Rajan Kumar

Experience

1. Claims Associate

   UnitedHealth Group

   Jun 2016 — Present

   A leading health care company focusing on providing healthcare services and managing health plans.Processed and managed incoming insurance claims, ensuring accuracy and completeness of documentation.Collaborated with clients, insurance agents, and other departments to gather necessary information and expedite claim resolution.Conducted thorough investigations to validate claims, including reviewing policy terms and coverage.Utilized SQL for database querying and management to record and track claim status, updates, and relevant information.Reviewed and analyzed incoming insurance claims, employing data cleaning techniques to ensure accuracy and completeness of documentation.Maintained accurate records of claims, interactions, and resolutions in the company\'s database, leveraging Excel for detailed tracking and reporting.Utilized Python for complex data cleaning and analysis, along with data visualization techniques to identify trends and anomalies in claim data.Developed dashboards and reports using Power BI to monitor claim processing metrics and present key performance indicators (KPIs) to leadership.Maintained a high level of customer satisfaction by providing clear and empathetic communication throughout the claims process.Training in the new team as Data Analytic.