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Rajat Saxena

Subject Matter Expert - US Health Claim Processing

4 years work experience with Aon Hewitt, Noida in US health insurance claims process

Sep 2011Mar 2015

Process Developer 

AON Hewitt


Subject matter expert in health insurance & dependent care claims process for USA.Including:

    • Claims Process Validation
    • Repayment
    • Overpayment Identification
    • Quality Audit
    • Good basic mathematics, reasoning, and interpretation skills 
    • Working knowledge of MS Excel/Access/Power Point 
    • Basic understanding of SQL and VBA
    • Experience in reporting and data analysis
    • Behavioural/ Leadership Skill
    • Logical skills
    • Self-motivated and energetic attitude

Key Responsibilities:

    • Identifying overpayment opportunities by:
    • Reviewing claims processing policies and guidelines.
    • Reviewing provider contracts.
    • Analysing historical overpayment trends.
    • Analysing claims data to identify outliers.
    • Contribute toward team's yearly target of overpayment identification.
    • Review and validate claims.
    • Assist team members and as and when required. 
    • Maintain and track overpayment projects in organized and timely manner.
    • Adhere to all client and company policies without exceptions.
    • Adjudication, Indexing, Claim processing of Healthcare, Dependent care & Workflow management


Jul 2008Jun 2010

Master In International Business

IMS Noida
Aug 2004Jul 2007

Bachelor of Commerce 

CCS university


                          Won  “Star Performer” award for 2012-13

                         Got  “Extra Miler of the Month” award for Nov. 2013-14