Supriya Kumari

Associate @Guardian Life

Gurugram, IN

Process and adjudicate dental insurance claims with accuracy, ensuring compliance with company policies and regulatory guidelines.Review claim submissions, treatment plans, and supporting documents to verify eligibility, coverage, and benefit determination.Identify discrepancies, missing information, or potential fraud and escalate cases for further investigation when required.Ensure service delivery meets established Turnaround Time (TAT) and quality benchmarks.Maintain and update claim records and documentation in line with HIPAA and data privacy requirements. Collaborate with team members and supervisors to resolve claim-related queries and improve workflow efficiency.