Disha Shetty

Profile Three years of healthcare industry experience encompassing a wide range of skill set, roles and

industry verticals. Extensive experience with analysis of claims. . Worked on Citrix platform using mainframe application. Worked on TRIZETTO (facets) application for almost 3 years Experience in handling multiple work – front end, recovery, fp. Good communication skills, interpersonal skills, self-motivated, quick learner, team player.

Skill Set Adaptable with the work environment. Team player, with ability to deal with people effectively . Efficient and sincere towards work. Positive Attitude, Determined, High Energies.

Education: Bachelor’s in E&C Engineering – 2008-2012, VTU (MITK), Kundapur, India, P.U.C in PCMC – 2006-2008, BNJC, Dandeli , India Class 10th – St Michael’s Convent school, Dandeli, India.

Professional Experience

Nov 2012 – Til l date, Claims Analyst in XL Health corporation Pvt. Ltd. IndiaAs a claims analyst responsible for analysis of Medicare claims.

. Performed and conducted research on claims enquiries and reprocessed claims.

Recovered and retrieved funds from providers due to overpayment and adjusted provider claims for overpayment and underpayments.

Developed and maintained an efficient and accurate system to advancing new claims payments when eligibility information from the States is available.

Monitored and determined claims accuracy using available claims editing tools.

Performed effective research on larger projects and major reconciliations.

Sri sai balaji PG, #89 btm 2nd stage near gokul cafeBangalore, 5610076Emailid:dishashetty810@gmail.comHome: +91-9448934082Cell: +91-8095901436

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Assisted supervisor in the review of various claims reports to find the recovery ratio and locate the claims which are to be recovered

Online clearance for Medical Expense claims using citrix platform

Achievements

Have received appreciation for supporting team during high inventory. Have been recognized as best employee of the week many times. Have been moved to next level of processing claims by efficient work.

Declaration

I hereby declare that the information provided above is correct up to my knowledge.

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