Curriculum -Vitae

Name- Vikas Kumar

Contact :- 9990142110, 9910197718
E-mail :- vikaskumar213141@gmail.com

Career Objective :-
I have overall 5 years experience in health insurance (claims) process for Backend.

Currently working in Optum global solutions. (U.H.G) 2019 to presents.

CAPGEMINI

Plot no 139-140, A- Block, Sector 82, NSEZ, NOIDA, (U.P.) 201305

Employment History :- Oct 2015 to May 2017.

Designation: Process Associate

Roles and Responsibilities:

• I have to adjust those claims which was wrongly denied and closed and also wrongly
processed.
• We have to Reprocess those claim as per member medical health plan.
• We have Non- Optum insight denial code and Non-Par provider if appellant is provider
and liability is provider so we create the Provider appeal.
• We have the liability is Member or Member Re-presentative or provider is Par and Non-
Par both criteria the create we have to create an appeal for both.
• And if we have Optum insight denial code so we routed to Redirect Queue.

Educational Qualification :-
• Passed B.COM from C.S.J.M University, Kanpur 2015.
• Passed Intermediate from N.I.O.S Board in 2008.
• Passed High School from U.P. Board in 2005.
Computer Proficiency :-
06th Months Diploma in D.T.P (Desk Top Publishing) from BITI Institutes,
Ghaziabad.
Personal Details:
Father’s Name : Mr. Rajvir Singh
Date of Birth : 16-03-1989
Strengths & Hobbies : Singing or Listening songs & Playing Cricket.
Gender : Male
Marital Status : Married
Religion : Hindu
Nationality : Indian
Address : 684/1, Old Vijay Nagar, Sec-09, Mawai Road
Sabji Mandi, Ghaziabad.

Date: ………… (Vikas Kumar)

Place: …………