Harish Singh

 HARISH SINGH BLOCK – C, HOUSE NO-89 SECTOR-122, NOIDA - - Objective _________________________________________________________________________ To be associated with a progressive Organization that would provide me a challenging career and utilize my experience & knowledge for developing effective business solutions for the company. ________________________________________________________________________________ Competencies _________________________________________________________________________ Team work & management ability. Task oriented. Well versed with MS office Effective Communication & ability to express ideas clearly and persuasively. Innovation and Openness to Learning. _________________________________________________________________________________________ Work Experience _________________________________________________________________________________________ Company Profile United Health Group India _________________________________________________________________________________________ UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in Helping people live healthier lives and helping to make the health system work better for everyone. PERIOD from 13th August 2012 to July 15, 2015 DESIGNATION Appeal & Grievances Coordinator PROCESS Appeal & Grievances DOMAIN Health management _________________________________________________________________________________________ ESSENTIAL DUTIES AND RESPONSIBILITIES _________________________________________________________________________________________ Responsible for accuracy, quality & timeliness of processing, decisions and documentation Process and resolve assigned complaints and Appeals & Grievance. Properly identifying expedited and standard cases for proper adjudication timeframes. Responsible for ensuring effectuations (decisions) are completed within timeframe and notification is given per regulatory requirements. Responsible for coordinating the compilation of appeal case files for transmission to external third-party reviewers, physician reviewers and independent review entities Responsible for maintaining grievance information and supporting documentation. Good judgment and make decision in Balancing Quality and Quantity of the process Ensure the management work is done in Effective, Efficient and Quality manner. Continue page # 2 _________________________________________________________________________________________ Company Profile AON HEWITT INDIA _________________________________________________________________________________________ AON Hewitt is a global outsourcing and consulting firm delivering a complete range of human capital Management services to companies, including HR and Benefits Outsourcing, HR Strategy and Technology. PERIOD from 10th September 2008 to 02nd December 2011 DESIGNATION TEAM MEMBER PROCESS Document process shared service (DPSS) DOMAIN Defined contribution / defined benefits Dependent verification / Health management _________________________________________________________________________________________ Work Profile & Job Responsibilities _________________________________________________________________________________________ Identifies process improvement opportunity. Execute manual processing with proper documentation and follow-up takes place. Maintained the daily transactions data in the MS excel sheets To enroll united parcel service Participants to health coverage and plans. Received transactions data on daily basis and re-organized it for analysis as per the SOP. _________________________________________________________________________________________ Achievements _________________________________________________________________________________________ Got an opportunity to work in project Boom (united parcel service client) and certified by client as best employee certificate in a team. Submitted 4 process improvement ideas. Trained on critical process. ________________________________________________________________________________________ Academic Qualification _________________________________________________________________________________________ BACHELOR IN COMMERCE DELHI UNIVERSITY AURBINDO COLLEGE INTERMEDIATE & MATRICULATION J KG SENIOR SECONDARY SCHOOL GHAZIABAD (CBSE) _________________________________________________________________________________________ Personal Profile _________________________________________________________________________________________ Date of Birth - Father’s Name Mr. Jagbir Singh Marital Status Married Language Known English, Hindi Hobbies Net surfing, Listening Music, Traveling _________________________________________________________________________________________ DATE :- PLACE :- ( HARISH SINGH)