About
Insurance Operations & Quality professional with over 4 years of experience across claims processing support, policy verification, quality auditing, regulatory compliance, SLA/TAT governance, stakeholder management, and process improvement. Experienced in Workers' Compensation claim audits, claim intake verification, coverage eligibility review, documentation accuracy, RCA/CAPA frameworks, and operational dashboards. Known for deadline adherence, quality commitment, adaptability, and collaborative delivery in fast-paced insurance operations environments.
Experience2
Quality & Operations Team Lead
June 2025 — PresentAccess Healthcare
Lead a team of 21 Quality Analysts managing 10+ core operational processes ensuring SLA compliance and on-time delivery. Directed SLA governance and stakeholder management processes achieving 100% alignment with client KPIs. Drove process optimizations via RCA/CAPA frameworks boosting operational efficiency by 15%. Developed real-time dashboards to track productivity, quality, error trends, and SLA performance enhancing leadership decision-making.
Quality Analyst
November 2021 — June 2025iEnergizer
Conducted audits for Workers' Compensation claims ensuring accuracy and compliance with policies and regulations. Performed policy verification and root cause analysis to support operational improvements and mitigate claim processing gaps. Managed SLA, TAT, and client satisfaction targets maintaining 98% quality output. Processed 50+ international insurance claims daily, handling intake, documentation review, and issue escalations.
Education2
Master of Business Administration
2024 — 2026IMT Ghaziabad
Operations & Strategic Management
Bachelor of Technology
2017 — 2021Maharaja Agrasen Institute of Technology, Delhi