---
title: "Abhay Pandey - Senior Associate in Gurugram | Tal"
description: "Meet Abhay Pandey, Senior Associate - US healthcare | Claims Processing | Skilled in EOBs, Appeals & Claims Adjudication | Seeking opportunities in Claims management based in Gurugram."
image: "https://tal.club/meet/abhay-pandey-1/share-image"
---

# Abhay Pandey on Tal

## Headline

Senior Associate \- US healthcare \| Claims Processing \| Skilled in EOBs, Appeals &amp; Claims Adjudication \| Seeking opportunities in Claims management

## About

"Detail\-oriented healthcare professional with 3 years of experience in US Healthcare in Claim Processing\. Specialized in end\-to\-end Claims Processing and Denials Management\. Proven track record in analyzing denied claims, submitting successful appeals, and reducing days in A/R\. Committed to maintaining high accuracy standards and staying updated with payer\-specific guidelines to ensure seamless financial operations for healthcare providers\."

## Location

Gurugram

## Work experience

Senior Associate at CONCENTRIX DAKSH SERVICES INDIA PRIVATE LIMITED, Jul 2022 \- Present · 4 yrs, Gurugram, Haryana, India, Proficient in reviewing CMS\-1500/UB\-04 forms and handling Clearinghouse rejections efficiently\. Analyzed denied claims and prepared clinical/administrative appeals to maximize reimbursement rates\.

Transaction Processor at Concentrix, Jul 2022 \- Present · 4 yrs, • Process Physician \(Professional\) and Hospital \(UB/Institutional\) healthcare claims accurately and efficiently • Handle provider and member appeals, reviewing documentation and ensuring timely resolution • Work across multiple lines of business \(LOBs\) with adaptability to varied claim types and workflows • Maintain high accuracy and compliance standards in healthcare claims adjudication

Field Sales Executive at Paisabazaar, Sep 2021 \- Apr 2022 · 8 mos, Gurugram, Haryana, India, Generate Credit card leads from open Market sales and login the credit card files to till approved the files and also all pendencies to be clear \.

## Education

Bachelor of Commerce \- BCom, Commerce, Dr\. Ram Manohar Lohia Avadh University

Intermediate \(Class XII\), Praxie

[View the original profile](https://tal.club/meet/abhay-pandey-1)

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