Sandeep Jamwal
Dynamic and results-driven health insurance operations professional
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About
Dynamic and results-driven health insurance operations professional with over 13 years of experience in the U.S. market. Expertise spans claims lifecycle management, appeals processing, credit file oversight, and compliance across multiple lines of business. Adept at process improvement, quality audits, and training new hires to enhance operational efficiency. Known for strong analytical skills, attention to detail, and excellent interpersonal communication.
Experience
Sr Delivery Analyst at Wipro Limited (2022-08 – 2025-09)
- Working on edits, PCS cleanup, and assisting cases to provide timely resolutions.
- Worked on HR file management including employee records, attendance tracking, and documentation updates.
- Experience working on Assist tickets, edits, PCS cleanup, and case assistance.
Sr. Appeals Analyst at UnitedHealth Group (2013-01 – 2022-06)
Started with the pilot batch of United Clinical Service Intake business as a Claims Associate and promoted to Sr. Claims Associate in 2014 with 8 different level movements.
- Cross-trained on 8 different lines of business including Commercial and Secure IRU (Inquiry Resolution Unit).
- Conducted quality audits for Rekey, IRU, Adjustment & Appeal processes.
- Trainer for new hires across different processes, ensuring process knowledge and conducting doubt sessions.
- Ensured prompt client query responses and issue resolution on priority.
- Responsible for business SOPs and daily MOM updates.
- Managed multiple processes including IRU, REKEY, SAM EDIT, MCR, FRAUD, APPEALS, and SOP benefits.
Process Associate at Serco Private Limited (2012-05 – 2013-01)
- Worked extensively on credit files, fraud detection, SSN updates, DOB, and address corrections.
- Gained experience in handling different types of fraud cases and updating sensitive personal information.
- Managed accurate updates of SSN, DOB, and address details to ensure compliance and data integrity.
Education
Secondary Education – Himachal Pradesh Board (2004)
Senior Secondary Education – Himachal Pradesh Board (2006)
Graduate – Himachal Pradesh University (2011)
