Kruthika T profile photo 1 on Tal

Kruthika T

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Chennai

2+ years of work experience

Sagility
May 20232 yrs 9 mosJan 2026

Chennai, Tamil Nadu, India

- Managed end-to-end adjudication processes, including reviewing, approving, denying, and adjusting payments per payer policies. - Ensured compliance and accuracy in claim categories such as COB, duplicate, supplemental, and psychiatric claims. - Resolved client escalations within defined turnaround times (TAT) and consistently achieved SLA targets. - Collaborated with analytics and audit teams to identify and implement process improvement opportunities. - Contributed to revenue optimization through accurate data handling, claim validation, and performance analysis. - Conducted Claims Data Audits and Post-Pay Special Projects to ensure SLA compliance and data accuracy. - Experienced in Denial Management, Authorization & Referral Audit, and Multiple Surgery Logic (MSL) Claims. - I've taken savings nearly 2 lakhs dollars for the company.

Education

University of Madras

Master of Computer Applications - MCA, Computer Applications

University of Madras

20222 yrs2024
University of Madras

Bachelor of computer applications, Computer Programming, Specific Applications

University of Madras

20183 yrs2021

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Headline

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About

fresher

Location

Chennai

Work experience

Senior Process Consultant at Sagility, May 2023 - Jan 2026 · 2 yrs 9 mos, Chennai, Tamil Nadu, India, - Managed end-to-end adjudication processes, including reviewing, approving, denying, and adjusting payments per payer policies. - Ensured compliance and accuracy in claim categories such as COB, duplicate, supplemental, and psychiatric claims. - Resolved client escalations within defined turnaround times (TAT) and consistently achieved SLA targets. - Collaborated with analytics and audit teams to identify and implement process improvement opportunities. - Contributed to revenue optimization through accurate data handling, claim validation, and performance analysis. - Conducted Claims Data Audits and Post-Pay Special Projects to ensure SLA compliance and data accuracy. - Experienced in Denial Management, Authorization & Referral Audit, and Multiple Surgery Logic (MSL) Claims. - I've taken savings nearly 2 lakhs dollars for the company.

Education

Master of Computer Applications - MCA, Computer Applications, University of Madras

Bachelor of computer applications, Computer Programming, Specific Applications, University of Madras