Amuloju Ankita

Operations Associate

Pune, Maharashtra, India2 yrs 10 mos experience

Key Highlights

3+ years in U.S. healthcare claims processing
Expert in HIPAA compliance and documentation accuracy
Detail-oriented with a customer-first approach

Stackforce AI infers this person is a Healthcare Operations Specialist with expertise in claims processing and compliance.

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Skills

Core Skills

Claims ProcessingDocumentation AccuracyClaims AdjudicationCustomer Issue Resolution

Other Skills

TypingData ManagementMedical BillingAccounts Receivable (AR)Skilled Multi-taskerMultitaskingWritingWritten CommunicationPhone EtiquetteEmployee RelationsCommon SenseBusiness EnglishWord ProcessingOnline Data EntryOrganization Skills

About

Healthcare & Insurance Operations Specialist with 3+ years of experience in U.S. claims processing, TPA operations, and RCM. Skilled in claims validation, documentation accuracy, HIPAA compliance, and customer escalation management, consistently delivering high-quality outcomes in fast-paced environments. With a background in Life Sciences and Microbiology, I bring a detail-oriented, customer-first approach and am keen to grow into HR operations or customer experience roles.

Experience

2 yrs 10 mos

Total Experience

1 yr 5 mos

Average Tenure

Current Experience

Illumifin india

Advance TPA Associate

Feb 2023 – Mar 2024 · 1 yr 1 mo · Pune District, Maharashtra, India · Hybrid

Processed and validated health insurance claims as per policy terms.
Handled escalations and provided resolution to customer issues.Maintain detailed documentation to ensure compliance with HIPAA and internal quality standards.Manage US healthcare claims processing and adjudication in accordance with client-specific SOPs.

TypingData ManagementClaims ProcessingDocumentation Accuracy

Ss&c technologies

Associate BPO Operations

May 2021 – Feb 2023 · 1 yr 9 mos · Pune Division, Maharashtra, India · Hybrid

Performed end-to-end US healthcare claims adjudication.Met or exceeded daily productivity and quality targets consistently.
Documented and reported process gaps to operations manager for resolution.
Participated in cross-functional initiatives aimed at improving service delivery.Processed and validated health insurance claims as per policy terms.Handled escalations and provided resolution to customer issues.Maintain detailed documentation to ensure compliance with HIPAA and internal quality standards.

TypingData ManagementClaims AdjudicationCustomer Issue Resolution