Om Jangam

Experienced Customer Service and Healthcare Operations professional with over 7 years of experience across healthcare insurance, prior authorization, claims processing, customer support, and travel operations. Proven expertise in US healthcare processes including prior authorization, insurance verification, claims assistance, reimbursement support, and customer relationship management. Strong analytical, communication, and problem-solving skills with a track record of meeting quality benchmarks, turnaround time (TAT), and customer satisfaction goals.

Seeking opportunities in Healthcare Customer Support, Healthcare Consultant, Medical Billing, Medical Coding, AR Calling, Claims Processing, and Prior Authorization.

Senior Customer Service Representative – Data - Cotiviti India Pvt. Ltd.

(2025-09)

• Review prior authorization requests for member eligibility and provider participation within the eviCore network.
• Analyze insurance benefits to determine coverage for requested medical procedures.
• Approve eligible authorization requests or escalate complex cases to Registered Nurses (RN) or the client.
• Process authorization requests within defined turnaround time (TAT).
• Maintain quality standards and consistently achieve client-defined performance metrics.
• Record and maintain transaction data for production reporting.

Senior Process Executive - Cognizant Technology Solutions

(2022-03 - 2025-09)

• Assisted customers with insurance coverage and policy-related inquiries.
• Supported members throughout the claims filing and reimbursement process.
• Processed policy updates, modifications, and cancellations.
• Resolved customer complaints professionally while ensuring high customer satisfaction.
• Maintained up-to-date knowledge of insurance products and healthcare services.
• Generated service reports and consistently met quality and productivity targets.

Senior Executive - Startek Aegis

(2021-08 - 2021-12)

• Handled customer service interactions through voice support.
• Resolved customer queries efficiently while maintaining service quality.
• Successfully achieved performance targets and customer satisfaction goals.

Process Associate - IGT Solutions Pvt. Ltd.

(2019-08 - 2021-07)

• Managed inbound customer calls for airline and travel-related services.
• Provided accurate travel information including flight schedules and reservations.
• Delivered high-quality customer service while maintaining performance metrics.

Operations Officer - VFS Global Services

(2018-02 - 2019-08)

• Managed administrative processes related to visa, passport, and consular services.
• Processed customer applications accurately while adhering to government guidelines.
• Ensured document verification and compliance with service standards.
• Delivered excellent customer service in a fast-paced operational environment.

Bachelor of Arts - B.A. - Yashwantrao Chavan Maharashtra Open University (YCMOU) (2020)