VIJAYASHRI GAWADA

• Managed end-to-end marketing claims processing.
• Reviewed POP marketing materials for brand compliance.
• Conducted post-campaign audits.
• Validated reimbursement claims and policy eligibility.
• Collaborated with US stakeholders to resolve queries.
• Maintained SLA compliance and quality standards.
• Prepared reports using Advanced Microsoft Excel.

• Handling the Claims as per the Blue shield of Californiapolicy and guidelines.
• Validating the Member personal details and Banking details in OH+ data.
• Auditing the claims which are released by the new joiners.
• Proving the training to the new joiners and auditing and releasing the claims.
• Resolving queries of the team members.
• Handling urgent and escalated claims and Emails.
• Conducting error share to the teamon weekly basis to maintain team quality performance.
• Assisted the team lead whenever there was a need.
• Assigning files and consolidate the status by EOD.
• Attending the client calls on weekly basis.

[CAREER BREAK]

[Planned maternity career break while successfully completing MBA in Finance & Information Technology, focusing on professional development and skill enhancement.}