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Sukesh Chandra Badoni

Contact no #9711771521 Email ID: sunshine_sukesh07@yahoo.co.in

Objective:
Looking forward to work in an organization that offers a challenging environment and enable me to develop my skills, and where I can contribute in a significant way to the success of the company

Educational Qualification:
M.A. (1999-2001)-With History from H.N.B. University Uttaranchal B.Sc. (1995-1999) - with maths, physics and geology from H.N.B University Uttaranchal. Intermediate (1994-1995) from government inter college (U.P.Board) Tehri Garhwal. High School (1991-1992) from government inter college (U.P.Board) Tehri Garhwal.

Professional Experience:

Working from 2nd May 2011 and still working


Working with United health Group it is a no 1 American health insurance company as a senior claim adjudicator. Job profile: To handle the medical and hospital claims and adjudicate them and release the Payment for doctors. To create the Fee schedule and get them into test and production with 100% quality parameters. Handle the team of five members and resolve their processing related issues and monitoring their quality in fee creation and testing To make calls with onshore team to resolve and discus the challenges and modification within the process of fee creation and testing

(From 06/08/2008 to 28/04/2011)


Worked as a premium technician with Xchanging. This is a UK Bases Company Job profile: To handle all premiums which are related to Lloyds, Marine reinsurance, Aviation and other reinsurances. Worked on the all different type of reinsurance like facultative reinsurance, excess of loss, Binders and Direct reinsurance To calculate the premium and adjustment calculations and verify with brokers. And make brokers to clear on wrong calculations and documentations through Emails and phone calls

(From 31/01/2007 to 01/08/2008)


Worked with IBM as a claims adjudicator for Aetna it is an American health insurance company Job profile Worked on mainframe screens in ACAS- all types of medical and hospitals claims adjudication. Worked in rework team and correct the wrong paid claims in past with particular codes. Responsible for claim adjudication for critical customers and states Like Texas, Medicaid and Medicare claims. Computer literacy Operating Systems: mainframe, MS- office, SharePoint. Hobbies: Singing, Dancing, Painting, Traveling, Playing Casio, Badminton, Cricket Personal Information: Father Name: Shri Sohan lal Badoni Birth Date: 15 august 1977 Marital Status: married Languages known: English and Hindi Nationality: Indian Permanent Address: Sukesh Badoni H.N. C-89, Miya wali colony New railway road, Gurgaon (HR) Local Address: Same as above Declaration: I hereby declare that the information furnished above is true to the best of my knowledge. (Sukesh Badoni) E-mail: sunshine_sukesh07@yahoo.co.in Date:

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