyst, I was responsible for performing all the monthly tasks and quality checks which made me to sustain in a hectic environment.

• I have also provided training on complex reconciliations, handled critical situations in the Process and made sure daily deliverables of the cluster is met with at most accuracy and timeliness.
• I have profound knowledge of the process and got complete understanding of various client specific requirements which made me flexible to handle any client relationship.
• Monitoring overall functioning of processes, identifying improvement areas, and implementing our idea to resolve critical task and time managing.
• Monitoring a team of associates, thereby ensuring optimum performance, and identifying, implementing strategies for building team effectiveness by promoting a spirit of cooperation between team members.
• Timeline deliverable to client reports like daily, weekly & monthly financials.
• Planning targets, monitoring members achievement of overall targets on a daily, weekly & 3 monthly basis in adherence to the pre-set standards.
• Coordinating activities for migration of project from development to production
• Provide timely, high-quality response to all client queries.
• Handling client escalation on emails and regular interaction based on process with the clients in weekly tele-conference calls.
• To assume other duties as may be assigned

Subject Matter Expert - NTT DATA, Chennai - Chennai

(2011-03 - 2019-01)

Role: ClaimsAdjudication and Provider Maintenance Work Experience: 7 Years and 7 months Facility: NTT DATA Position/Title: HC & Insurance Ops Associate 2014-2018 Primary Responsibilities: 2 Interact with us customer E-mail's of escalation, high priority and Defect rebuttals are shared with customer and internal management peoples for daily basis. Internal quality report are generated and shared with the team. Facility –NTT data Position/Title -HC & Insurance Senior representative 2011-2014

• Analyzing and processing with various HCFA & UB Forms.
• Doing adjudication for claims from Payer side
• Ensure the daily shipment and Tracking the Hourly Productivity Report.
• Providing Training for team members.
• Maintaining a Tracking Sheet of Team member's Production.
• On time delivery of production.
• Administrated all provider enrollment transactions and managed new provider affiliations and terminations
• Managed and answered all questions from staff and provided status reports of all enrollment transactions.
• Reviewed and maintained a number of provider reports associated with contract loading
• Auditing on Quality of claims processing.

B.C.A - Computer Application - Alpha Arts & Science College - Porur (2010-01)

HSC - Gov Higher Sec School - Porur (2007-01)

SSLC - Gov Higher Sec School - Porur (2005-01)