Shivam Raghav

Insurance Operations Analyst with experience in Lloyd's of London Reinsurance (P&C) and US Healthcare AR (RCM). Skilled in reinsurance operations, premium processing, insurance verification, and denial management. Strong analytical and problem-solving abilities with a focus on accuracy and compliance. Experienced in managing high-volume insurance operations. MBA graduate with a strong foundation in finance.

Analyst III - DXC Technology - Noida Sec – 62 (REMOTE)

(2026-03)

• Review and validate insurance documents, including MRC, LPAN, and supporting market documentation.
• Manage high-volume transactions while consistently meeting SLA, quality, and productivity targets.
• Collaborate with brokers, underwriters, and internal teams to resolve operational queries.
• Perform premium, policy, and risk data validation to ensure accuracy and completeness.
• Support end-to-end premium processing from document receipt to final completion.

AR Analyst - Qualicentric ITES - Noida Sec – 63

(2025-04 - 2026-02)

• Processed and submitted medical claims with accuracy, ensuring compliance with payer policies and regulatory standards.
• Analyzed denial patterns and AR aging reports to identify trends and recommend process enhancements.
• Managed appeals and payer follow-ups to secure timely reimbursements and reduce outstanding accounts receivable.
• Conducted insurance eligibility and benefit verification through direct coordination with payers.
• Ensured adherence to HIPAA and healthcare compliance guidelines while maintaining data confidentiality.

Master of Business Administration - MBA - IME College (2024-10 - 2026-06)