Neha Kapoor

US Healthcare Claims professional with approximately 1 year and 2 months of experience as a Claim Adjuster at Concentrix. Experienced in reviewing and processing US health insurance claims, verifying claim information, checking CPT and ICD codes, handling claim adjustments, and identifying errors and discrepancies. Knowledgeable in HIPAA requirements and medical terminology, with strong attention to detail, accuracy, documentation, and process compliance.

Claim Adjuster – US Healthcare Claims - Concentrix

(2025-03 - 2026-05)

• Reviewed and processed US healthcare insurance claims according to process guidelines.
• Verified member, provider and claim-related information before processing.
• Reviewed CPT and ICD codes and applied relevant medical terminology while reviewing claims.
• Handled claim adjustments and made necessary corrections based on process guidelines.
• Identified claim errors, discrepancies, denials and rejection reasons.
• Followed HIPAA requirements and maintained confidentiality of healthcare information.
• Updated and maintained accurate claim information in computer-based systems.
• Performed quality checks to minimize processing errors and maintain accuracy.
• Met daily productivity, quality and turnaround-time requirements.

Bachelor of Arts - B.A. - Himachal Pradesh University (2022)

Diploma in Pharmacy - D.Pharm (2022 - 2024)

Data Entry Course (2021 - 2022)