MUNMI KALITA
Glen Eden ,Auckland
Summary
Detail-oriented Leasing Specialist promoting a background in successfully working closely with all types of personalities. Possessing the skills needed to engage and interact with people in positive ways. Looking to tackle new challenges with an organization that appreciates talents in marketing and issue resolution.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Case Manager - Disability Income
AIA NewZealand
Takapuna
08.2023 - Current
- Reviewed and analyzed disability claims to determine eligibility for benefits.
- Provided assistance and guidance to claimants regarding the completion of paperwork and forms related to their claim.
- Conducted interviews with claimants, employers, physicians, witnesses, and other third parties to obtain information relevant to a claimant's disability claim. (e.g ACC and WINZ)
- Investigated medical records and gathered evidence in support of approved or denied claims.
- Assisted in developing strategies for resolving complex cases involving multiple disabilities, long-term illnesses, or conflicting medical opinions.
- Ensured that all decisions were made in accordance with applicable laws, regulations, and policies.
- Identified trends in claim activity to identify areas where process improvements could be implemented.
- Analyzed financial statements as part of determining an applicant's eligibility for benefits.
- Advised claimants on available resources such as vocational rehabilitation services or job training programs.
- Developed risk management strategies to mitigate financial losses.
Claims Approval Consultant
Southern Cross Health Care Society
Auckland CBD, Auckland
10.2022 - 07.2023
- Respond to member enquiries, displaying consistently high levels of professionalism, and follow through to resolution as appropriate.
- Provide and capture accurate information relating to all enquiries.
- Ensure system notes accurately reflect conversations with members and actions taken.
- Demonstrate effective contact management.
- Proactively manage unresolved enquiries and provide appropriate escalation.
- Regularly monitor workload, ensuring maximum productivity is achieved and urgency is given to calls waiting.
- Participate in creating and maintaining a positive, supportive, and rewarding team environment.
- Maintain a high standard of professionalism and display the Southern Cross values with internal customers, while delivering to Brand Promise and Member Experience when interacting with external customers.
- Working alongside the Advocacy team for ACC declined claims.
- Applied effective time management techniques to meet tight deadline.
- Cultivated interpersonal skills by building positive relationships with others.
- Worked effectively in fast-paced environments.
Customer Service Administrator
Suncorp
Vero Insurance, Auckland CBD
08.2022 - 09.2022
- Handle queries from customers and partners; resolve or escalate customer complaints.
- Identify, resolve, and/or escalate quoting or processing issues to ensure the delivery of a great customer experience.
- Contribute to ensuring quality customer and partner relationships are established, enhanced, and maintained through efficient and effective customer service, maximizing point of contact resolution.
- Know our customers and partners and build strong relationships by matching the right solution to each customer's needs.
- Answered customer inquiries and resolved customer issues in a timely manner.
- Created reports on customer feedback surveys to identify areas of improvement in service delivery.
Payroll Administrative Assistant
CWK Accountant
Manukau , Auckland
09.2020 - 03.2021
- Ensure all information is imported and processed correctly.
- Work closely with the management team to ensure staffing schedules are regularly updated.
- Processing of termination pays, leave analysis, monthly and annual statutory calculations, PAYE, ACC, and KiwiSaver, and year-end processing.
- Provide all payroll changes to external payroll providers for processing.
- Check data entry of employee and payroll information by external providers to ensure it is accurate and it is actioned in a prompt manner.
- Reconcile Payroll clearing and related accounts on a monthly basis.
- Proficient user of XERO and MYOB payroll software.
Claims Consultant
FinThrive Global Services
Delhi, India
06.2018 - 08.2019
- Working for the United States Medical Health Insurance Company, I stayed current on HIPAA regulations, benefits claim processing, medical terminology, and other procedures.
- Accurately processed a large volume of medical claims every shift.
- Reviewed claims for accuracy before submitting for billing, tracked differences between plans to correctly determine eligibility, and assessed claims against benefits and data entry requirements.
- Base payment or denials of medical claims upon well-established criteria for claims processing.
- Reviewed administrative guidelines whenever questions arose during processing of claims.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Processed claims for payment or forwarded to appropriate personnel for further investigation.
Education
Graduate Diploma Level 7 in Applied Management, Project Management - Business Administration and Management
Aspire 2 International
Auckland07.2020
Bachelor of Administrative Studies - Accounting, Human Resource, Marketing
Delhi University
Delhi04.2017
Skills
- Problem Detection
- Customer Service
- MS Office
- Team Collaboration
- Team Building
- Problem Solving
- Clinical Reasoning
- Case Planning and Management
- Income Verification
- MYOB
- Time Management
- Adaptability
- Ethical Decision-Making
- Project Management
- Attention to Detail
- Empathy and Compassion
- Goal Setting
- Client Advocacy
- Case Management
- Regulatory Compliance
- Decision-Making
- Conflict Resolution
- Microsoft 360
Certification
Excel: Introduction to formula's and function's
References
References available upon request
Languages
English
Full Professional
Hindi
Native/ Bilingual
References
References available upon request.
Timeline
Case Manager - Disability Income
AIA NewZealand
08.2023 - Current
Claims Approval Consultant
Southern Cross Health Care Society
10.2022 - 07.2023
Customer Service Administrator
Suncorp
08.2022 - 09.2022
Payroll Administrative Assistant
CWK Accountant
09.2020 - 03.2021
Claims Consultant
FinThrive Global Services
06.2018 - 08.2019
Graduate Diploma Level 7 in Applied Management, Project Management - Business Administration and Management
Aspire 2 International
Bachelor of Administrative Studies - Accounting, Human Resource, Marketing
Delhi University
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