Vicky Singh

Operations Associate

Delhi, India6 yrs 4 mos experience

AI EnabledAI ML Practitioner

Key Highlights

Expert in Claims Adjudication and Insurance Processing.
Proven track record in enhancing operational efficiency.
Strong analytical skills with a focus on quality control.

Stackforce AI infers this person is a skilled professional in the Insurance and Healthcare sectors with strong analytical and client service capabilities.

Contact

Skills

Core Skills

Claims HandlingInsurance ClaimsClient ServicesInsurance IndustryCustomer ServiceData Analysis

Other Skills

AdjudicationAnalytical SkillsArtificial Intelligence (AI)Attention to DetailBack Office OperationsBack-end OperationsBuilding TrustBusiness MetricsCalculationsClient RelationsCommunicationCritical ThinkingCustomer EngagementCustomer SatisfactionData Analytics

Experience

6 yrs 4 mos

Total Experience

2 yrs 3 mos

Average Tenure

1 yr 9 mos

Current Experience

Mercer india

Insurance Specialist

Sep 2024 – Present · 1 yr 9 mos · Noida, Uttar Pradesh, India · Hybrid

● Detail-oriented Claims Adjudication professional with hands-on experience in managing outpatient claims processing for healthcare providers.
● Proficient in analyzing medical documentation, verifying eligibility, and ensuring compliance with organizational standards.
● Skilled in addressing claim discrepancies, collaborating with stakeholders, and consistently meeting productivity targets in high-pressure environments.
● Passionate about enhancing operational efficiency and providing accurate claim resolutions.

Claims HandlingInsurance ClaimsAdjudicationClient ServicesClient RelationsInsurance Industry+2

Metlife global operations support centre

Senior Insurance Associate

Apr 2022 – Sep 2024 · 2 yrs 5 mos · Noida, Uttar Pradesh, India · Hybrid

1. Responsible for Group Benefits Insurance for Multiple US Employers from 2 Lives to 999 Lives.
2. Implementing the details and the Opt Coverage of Employer as well as the Employee in the Metlife System and providing them the Policy and Certificates of the Opt coverage also providing them online access of their Insurance to the Employer as well as the Employee.
3. Sharing the Inventory (Claim ready groups and In Process group) to the stakeholders on a daily basis in a spreadsheet.
4. Managing the Work allocation between the Team.
5. Taking Migration calls with stakeholders.
6. Performing Internal audit for team members cases to meeting the Quality SLA.

Client ServicesClient RelationsInsurance IndustryQuality ControlData ValidationInterpersonal Communication+1

Genpact india private limited noida

Process Associate

Feb 2020 – Apr 2022 · 2 yrs 2 mos · Noida, Uttar Pradesh, India

Perform all Retail Bank Activity for one of the US Bank like Distributions, Contributions, Account Maintenance, KYC for New and Existing client, Account opening for New client and Sub account opening for existing client, Abandon Property for the Bank and Investigation of any error transaction for the client.
6 month serve as a BOT Manager (Additional work).
QC the team members resolve cases.
Sharing the different reports to the stakeholder through on a Spreadsheet

Customer ServiceData AnalysisQuality ControlInterpersonal Communication