Vekuva Kanchanapalli
Wellard,WA
Summary
Subject Matter Expert and trusted advisor skilled in research and analysis. Interface and collaborate with clients and internal team members, providing consultative enhancement recommendations based on industry research. Improve existing processes, procedures, technical enhancements, resource requirements and stakeholder engagement procedures to align with strategic goals.
Overview
11
11
years of professional experience
Work History
Project Analyst
HBF Health
02.2021 - Current
- Participated in review of new system and analyzing gaps with current technologies
- Worked with Core leads in documenting gaps found in new system and collaborated with stake holders across claims , product and policy squads to understand business requirements
- Worked with Business Analysts in performing system analysis to interpret its functionality, Identify issues and provided solutions to problems.
- Worked with testing team in analyzing functional defects and configured data setup with in Ensure system that supported inresolution of blocked test cases
- Worked with in Core Medical claims team as Ensure system configurator and performed day to day system configuration and testing where required, to maintain quality and accuracy of the Ensure system
- Liaised with vendors in understanding importance of prefixes and product configuration and ensured to maintain detailed technical documentation related to system configuration
- Responsible for communicating status, issues and risks to management and relevant project teams
- Collaborated with core leads , product owners and Subject Matter Experts across core team in understanding business needs and maintained the quality of product configuration, enhancing usage and introducing new features.
- Adapted Agile ways of working to be effective in carrying out a particular task.
- Prepared user documentation for all process changes within new claims system
- Responsible for tracking and escalating incomplete issues to closure
- Worked as liaison between Business stake holders, Business Analyst and Testing team in gathering and defining requirements for stories
Compensation Claims Consultant
Health Insurance Fund Of Australia
04.2017 - 02.2021
- Processing medical and ancillary claims for members
- Liaising with Medical providers
- Skilled at working independently and collaboratively in a team environment.
- Assisting Members and Providers over phone on claim related queries
- Managed end to end compensation claims related to worker compensation, public liability and CTP claims
- Communicate with providers and lawyers and participate in recovery negotiations
- Worked independently with stake Holders, Providers, Lawyers and performed negotiations for recovering over payment claims identified by audit groups
- Maintained excel sheet for recovery progress, preparing weekly and monthly reports for management
- Prepared litigated strategies for litigated claims related to compensation
- Provided inputs to claims manager and helped in development of compensation policy document for members use.
Call Centre Customer Service Representative
IiNet Limited Australia
11.2015 - 03.2017
- Answering queries of customers over phone and helping customers with technical issues
- Interacting with customers and maintaining high levels of customer service
- Maintaining all customers records with high confidentiality
- Offering all new products to customer and contributing in increase of sales
- Handling all billing disputes and give appropriate solutions to customer
- When customer is facing financial hardship, provide reasonable payment arrangements by consulting credit team manager
- As part of Iinet credit billing team provide solutions to customer's financial hardship, whist managing to meet business requirements
- Saving entire Customer related data into data base and maintain the customer accounts
- Responding to internal and external customer/user request via phone, chat and email.
- Proven ability to learn quickly and adapt to new situations.
GIS Analyst
Google India Pvt Ltd
02.2012 - 01.2015
- Provided technical recommendations and support documentation to aid in GIS process improvement.
- Review data on maps and take appropriate decision as per standards Maintain quality of maps
- Collaborated with upper management to drive strategy and implement new processes.
- Improved systems with addition of new features and infrastructure.
- Performed system analysis, documentation, testing, implementation, and user support for platform transitions.
- Communicate with user and guide them with mapping procedures
- Conducted live seminars in colleges and universities and held public meetings to interact with new generation of students to explain the usage of Google Maps
- Interacted with customers and business users to fulfill both customer needs and User requirements
- Capable of multi-tasking and flexible team player who can effectively prioritize tasks assigned and juggle multiple concurrent projects
Education
Bachelor of Science - Pharmacy
Jawaharlal Nehru Technological University
India06.2011
Skills
- Claims management
- Claims investigation
- Workers' compensation claims
- Insurance claims processing
- Submission of medical claims
- Excellent Communicational skills
- Professional level of Microsoft office skill
- Software Configuration
- Full Software Development Lifecycle
Timeline
Project Analyst
HBF Health
02.2021 - Current
Compensation Claims Consultant
Health Insurance Fund Of Australia
04.2017 - 02.2021
Call Centre Customer Service Representative
IiNet Limited Australia
11.2015 - 03.2017
GIS Analyst
Google India Pvt Ltd
02.2012 - 01.2015
Bachelor of Science - Pharmacy
Jawaharlal Nehru Technological University
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