Shanmugavel S

About Shanmugavel S

Claims Adjudication Professional with 4+ years of experience in the US healthcare domain, specializing in hospital and medical claims processing, reprocessing, and auditing high-dollar claims. As a Senior Process Executive at Cognizant, I ensure accurate claim adjudication, compliance with payer policies, and efficient resolution of complex cases.Core Expertise: End-to-End Claims Processing (Hospital & Medical) High-Dollar Claims Audit & Reprocessing US Healthcare Policies & Compliance Accuracy & Quality Assurance Process Improvement & EfficiencyCommitted to minimizing claim errors, reducing turnaround time, and optimizing adjudication workflows, I strive to enhance operational excellence and client satisfaction. Always open to networking and learning new advancements in healthcare claims management.

Experience

1. Claims Adjudication

   Cognizant

   Mar 2019 — Present · Coimbatore, IN

   Experienced Senior Process Executive with 4 years of expertise in US healthcare claims adjudication. Skilled in processing and reviewing claims with accuracy and compliance. Proven ability to analyze policies, resolve discrepancies, and ensure timely claim settlements. Adept at working in high-volume environments while maintaining quality standards. Looking forward to contributing my skills in a challenging work environment.\"

Education

• RG Matriculation Higher secondary school - Udumalpet

  Bachelor of Commerce - BCom

  2014 — 2016

• Loyola College

  B.com

  2016 — 2019