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SAJITHA SHAJEER

CERTIFIED PROFESSIONAL CODER

PROFESSIONAL SUMMARY
Medical claims officer with 5+ years of professional experience in
office administration and a solid understanding of the daily operations
of health insurance claims. Seeking a challenging and progressive
work environment in the insurance department of a reputable
organization, where I can leverage my knowledge of medical
terminology, anatomy & physiology, ICD-10 CM, CPT and HCPCS
CONTACT
codes.

WORK EXPERIENCE
971565911902
OFFICE ASSISTANT- MEDICAL CLAIMS OFFICER
KERALA NON RESIDENT KERALITES' WELFARE BOARD
sajithashajeer80@gmail.com
January 2021 - March 2023
Verifying and granting welfare assistance to the eligible NRKs in
www.linkedin.com/in/sajitha-m
accordance with the Government standards.

Dubai UAE Documents medical claims actions by completing forms, reports, logs,
and records.
D O B- 19/10/1990 Resolves medical claims by approving or denying per documentation,
calculating benefits due, initiating a payment or composing denial letter.

TECHNICAL SKILLS Managed an extensive portfolio of claims by prioritizing and organizing


time effectively.
Ensures that all documents pertaining to a claim are electronically
Proficiency in Medical coding
Adherence to coding guidelines attached and labeled correctly in the claims management system.

Knowledge of Medical Analyze insurance claims to prevent fraud.


Terminology Monitor the progress of a claim.
Familiarity with Current Handle any complaints associated with a claim.
Procedural terminology (CPT), Provide quality service to all members.
International Classification of
Diseases (ICD-10- CM), HCPCS CLERK
Attention to detail KERALA NON RESIDENT KERALITES' WELFARE BOARD
Proficient in Microsoft office August 2017 - January 2021
Data Entry- Typing 40wpm
Maintaining office files and records so they remain updates and easily
Customer Relation Management
accessible.
Phone Etiquette
Respond to more than 15 client(members of welfare board) emails daily
(on average),quickly resolving issues as they arise
ACHIEVEMENTS Assisted in answering incoming calls, helping resolve issues between
customers and the section concerned.
Medical Coding Perform document scanning and log them in the company's proprietary
computer system for future review by internal departments, as well as
Diploma In Computer Applications the regional offices
Helped in analyzing all company data‑entry systems and prepared
SAP
recommendations for system wide efficiency improvements.

Tally
LANGUAGES ACADEMIC PROFILE
English
MEDICAL CODING (2023)
CPC - AAPC
Hindi
Certified Professional Coder
Malayalam Score- 80%
TRANSORZE SOLUTIONS - THIRUVANANTHAPURAM
MEDICAL CODING (2023)
Score- 88%
ANNAMALAI UNIVERSITY- COIMBATORE
MBA- HUMAN RESOURCES MANAGEMENT (2017)
UNIVERSITY OF KERALA- THIRUVANANTHAPURAM
BA- ENGLISH LANGUAGE AND LITERATURE (2015)

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