SENIOR HEALTHCARE OPERATIONS | CLIENT SUPPORT | INSURANCE |REAL ESTATE PROPERTY MANAGEMENT| BANKING PROFESSIONAL
PROFESSIONAL SUMMARY
Results-driven professional with 21+ years of experience across Healthcare, Insurance, Retirement Services, Banking, Fraud Prevention, Risk Management, Property Management, Debt Collections, and Customer Experience. Expertise in healthcare documentation, Cigna Facets, benefits administration, contract review, customer relationship management, fraud investigations, compliance, stakeholder coordination, and operational support. Recognized for analytical thinking, problem-solving, process improvement, and delivering exceptional service in highly regulated environments.
CORE COMPETENCIES
Healthcare Operations • Benefits Administration • Cigna Facets • Contract Administration • Insurance Operations • Retirement Services • Customer Success • CRM • Banking Operations • Fraud Prevention • Risk Management • Charge-backs & Disputes • Debt Collections • Property Management • Quality Assurance • Compliance • Data Analysis • Team Leadership • Vendor Management • Stakeholder Management
TECHNICAL SKILLS | SYSTEMS | APPLICATIONS
Google Workspace, JIRA, Salesforce, Hubzu, Slack, Cigna Facets • Corebridge Financial Systems • Salesforce • Gladly • NICE • Avaya One-X • CATS • IRIS ClearTran • Falcon Fraud Monitoring • Kronos • PAS (ADP Payroll) • HCMS • Power BI •
Experience: 10+ years
Delivered exceptional customer service by handling inbound and outbound calls, emails, and account inquiries while maintaining high customer satisfaction standards. Assisted customers with everyday banking needs, including account management, balance inquiries, transactions, direct debits, standing orders, and online banking support. Educated customers on banking products, services, policies, and procedures while ensuring compliance with regulatory requirements. Resolved customer concerns, complaints, and account-related issues efficiently through effective problem-solving and relationship management. Maintained accurate customer records and documented interactions using banking systems and CRM platforms.
Experience: 2 - 5 years
Reviewed and validated healthcare contracts and benefit booklets; conducted audits and quality reviews; produced healthcare documentation and collaborated with stakeholders to resolve discrepancies.
“My business would not be able to go forward if it was not for them”
Gaurab - Adhikari
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