Vikas Sharma
@vikassharma
Auditor (Fraud and Investigations) at United Health Group
Noida
Vikas Sharma is an experienced professional with expertise in service operations, claims management, and fraud investigations. He has a proven track record in leading teams, defining key performance indicators (KPIs), and resolving complex queries for corporate accounts. His core competencies include RCA, process improvement (5 Why Analysis), and utilizing various CRMs and MS tools to drive quality service delivery.
Experience
Auditor (Fraud and Investigations)
United Health Group
Providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Primarily responsible for Claim clearance of Corporate Accounts (US based). Responsible for defining key performance indicators (KPI's)/establishing targets within the processes and reviewing performance at agreed intervals. Managing service operations for rendering and achieving quality services; providing first line customer support by answering queries & resolving issues and ensuring minimum TAT. Leading, training & monitoring the performance of team members to ensure efficiency in operations and meeting of individual & group targets. RCA's and Call Calibrations with internal and external clients.
Quality Coordinator / Out-bound Call Centre Executive
Computer Links
Responsible for Team performance, driving C-Sat, and quality assurance by regular call audits. Managed training and debriefing sessions for new batches. Also responsible for up-selling Value Added Services and coordinating with Channel and Zonal Offices regarding various complaints resolution.
Subscriber Management Group Member
Videocon d2h
Worked in Subscriber Management Group (Back-end Team) of Videocon d2h-Headend. Making correction in customer's account bill. Assessing & Providing Input for further development of Billing. Coordination with IT for system related Issues & Implementation of changes in Billing System.
Response & Resolution Team Member
Tech Mahindra
Joined in Response & Resolution Team (Back-end Team) of Idea Cellular (UP-West). To give resolution on complaints generated by Whole call centers, Zonal offices, ROs and Idea related SPOCS. Coordinated with Network team, Vendors and S.D.Q Team of Idea Cellular.
Education
Symbiosis University
MBA
Marketing
C.C.S. University
P. Graduate
I.S.C. Board
Intermediate
C.B.S.E Board
High School
Licenses & Certifications
RPA -UI Path Certified