Mohammed Zaker

About Mohammed Zaker

My goal is to build a long lasting career that allows me to grow within a company, and to…

Experience

1. Senior Claims Process Executive

   Cognizant

   Jun 2021 — Present · Hyderabad, IN

   Claims specialist: Review insurance policy to determine coverage. working on rejected and denied claims. Working on financial clearance center, which is a front end process in US health care. Work related to pre-registration validation of insurance is carried out. Extracting and analyzing raw information and processing data. Information and data research and processing the data Obtaining and validating the Authorizations for the services to be performed Generating revenue for the client by making sure that all the necessary checks are performed in a claim to make sure claim is billed and payment is obtained without any denial Working on Varied insurances, Member plans and of different websites Determining actions to be taken next after information and data research. Claims follow up for all types of insurances like Medicare, Medicaid, BCBS and Commercials Patient calling in case of no insurance information or coordination of benefits. Recognizing and resolving global issues. Adhering to legal requirements,industry regulation and customer quality standards set by the company. Ensuring fair settlement of valid claim & Ensuring the customer is treated fairly and that the customer received excellent service and accordance with industry and company guidelines.

Education

• Shadaan institute of management studies

  Master of Business Administration - MBA