Yuvraj Ramavadh Rajbhar

Responsible for adjudicating healthcare insurance claims in alignment with client policies, while managing Appeals & Grievance cases with precision and adherence to quality standards. Maintain high productivity and meet SLA targets through accurate claims verification, documentation, and correction. Oversee member enrollment, policy modifications, and cancellations for US healthcare clients. Ensure thorough case documentation using internal and client systems. Collaborate with internal teams to resolve issues and streamline workflows. Communicate professionally with clients and stakeholders, maintaining confidentiality and data protection. Proficient in Salesforce, Outlook, Citrix, MS Office, and Procedure Flow tools.