Anusha R

Healthcare Claims Operations professional with 3.5+ years of experience in healthcare BPO claims processing, claims adjudication support, and insurance policy and provider data operations for a leading US healthcare insurance client. Subject Matter Expert (SME) skilled in end-to-end claims lifecycle support, claims validation, quality assurance, and escalation resolution, cutting resolution time 50% (2 days to 1 day). Experienced in Salesforce Lightning administration, SOP governance, and maintaining confidentiality of protected health and claims data in line with healthcare compliance and audit-readiness standards. Certified Trainer who has upskilled 100+ employees across 5 batches, reducing new-hire ramp-up time by 1 week. Known for root cause analysis, process improvement, and cross-functional stakeholder collaboration that strengthens claims accuracy and operational excellence.