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Rajeev Kumar.P

The document provides a curriculum vitae for Rajeev Kumar. It details his work experience including as a Senior Associate at Optum Global Solution India Pvt Ltd where he was responsible for MIS reporting, revenue analytics, and data extraction. It also lists his education qualifications and skills in areas like data analytics, Excel, and SQL.

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princeprabhakar1985
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28 views2 pages

Rajeev Kumar.P

The document provides a curriculum vitae for Rajeev Kumar. It details his work experience including as a Senior Associate at Optum Global Solution India Pvt Ltd where he was responsible for MIS reporting, revenue analytics, and data extraction. It also lists his education qualifications and skills in areas like data analytics, Excel, and SQL.

Uploaded by

princeprabhakar1985
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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CURRICULUM VITAE

Rajeev Kumar
D-104, Jaitpur Extn-1
Badarpur, Delhi - 110044
Mobile No - 9891599097
Personal Email: - [email protected]

CAREER OBJECTIVE

To enhance and utilize my knowledge and skills in challenging position which would help me in
my professional development and contribute to the growth of the organization.

Work Experience:

Optum Global Solution India Pvt Ltd (UHG) - Gurgaon


Sr. Associate - Operations (Sept 2013 to Feb, 2024.)

Job Profile: MIS Reporting, Revenue Analytics and Data Extraction.

 Prepare Daily Inventory report and, distribute to team member for production.
 Track rollover and aging inventory and distribute to team member.
 Prepare Daily, Weekly and monthly Quality Report.
 Tracking login and logout report and share deficiate loging status.
 Tracking shrinkage production down time.
 Tracking overtime on the basis of shift timing
 Calculating overtime payout hours share to management.
 Calculating incentive on the basis of productity and quality report.
 Calculating push back incentive on the basis of target and acheived production count.
 Prepare of data as per process requirement.
 Coordinating and supervising the team member to ensure Production and quality.
 Prepare Daily Inventory report and, distribute to team member for production.
 Create Daily, Weekly, Monthly Claim Adjudication MIS Report.
 Create MIS report of Member Reimbursement.
 Generate report of team member related to Production, Error and Quality.

Previous process responsibility:-


 Process and pay provider claim and member reimbursement claim.
 Review member benefit.
 Check member enrollment .
 Check member eligilibity for the medical service.
 Check provider eligilibity for the medical service.
 Check contract rate of CPT Code.
 Check copay/coinsurance of CPT Code.
 Recoupment overcharged billed by the provider and reimbursement to member.
 Knowledge of denial claim and adjustment, Adjudicate and pay as per member benefit.
Trainings:

 Basics & Advance Excel (Vlookup, Hlookup, Xlookup sumif, countif, sumproduct &
aggregate funcation)
 Basic Knowledge of SQL server
 Working Knowledge of Internet

Key Skills:

 Good experience in Data Analytics & Management Reports, MIS,


 Dashboard & daily Report handling.
 Good command on MS Excel & SQL Server.
 Good experience in MS Excel with Advance Excel (VLOOKUP, HLOOKUP, INDEX, PIVOT
TABLE, IF, COUNTIF, SUMIF, SUMIFS, MAXIF, MINIF etc. & Other Excel function) and
 SQL Server (SELECT, INSERT, UPDATE, DELETE, WHERE, LIKE, BETWEEN, etc).

LANGUAGE KNOWN

English and Hindi

EDUCATIONAL QUALIFICATION

 Completed Graduation (BA) from Magadh University


 Passed 12th with Commerce from NIOS
 Passed 10th from CBSE

PERSONAL DETAILS

Date of birth : 18th Feb, 1987


Father’s Name : Sh. Vindeshwar Prasad
Marital Status : Married
Gender : Male
Nationality : Indian

Date: ________ Signature:

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