Similey Sathish

Transaction Processing & Healthcare Operations professional with over 5 years of hands-on experience in enrollment, billing, claims support and customer query resolution. Strong working knowledge of healthcare systems and tools (Facets, Edifecs, Salesforce, Prime Therapeutics), combined with analytical skills (VLOOKUP, PivotTables) and proven ability to train and lead teams, manage process documentation, and perform premium billing & reconciliation.

Senior Claims Associate at Cognizant Technology Solutions India Pvt. Ltd. (2024-07-19 – 2026-04-28)

• Handling claims operations and customer/member inquiries across channels (calls, email, chat).
• Validate member eligibility and policy records; resolve discrepancies in enrollment and claims data.
• Use Salesforce and other internal tools to log, track, and escalate issues; maintain daily/weekly status reports.
• Support process improvements and knowledge sharing within the team.

Transaction Processing associate at Accenture Pvt. Ltd. (2020-09-01 – 2024-05-06)

• Processed enrollment and billing transactions for employer groups and members in the healthcare domain.
• Performed premium billing, reconciliation and maintained accurate policy and member records.
• Investigated and cleared customer queries daily using CS Task and related workflow systems.
• Trained new hires on process flows and tool usage; assisted with reporting and performance training

Bachelor's degree – Madras University (2016 – 2019)

Higher Education – Dhanish Matriculation school (2014 – 2016)