Kopparthi Ravi Teja

KVV Ravi Teja
9000529698
ktejaravi@yahoo.com

Job Objective To attain excellence in the professional world by gaining experience and exposure and help the company grow in whatever way I can through hard work and determination..

SUMMARY
• 2 years of experience in WNS Global services as Lead Associate- Quality
• 2 years 4 months of experience in Hinduja Global Solutions as Operations Executive
• 11 months of experience in Global Benefits Group as International Claims Examiner.


Lead Associate Quality (Payer)
WNS Global Services Pvt Ltd
April 2018- May 2020

• Communicating with Clients on weekly basis
• Reporting daily, Weekly for entire team’s (Team level & Individual Level)
• Performing weekly and monthly error analysis and highlighting the Top error category in each sub processes
• Validating of Weekly SLA report and publishing the report to the Top management
• Maintaining and regularizing the resources/attendance for QA team
• Actively working on Adhoc request and taking responsibilities to complete it within the said timeline
• Preparing and publishing SLA’s performance for core and sub processes
• Providing effective feedback to the internal & External errors on daily basis for the concerned error contributors
• Preparing Root Cause Analysis and POA on SLA target missed and client escalations also
• Generation of brainwave ideas to simplify the existing process
• Providing floor support to the new hires in order to achieve the SLA accuracy target and carry out refresher training as in when required
• Regularly motivating the staff and guiding them to take the future role responsibilities
• Publishing accuracy report of new hires on daily basis (if any)
• Planning and execution of adhoc requests in absence of AM
• Providing process training when and wherever required
• Providing feedback to the QA on their daily performance
• Driving the QA’s to perform audits as per the Sampling %
• Publishing error analysis for repeated error contributors
• Supporting Ops and training team with required analysis for highlighting pain areas

Achievements:

• WNS certified Trainer



Operations Executive
Hinduja Global Solutions, Hyderabad
November 2014- March 2017

• Verifying the Claims for a Valid date of Insurance.
• Update the Details of the Eligibility in the Application
• Allocation of work in the absence of Team Lead
• Meeting the Targets along with Good quality as per the Client requirement
• Escalating Process flow related Issues to the Team Lead
• Taken Initiative to improve the productivity thorough Automating the process
• Started working on a Pilot Project ( Eligibility, Conversion of medical records to Electronic)
• Entering all the patient medical history(Surgeries, allergies and previous hospitalizations etc)
• Attended training with client (Vice President) and trained colleagues on the same
• Escalating process related Issues to the Client (Vice President)
• Working as QA for the Conversion of medical records to Electronic and for Super bill entries
• Verifying whether the billing provider , codes and visit codes are taken correctly in Super bills
• Conducting refresher trainings and giving process related updates to colleagues

Achievements:
• Received Spot Award for the Month of Jan 2015
• Received Good rating for every month for meeting the productivity and quality
• Received Good Annual rating for the First Anniversary Appraisal

Claims Examiner
Global Benefits Group
April 2013-March2014

• Adjudication of Claims
• Resolving claims adhering to the policy.
• Comparing the Services and Diagnosis
• Checking the Services have been priced according to the Providers Pricelist
• Releasing of payment
• Review claims of new hires and escalating the errors
• Mentoring the new hires


Skills:

• Good knowledge of insurance industry practices
• Familiar with insurance rules and regulations
• Ability to learn and understand new practices

Extra-CurricularActivities:
• Participated in Blood donation Camp conducted by Nizam Institute of Medical Sciences
• Member of Sports League in Hinduja Global Solutions
• Volunteered as SPOC for events conducted by the GBG

Academic Details

• MCA from JBREC with 68% , JNTUH-2012
• B.Sc (Computers) with 58% from Avanthi Degree College, OU-2009
• Intermediate with 71% from Narayana Jr College, M P C (Group) Hyderabad-2006.
• Hyderabad Public School Ramanthapur with 50% (CBSE) Hyderabad-2004.

Personal Profile

Date of Birth : 15-05- 1988
Sex : Male
Marital Status : Married
Nationality : Indian
Languages : English, Hindi and Telugu.
Hobbies : Listening to music and Making Friends


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