1. VIDYARTH VITTHAL NIRMALKAR
Email : nvidyarth123@gmail.com
Mobile: +919850692567/+918237390703.
CAREER OBJECTIVE
Intend to build a career with leading corporate of hi- tech environment with committed & dedicated people, which
will help me to explore myself fully and realize my potential. Willing to work as Operation Manager in challenging &
creative environment.
PROFILE SUMMARY
10 years of experience in US healthcare domain.
Completed Six Sigma BlackBelt certification.
Completed Lean Six sigma yellow belt certification.
Handling Benefit configuration process whichincludes 25 agents.
Mapping clients’ requirements and coordinating, developing and implementing processes in line with
guidelines.
Monitoring the overall functioning of processes, identifying improvement areas and implementing
adequate measures to maximize customer satisfaction level.
Preparing reports as per SLA with a view to apprise management of the process operations and assist in
critical decision-making process.
WORK EXPERIENCE
1. MphasiS Company (October 2006 to till date)
Designation – Assistant Unit Manager.
Department – Project Shield.
Team size – 25.
Platform – Mainframe System(Rumba application), MetaVance.
About the Process: We get Medical insurance plans for benefit coding. Programming team code those plans
and testing team test these plans by creating test cases for every benefit. Testing team is responsible for
100% quality before releasing the plan.
Job Profile:
Assistant Unit Manager:
Responsible tomaintain or meet SLA, TAT forproduction team, quality team, plan analyst team and
other projects.
Communicating with onshore client on regular basis to share status and if we need any clarification.
Responsible of Monthly business review meeting with PDHand onshore client.
Taking one on one meeting with all team members on regular basis and shared progess report.
Works on RCA, Processimprovement plan, Erroranalysis, Risk analysis etc.
Created all typeof documents for the team to understand the process.
Created all typeof reports forproduction, quality, error analysis, management reports etc.
Designed improvement plan forall agent to make process stronger or increase productivity or quality.
Deal in handling overall functioning of processes & implementing processes in line with the guidelines.
Conversant in maintaining the TAT specified for the task as per quality for enhanced customer
satisfaction level.
Takes training session about plan analyst process fornew batch and preparing progress reports for
training employees and production team members.
2. Achievements:
Rewarded withStar of the month award forseveral times from management.
Rewarded withAppreciation Letter for handled criticalplans frommanagement.
Rewarded withAppreciation Letter for creating documents for the team.
Quality maintained 99.95% and abovefor several months.
Rewarded withMphasis DanceTrophy in Mphasis Dance Competition as Runner-up.
Rewarded withMphasis Table Tennis Trophy in Mphasis Table Tennis Competition as Winner.
2. Tela Sourcing India Pvt. Ltd dba Cognizent Company (December 2004 to September 2006)
Designation – Sr. Claim Executive
Department – FLA Adjudication Process and Claims Entry
Platform – Facets, Citrix
About Process: The process involves entering all the claim details depend on criteria. We need to review all
the details as per client requirements and updates to enter and adjudicate the claims.
Job profile
Handled Flex America Debit Card process of headcount 18.
Creating all types of reports to know production workload, quality etc.
Communicating with onshore client on regular basis if weneed any clarification
Created all types of reports and documents for the team.
Reviews, researches and analyse all types of Professional or Facility claims.
837 Claims Entry (HCFA1500, UB 92 and Dental claims).
Adjudication Process.
Enrolment Process.
Quality Check.
EDUCATION
Academic Qualifications:
Degree University/Board Year of Passing Class
B.Com Pune University 2005-06 Higher Second Class
H.S.C. Maharashtra Board 2002-03 Higher First Class
S.S.C. Maharashtra Board 2000-01 Higher Second Class
Known Applications : Ms Office 2010, Ms Access 2010, Ms Front Page.
Operating Systems : Ms Dos, Windows Vista, XP.
Testing Knowledge : QTP, WinRunner, Functional Testing-Manual,Load Runner, Webload, Acceptance Testing.
PERSONAL PROFILE
Date of Birth : 20th May, 1985
Present Address : Lane Number 4, House Number 15,
Behind R.B. Mills,PrivateRoad,
Pune – 411001.
Nationality : Indian
Marital status : Single
3. Hobbies : Online Chatting, Listening Music, Making friends, Playing Cricket
Languages Known : English, Hindi, Marathi and Kannada.
Passport : Yes
DECLARATION
I hereby declarethat the information stated above is correctand true to best of my knowledge.
Date :-
Place :- Pune
(Vidyarth V. Nirmalkar)