Manikandan A

I seek challenging opportunities where I can fully use my skills for the success of the organization.

Associate - Transaction processing - Sutherland Global Solutions

(2025-08)

• Process and adjudicate US healthcare claims by verifying eligibility, benefits, and policy guidelines.
• Review medical documents and claims data to ensure accuracy before transaction processing.
• Handle FSA (Flexible Spending Account) and HRA (Health Reimbursement Arrangement) claim processing in accordance with healthcare regulations.
• Perform detailed analysis of claim submissions and apply business rules to determine claim approval or rejection.
• Ensure all transactions meet productivity, quality, and turnaround time (TAT) standards.
• Maintain compliance with HIPAA and US healthcare regulatory requirements while handling patient data.
• Identify discrepancies in claim data and escalate issues to the appropriate teams for resolution.
• Support internal quality checks and ensure high accuracy in transaction processing.
• Collaborate with team members and supervisors to improve workflow efficiency and process improvements.
• Update claim status and maintain proper documentation within internal processing systems.

Customer Service Associate - Firstsource solution Pvt Ltd

(2024-03 - 2025-04)

• Preparing daily allocations file to segregate the task amongst the team member.
• Prioritising the sensitive clients queries and aged queries.
• Reviewing and analysing client's documents to meet their obligations.
• Verifying the client eligibility and account details in order to process the payment.
• Take ownership of each customer while empathizing and prioritizing customer needs.
• Resolve conflicts and manage customer expeditions.
• Determine customer needs and provide appropriate solutions though relationship building.
• Escalating any sort of issues to the management to do the better client service

B.com - Alagappa university in Karaikudi (2023)