Shivkesh Vishwakarma

Working as a Senior Associate in the US healthcare insurance domain, with 7+ years of hands-on experience in efficiently managing and reconciling medical records. My expertise includes medical reconciliation, policy renewals, billing and invoice processing, policy updates, and modifications. I am known for my commitment to quality, versatility in skills, and a proactive problem-solving approach.

I am eager to contribute my experience, skills, and dedication to support organizational growth and enhance operational efficiency.

Senior Associate - TCS (Tata Consultancy Services) - Pune, India

(2024-09)

• Worked on US Employee Benefits insurance process for multiple corporate clients
• Handled policy renewals and ensured timely updates as per client requirements
• Managed billing and invoice processing, including premium verification and corrections
• Prepared and processed Annual Notice for clients as per compliance guidelines
• Performed accurate Sagitta system entries for client and policy data
• Supported prospect setup and assisted in onboarding new business opportunities
• Completed new client setup, including policy details, plan information, and documentations
• Updated and maintained client records, plan changes, and coverage modification
• Coordinated with internal teams and clients for data validation and issue resolution
• Ensured data accuracy and adherence to US insurance standards and timelines

Associate -> Senior Associate (Promoted) - EVIDEN (ATOS)

(2020-01 - 2024-09)

• Performed client account reconciliation to ensure accurate member and policy data
• Managed demographic and address updates using AVF (Address Verification Form) guidelines
• Handled plan terminations and plan additions based on service area (OSA/IN area) eligibility
• Delivered 100% quality and productivity while supporting Humana healthcare operations
• Supported data validation, production management, and audit readiness activities
• Conducted training sessions and contributed to process improvement initiatives

Customer Care Executive - QCONNEQT

(2018-10 - 2019-10)

• Handled outbound domestic calls for Tata Sky customers to address service-related queries
• Provided effective resolutions for customer concerns regarding plans, packages, and services
• Responded to customer requests through professional email communication
• Explained subscription plans, upgrades, and account-related information clearly to customers

BCS - Savitribai Phule Pune University (2018)

HSC - Maharashtra Board (2014)

SSC - Maharashtra Board (2012)