Maheep Maheep Kumar Soni
Claims Examiner Ii @Calibrated Healthcare Systems India Private Limited
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WORK HISTORY
Claims Examiner Ii @Calibrated Healthcare Systems India Private Limited
Gurugram, IN
Behind every claim is a person looking for guidance during a challenging time. As a Claims Examiner II, I bridge the gap between complex legal jargon and compassionate customer service. I am responsible for investigating, evaluating, and settling multi-faceted claims while ensuring every stakeholder feels heard and respected.My goal is simple: provide timely, equitable resolutions that uphold the integrity of the policy while delivering a 5-star experience to the claimant.
EDUCATION
Prof. Rajendra Singh (Rajju Bhaiya) University (PRSU), Prayagraj
Bachelor of Science - BS, Computer and Information Sciences and Support Services
ABOUT MAHEEP MAHEEP KUMAR SONI
Love turning messy claim data into clear stories that save time and money? So do I.I’m Maheep, a healthcare data analyst who reviews 80+ US claims a day with 98 % accuracy.Here’s how I add value What I do• Check eligibility, benefits, coding (ICD-10, CPT, HCPCS) and payer rules so every claim is judged right the first time.• Spot denial patterns with Pivot Tables, XLOOKUP and simple SQL, then share the “why” with teammates and leaders.• Keep an eye on turn-around time, quality and productivity through clear, Excel-based MIS reports. Tools I trustExcel (COUNTIFS, IF, Pivot, XLOOKUP)| SQL (SELECT, JOIN, GROUP BY)| HIPAA-compliant workflows How I workAccuracy first – I treat each row of data with care.Curious mind – I ask “what caused this denial?” before “who caused it?”.Team focus – I enjoy guiding peers on tricky claims and new macros. Where I’m headedI want to grow into a senior analyst role where I can blend deeper SQL, data-viz and clinical insight to cut claim denials and improve member experience across the Delhi NCR healthtech scene (open to hybrid).🤝 Let’s connectIf you’re looking for someone who can make claim data talk and keep compliance tight, drop a message or send an invite. I’m always up for a chat about clean data, crisp reports and better care outcomes.
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