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Balaguru Viveganandan is a seasoned quality control professional with 15 years of experience in the US health insurance industry. He has led teams at Cognizant and Carelon Global Solutions, and has expertise in claim adjudication, research analysis, and process improvement. With a strong educational background in Hotel/Motel Administration/Management and Computer Science, Balaguru has developed a unique blend of skills that enable him to drive business growth and optimize processes. He is proficient in multiple languages, including Hindi, Telugu, Tamil, and Kannada.

Experience

    • United States
    • IT Services and IT Consulting
    • 700 & Above Employee
    • Lead Quality Control
      • Nov 2023 - Present
      • Bengaluru, Karnataka, India

    • Team Lead
      • Oct 2018 - Nov 2023

      Organizational Style: I'm well organized and highly compliant. My focus on the detail will be beneficial in developing comprehensive plans. I thrive with set processes and guidelines. Leadership Style: As a leader, I might appear rather tactical and opportunistic. but winning the others round with my strong communication skills and highly compassionate nature. Motivational Style: Very ambitious, driven by challenges and likely to use their initiative to overcome these. Generally, have a realistic view of my personal strengths and abilities. Thinking style: I'm highly curious and investigative but may feel uneasy in ambiguous situations. I'll work best in a stable environment.

    • Process specialist
      • Jun 2013 - Sep 2018

      Dealing with Claim adjudication and research analyst for the local updates on US health industries. Analysis and auditor role on the project working on the client site. Expertize in US Healthcare claim Adjudication process, In various streams like Medical,Hospital and Dental on different subjects involving in Medigap, Foreign and commercial & Individual claim. Subject Knowledge in Hedis (Healthcare Effectiveness Data & Information Set) Program part of NCQA

    • Israel
    • IT Services and IT Consulting
    • 700 & Above Employee
    • Claims Processor
      • Apr 2010 - May 2013
      • Bangalore

      Learned and experience on the US health insurance in terms of claim processing. Professional in mentoring to newbies. Understanding the concepts of federal law and regulations as per the States.

Education

  • 2006 - 2009
    University of Madras
    Bachelor of Science (BSc), Hotel/Motel Administration/Management
  • 1999 - 2002
    Sri Renga Matriculation Hr. Sec. School
    Computer Science

Suggested Services

This profile is unclaimed. These are suggested service rates with 0% commision upon successful connection

Industry Focus. “IT Services and IT Consulting”

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