Thirusha V

Results-driven Claims Processing Specialist with 2+ years of comprehensive experience in healthcare insurance, revenue cycle management, and BPO operations. Proven expertise in end-to-end medical insurance claims adjudication, denial management, and overpayment recovery with exceptional accuracy, compliance adherence, and efficient turnaround times (TAT).

Senior Process Executive - Cognizant Technology Solutions - Bangalore, India

(2025-06 - 2026-06)

• Managed end-to-end processing of medical insurance claims (reimbursements), ensuring strict accuracy, compliance with policy terms, and adherence to turnaround time (TAT).
• Processed 50+ healthcare claims daily with high accuracy and maintained strong productivity and quality standards.
• Collaborated effectively with hospitals, customers, internal teams, and third-party administrators to deliver timely and efficient claim settlements.
• Reviewed and verified claim details for accuracy, proactively identifying and resolving discrepancies, errors, and claim denials.
• Maintained accurate records and reports regarding claim status, payments, and stakeholder interactions.

Associate - Carelon Global Solutions - Bangalore, India

(2022-11 - 2025-04)

• Handled high-volume medical claims processing, complex overpayment recovery, and denial management operations.
• Managed multiple claim files simultaneously, prioritizing tasks efficiently to meet strict deadlines and SLAs.
• Investigated claim discrepancies, supported recovery processes, and ensured full adherence to regulatory and compliance standards.
• Communicated clearly with internal teams and stakeholders to provide timely status updates and resolve escalated issues.
• Participated in quality improvement initiatives to enhance processing efficiency and overall accuracy.

MBA - Finance - Jain University (2024)

BBA - CMR University (2022)