Abdul Imran

Senior Operations Analyst

E- 71 Cement Siding, Shakur Basti, New Delhi - 110034Insurance claims and operations
4roles
15skills
3education
2credentials

About

Operations and claims professional with experience in healthcare claims, property and casualty claims, life and annuity insurance administration, and payment posting.

Experience

Senior Operations Analyst

G.M. Services

May 2024 - Present · Delhi

Accurately posted patient and insurance payments, adjustments, and account notes into the EHR system. Reviewed EOBs, denial letters, payer communications, and refund notifications. Maintained claim status, authorization, and insurance decision records in accordance with client and HIPAA guidelines. Escalated discrepancies and billing inconsistencies while meeting productivity, quality, and turnaround-time expectations.

Senior Associate

Zinnia Digital Services LLP

September 2022 - April 2023 · Noida

Reviewed annuity and life insurance paperwork and performed manual calculations for disbursements. Processed full surrenders, partial withdrawals, beneficiary updates, restatements, policy administration requests, fund disbursements, wire transfers, and EFT transactions.

Process Associate

Genpact India Pvt. Ltd.

May 2021 - September 2022 · Noida

Worked on property and casualty claims processes, including general liability, auto, property, and casualty claims. Registered new claims and handled FNOL, recovery tasks, claim reassignment, and bundling for a US client process.

Claims Associate

Optum Global Solution India Pvt. Ltd.

December 2018 - April 2021 · Gurugram

Processed medical insurance claims for US Healthcare Medicaid and Medicare plans. Identified errors and warning messages, followed SOPs to resolve them, and analyzed claims for quality assurance.

Education

Sharda University

B.Com

2016

CBSE

12th

2013

CBSE

10th

2011

Skills

MS OfficeMS ExcelOutlookPayment postingPayment entryClaims processingHealthcare claimsProperty and casualty claimsLife and annuity insurance administrationEOB analysisDenial analysisAccount maintenancePolicy administrationFinancial transactionsQuality assurance