​Divya Peri

Contact:​ ​Manikonda ,Hyderabad E-mail: divyaperi14@gmail.com

Phone: +91 7659 000 089

Career Objective: 
To be associated with a progressive organization that gives scope to apply my knowledge and
skills, and to be a part of a team that dynamically works towards the Growth of the organization.

Work Experience​:​ ​United Health Group (Optum global solutions)

April 2017- October 2017
Claims Associate

● Responsible for Claims adjudication and processing of payments.

● Preparation of customized daily, weekly and monthly reports for Clients.
● Conduct quality assurance activities.
● Handling multiple reports, working with formulae Data Validation, Pivot Tables,
Pivot Charts and various other Excel sheet components for accurate data.
● Other duties and responsibilities as assigned.
● Reviewed electronic claims and processes data as required into the claims
system, resolved computer generated correct conditions, and determined right
payment.
● Researched and practice claim payment adjustments resulting from consumer
service referrals audited data incorrectness as detected.
● Responsible to understand and apply member plan concepts like Deductible,
Coinsurance, Co-pay, Out-of-pocket accurately.
● Updating the team with all the client expectations and day to day changes in
online documentation.
● Manage aged claims to save the penalty payments.
● Follow up process on pending and incorrect service request claims.
● Sending out the daily internal and high dollar quality scores along with the
feedback.
● Pre-adjudication of claims and Post-adjudication of claim.
● Auditing the claims as per client PnP’s.

● Researching the claim information for the claims paid correctly or not.
● Identifying the overpaid and underpaid claim payments and raise refunds on
overpaid claims as a part of recovery.
 ● Raising issues on claims for lack of information and sending back to client for
additional information.
● Updating the inventory reports, production reports and Interim refunds.

Education: 
BACHELOR OF COMMERCE – B. Com​ ​(Computers ​(2012-2015)
​Osmania University
Hyderabad.

Achievements: 
● Achieving the Company Targets Exceeding Expectation
● Maintaining the Quality According to company Requirements
● Auditing claims as Internal Auditor for high dollar claims.

Additional Information:
● Good Communication, Team Coordination & Management skills.
● Highly Competitive and equally Responsible to understand the limits of
Healthy competition.
● Ability to work under pressure.
 
 
 
Technical Skills: 
Operating System’s ​– Windows 7,10,​ Windows XP
Packages ​ ​– MS Office| Tally| Python Basics|Ms Excel
Typing ​ ​– 32-35 (WPM)

Personal Details: 

● Name : Divya peri

● Date Of Birth : 14 December 1993
● Marital Status : Married
● Father’s Name : Ramam
● Nationality : Indian
● Linguistic Ability : English, Hindi, Telugu
.
Extracurricular 
● Committed to Work and Hard-working.
● Ability to communicate and put forth new ideas regarding work at hand.
● Strong personality and Confidence

Hobbies 
Travelling, Dancing & Listening music.

Declaration 
I do hereby declare that all the above statements given are true, correct and complete to the best
of my knowledge and belief.

Date​:
Place​: Hyderabad. ​(Divya peri)