Prakash Ashtekar
Team Leader
About
Business Intelligence Team Leader with over 20 years of experience in US healthcare insurance operations, claims management, data analytics, reporting, audit readiness, and team support.
Experience
Team Leader
Cognizant Technology Solution
October 2011–Present · Pune
Led Business Intelligence operations for US healthcare insurance, including claims troubleshooting, pending claim resolution, internal quality audits, compliance, financial integrity, dashboards, performance metrics, ISO audit reporting, MIS reporting, shift management, resource utilization, timesheets, project assignments, client calls, automation workflow advisory, and leadership presentations. Supported 95%+ SLA adherence and audit readiness.
Sr. Customer Care Specialist
IBM Business Process Services Pvt. Ltd.
February 2007–October 2011 · Pune
Resolved high-volume WellCare US healthcare insurance application inquiries, analyzed eligibility status, supported provider contract loading and enrollment, streamlined inventory updates and work assignments, and trained and mentored new hires on Back-File projects.
Claim Analyst
WNS Global Services Pvt. Ltd.
September 2003–January 2007 · Nasik
Processed and adjudicated HCFA 1450 and UB-92 healthcare claims using ITES software, performed dual-entry data validation, supported quality activities, managed validation queues, and handled document, TIFF image, and paper-based job workflows.
Education
Pune University
Bachelor of Art
2001–2002