Experience

Claims Eval Inc.

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Information System Supervisor

  • Jan 2008 - Present

  Assign work to teams in India, Nepal and the Philippines; communicate with customers; facilitated reviews; develop and delivertraining; contribute to the maintenance of the company portal/website; recommend system enhancements, manage User Acceptance Tests (UAT) and approve system for release. • Responsible for review and assignment of incoming claims to outsourced teams. Management of their schedules, utilization, approval of time card and delegation of tasks. • Meet with Director of Operations to discuss policies and procedures, and to strategize for assignment of work in the future. • Set customer expectations. Create and update client, doctor, and new staffs profiles. • Act as a liaison between customers and the company. Communicate with new and existing clients to resolve issues and devise innovative solutions. • Provide status updates to Medical Director on an ongoing basis, and discuss State and jurisdictional guidelines. • Facilitate documentation and introduction or update of procedural documents and user manuals. • Support design, development and deployment of systems working directly with Director of Operations. • Manage ongoing test requirements, test case development, defect management, User Acceptance Test (UAT) support, communication of UAT strategies/plans, defects and potential risks to all stakeholders. • Helped develop competent and high performing junior staff through mentoring, coaching and trainings. Show less



Union Bank

• United States
• Banking
• 700 & Above Employee

• Operation Assistant

  • 2006 - 2006

  Responsible for various administrative functions, customer service, and financial monitoring and reports development. •Prepared and monitored daily and weekly work schedules of assigned employees to ensure equitable work distribution and uninterrupted customer service. •Provided technical guidance and advice to assigned employees on work-related problems. In conjunction with the Customer Service Manager, assume responsibilities for the training and cross training of assigned employees, including scheduling and assignment of training priorities. •Resolved customer complaints and problems, referring to and/or advising supervisor of unresolved problems. •Provided back-up in critical operational areas during peak periods. Approve referred items within authorized limits. •Performed any of the following functions: monitor cash levels at the branch and place cash orders or ship excess cash; assist in locating errors between the branch, proof, and transit; assist in locating teller balancing errors; verify and/or approve various documents and transactions (e.g., G/L tickets, IBC's Customer Charges, deposits, etc.). •Assumed responsibility for various reports and or certifications Show less



Pac Advantage

• Roseville, California

• Senior Data Entry Specialist (Pended Coordinator)

  • 2005 - 2006

  Responsible for data entry functions such as enrollment of employees from various organizations on medical, dental, vision and chiropractic plans; ensuring eligibility, updates, and termination of health plan benefits. •Provided procedural assistance and supervision to junior data entry specialist •Enrolled employees of organization on medical, dental, vision and Chiropractic benefits based on their eligibility. •Followed-up with brokers and the company’s administrative contact regarding missing information on the application during enrollment process. •Made updates on employees medical, dental, vision and Chiropractic plan during company’s open enrollment •Updated information such as address change, additional dependents (new born child/spouse) etc. •Terminated employees from medical, dental, vision and chiropractic plan benefits. Show less



Nabil Bank

• Biratnagar, Nepal

• Assistant Manager

  • 2002 - 2004

  Supervise daily activities, ensure quality customer service standards, maintain focus on sales activities & results, monitor, identify and control compliance risks and operational exposure. Responsible for the overall branch operations, including daily activities such as ensuring timeliness of opening and closing of bank vaults, overseeing teller duties, performing pre-audits to ensure compliance to procedures, facilitate meetings, disseminate information and perform other administrative functions. Other duties included: •Reviewed the following maturity ticklers and notifying the appropriate officers if irregularities exist. These included the review of Credit Facility Record (CFR) expiry, Insurance expiry, Stocks statement, Inspection of Borrowing Firms, Tax Certificates, Installment in case of Fixed Term loan, Maturity of Import Loan & Time loan (weekly. •Oversaw pre & post disbursement (regular) inspection of the borrowing firms. •Facilitated the preparation of loan documents of all borrowing accounts of the branch. •Engaged with legal advisor for the execution of mortgage deed and execute the same properly as per Credit File Record. •Supervised the valuation of mortgaged property and Bank’s Defaulter list •Reporting functions included: Daily Report of Loan Discount & Overdraft, Letter of Credit (L/C)& Guarantee, and Document Collection / Document Negotiation for Credit Service Department; Daily Report of Past due of Bills under L/C, Import Loan, Time Loan and Term Loan defaulter; Balance Exception Report; Past Due Interest Reports; Weekly Report for Personal Lending Department; Regular monthly, Quarterly reports of Credit Control Department for further submission to Head office, Personal lending unit, Nepal Rastriya Bank, and Credit Investigation Bureau of Nepal. Show less