Shaina Shaikh profile photo 1 on Tal

Shaina Shaikh

NA

Mumbai Metropolitan Region

2+ years of work experience

Sembridge
May 20251 yr 1 moMay 2026

Hiranandani, Powai

• Assisted UHC members with inquiries related to medical insurance policies, claims, and coverage details. • Delivered effective solutions for customer concerns while ensuring compliance with healthcare regulations and company standards. • Handled escalations and complaints with professionalism, maintaining trust and satisfaction among policyholders. • Maintained precise records of member interactions, claims updates, and service requests. • Partnered with cross-functional teams to streamline processes and enhance member experience. • Ensured adherence to UHC’s customer service benchmarks while supporting members with healthcare needs. • Applied knowledge of US medical insurance policies, benefits, and claim procedures to assist members effectively. • Coordinated with medical facilities, hospitals, and other healthcare providers to achieve end-to-end resolution for members’ issues.
Mphasis
Apr 202310 mosJan 2024

Pune District, Maharashtra, India

Maintains customer relationships by responding to inquiries via chat; documenting actions. ●Prepares for customer inquiries by studying products, services, and customer service processes. ●Responds to customer inquiries by understanding inquiry; reviewing previous inquiries and responses; gathering and researching information; assembling and forwarding information; verifying customer’s understanding of information and answer. ●Records customer inquiries by documenting inquiry and response in customers’ accounts. ●Improves quality service by recommending improved processes; identifying new product and service applications. ●Identifying customer needs. ●Forwarding and escalating inquiries to relevant individuals and departments.
Accenture
May 20227 mosNov 2022

Navi Mumbai, Maharashtra, India

Helping the candidates to fill out the job applications. ● Responds to candidates inquiries by understanding inquiry; reviewing previous inquiries and responses; gathering and researching information; assembling and forwarding information; verifying customer’s understanding of information and answer. ● Informing the candidates about their onboarding sessions time and date and about the documents they have to take with them.
Accenture in India
Sep 20215 mosJan 2022

Navi Mumbai, Maharashtra, India

Handled billing of medicine for patients. ● Check if the dose is correct and the supply is correct. ● Verified that the patients had the correct medicine and for the correct time period.

Education

Bachelor of Business Administration - BBA, Human Resources Management/Personnel Administration, General

Oriental Education Societys College of Arts Commerce & Science Sanpada Navi Mumbai

20173 yrs2020

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Headline

NA

Location

Mumbai Metropolitan Region

Work experience

Customer Service Representative at Sembridge, May 2025 - May 2026 · 1 yr 1 mo, Hiranandani, Powai, • Assisted UHC members with inquiries related to medical insurance policies, claims, and coverage details. • Delivered effective solutions for customer concerns while ensuring compliance with healthcare regulations and company standards. • Handled escalations and complaints with professionalism, maintaining trust and satisfaction among policyholders. • Maintained precise records of member interactions, claims updates, and service requests. • Partnered with cross-functional teams to streamline processes and enhance member experience. • Ensured adherence to UHC’s customer service benchmarks while supporting members with healthcare needs. • Applied knowledge of US medical insurance policies, benefits, and claim procedures to assist members effectively. • Coordinated with medical facilities, hospitals, and other healthcare providers to achieve end-to-end resolution for members’ issues.

Customer support (Chat) at Mphasis, Apr 2023 - Jan 2024 · 10 mos, Pune District, Maharashtra, India, Maintains customer relationships by responding to inquiries via chat; documenting actions. ●Prepares for customer inquiries by studying products, services, and customer service processes. ●Responds to customer inquiries by understanding inquiry; reviewing previous inquiries and responses; gathering and researching information; assembling and forwarding information; verifying customer’s understanding of information and answer. ●Records customer inquiries by documenting inquiry and response in customers’ accounts. ●Improves quality service by recommending improved processes; identifying new product and service applications. ●Identifying customer needs. ●Forwarding and escalating inquiries to relevant individuals and departments.

HR Contact Centre Associate at Accenture, May 2022 - Nov 2022 · 7 mos, Navi Mumbai, Maharashtra, India, Helping the candidates to fill out the job applications. ● Responds to candidates inquiries by understanding inquiry; reviewing previous inquiries and responses; gathering and researching information; assembling and forwarding information; verifying customer’s understanding of information and answer. ● Informing the candidates about their onboarding sessions time and date and about the documents they have to take with them.

Transaction Processing Representative at Accenture in India, Sep 2021 - Jan 2022 · 5 mos, Navi Mumbai, Maharashtra, India, Handled billing of medicine for patients. ● Check if the dose is correct and the supply is correct. ● Verified that the patients had the correct medicine and for the correct time period.

Education

Bachelor of Business Administration - BBA, Human Resources Management/Personnel Administration, General, Oriental Education Societys College of Arts Commerce & Science Sanpada Navi Mumbai

Shaina Shaikh - Customer Service Representative in Mumbai Metropolitan Region | Tal