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Nikita Dabral

Senior Claim Adjudicator| Medical summerizer|Medical Coder|Pharmacist

Faridabad

3+ years of work experience

NAS Neuron Health Services
May 20251 yr 2 mosJun 2026

India

1,200+ Middle East healthcare claims reviewed and adjudicated per month, sustaining 99% quality accuracy against SLA. Evaluate medical necessity and policy coverage to approve, deny, or pend claims per payer guidelines. Maintain 99% SLA compliance while processing 50–60 claims per day. Partner with internal teams to resolve claim discrepancies and escalations. Cross-trained across multiple claim types to support team coverage and throughput.
EXL
Apr 20232 yrs 2 mosMay 2025

Noida, Uttar Pradesh, India

Reviewed and summarized US healthcare medical records, extracting clinical detail into concise, decision-ready summaries. Maintained 99% accuracy while meeting daily turnaround targets. Prepared structured summaries used downstream for coding and claims decisions.
Cogito Tech
Sep 20226 mosFeb 2023

Assigned ICD-10 CM & CPT codes. Reviewed documentation for coding accuracy. Ensured compliance with coding guidelines.

Education

Dr. A.P.J. Abdul Kalam Technical University

Bachelor of Pharmacy - BPharm, Pharmacy

Dr. A.P.J. Abdul Kalam Technical University

20193 yrs2022
Meera Bai Institute of Technology (MBIT)

Master of Pharmacy, Pharmacy

Meera Bai Institute of Technology (MBIT)

20172 yrs2019

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Headline

Senior Claim Adjudicator| Medical summerizer|Medical Coder|Pharmacist

Location

Faridabad

Work experience

Senior Claims Representative at NAS Neuron Health Services, May 2025 - Jun 2026 · 1 yr 2 mos, India, 1,200+ Middle East healthcare claims reviewed and adjudicated per month, sustaining 99% quality accuracy against SLA. Evaluate medical necessity and policy coverage to approve, deny, or pend claims per payer guidelines. Maintain 99% SLA compliance while processing 50–60 claims per day. Partner with internal teams to resolve claim discrepancies and escalations. Cross-trained across multiple claim types to support team coverage and throughput.

Medical summerizer at EXL, Apr 2023 - May 2025 · 2 yrs 2 mos, Noida, Uttar Pradesh, India, Reviewed and summarized US healthcare medical records, extracting clinical detail into concise, decision-ready summaries. Maintained 99% accuracy while meeting daily turnaround targets. Prepared structured summaries used downstream for coding and claims decisions.

Medical Coder and Annotator at Cogito Tech, Sep 2022 - Feb 2023 · 6 mos, Assigned ICD-10 CM & CPT codes. Reviewed documentation for coding accuracy. Ensured compliance with coding guidelines.

Education

Bachelor of Pharmacy - BPharm, Pharmacy, Dr. A.P.J. Abdul Kalam Technical University

Master of Pharmacy, Pharmacy, Meera Bai Institute of Technology (MBIT)

Nikita Dabral - Senior Claims Representative in Faridabad | Tal