Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic
JEYARAJ RAJADURAI

JEYARAJ RAJADURAI

ACMV Service and Project Engineer

Summary

Experienced and self motivated ACMV service and Project Engineer and HC and Insurance operation Senior Processor Associate with 9 years in US healthcare industry. Skilled in working under pressure and adopting to new situations and challenges to best enhance the organization brand.

Overview

10
10
years of professional experience
4
4
years of post-secondary education
1
1
Certification

Work History

ACMV Service and Project Engineer

Y.K Aircon Engineering Pte Ltd Under Exceltec.
04.2024 - Current

● Perform routine inspections and preventive maintenance, and identify and fix issues to ensure optimal system performance

● Perform servicing on chillers and other HVAC equipment

● Plan and supervise ACMV works, such as installing air conditioning and mechanical ventilation in buildings and infrastructure

● Coordinate with clients, architects, suppliers, and subcontractors to ensure successful project execution.

● Diagnose and troubleshoot technical problems, and coordinate replacement of faulty components.

● Create detailed design drawings using AutoCAD software.

● Implement correct working methods, observe all safety rules & regulations

● Communicate effectively with customers to resolve complaints, and provide technical support to clients and concerns promptly

● Coordinate with vendors and contractors to ensure efficient job execution, and cooperate and coordinate with other departments

● Ensure all works carried out in accordance with the specified quality and EHS standards

● Prepare reports for management's review.

● Prepare monthly service report and submit to the client.

● To work on Tender submission to quote.

● Arrange site walk with client and prepare quotation.

● Prepare CSOC for new project

● Prepare RA and MOS for new worksite

● Apply PTW for the respective work site, arrange manpower for daily works and submit daily report to project team.

● Prepare and submit job claims completion report to the client

Senior Processor Associate

NTT DATA Information Processing Services Private Limited
04.2019 - 04.2024
  • Examine a patient demographic, Report date, Policy coverage, pre-onboarding policy/benefits review as per SOS's guidelines
  • Handle claims registration for life Insurance and General Insurance personal lines with in TAT.
  • Handle screening of medical bills to verify with policy information and status.
  • Stayed current on HIPAA regulations, benefits claim processing, medical terminology, and other procedures in health and life claims services
  • Ensure that all claim documents from clients are submitted to insurers within agreed timeframes (TAT)
  • Screening of medical records and medical bills to verify with policy information and status
  • Maintain proper medical records to enable the identification of claim trends and inform underwriters immediately of ant adverse trends
  • Conduct recovery action against reinsures and thirds parties are taken without delay
  • Process and review on claim settlements and approve with authority limit with using of Lifesys P-Term and Image portal and BCP
  • Ensure claim settlement documents are sent to clients in a timely manner
  • Liaise with and follow up with claimants, policy holders and agents on outstanding requirements
  • Support claims officers in the requisition for payments on approved claims
  • Examine the claims/policy for payment, if the documents not valid or need additional documents sent to NIGO process and draft letter (LSP) to client for requested documents.

Auto Injury Solutions

SOURCE HOV INDIA PVT. LTD
04.2014 - 12.2018
  • Worked with 3rd party claims
  • To Examine claims investigated by insurance Adjusters, further investigating questionable claims to determine policy liability
  • Process and decide on claim settlement and approve within authority limit
  • Determine the patient responsibility based on their insurance plans
  • Enter insurance and patient payments into the practice management patient ledger.

Education

Bachelor Of Engineering - Electrical, Electronics And Communications Engineering

Anna University
India
01.2007 - 01.2011

Skills

Advanced Data Analysis

Basic Knowledge in AutoCAD

Data entry experience

Teamwork and Collaboration

Multitasking and Organizing

Microsoft Excel, Power Point Presentation

Problem-Solving

Time Management

Expert in LIfesys P-Term, SAP

MS-Word

Quotation Preparation and Invoice Preparation

Monthly follow Invoice SOA

Certification

I have successfully completed the work place safety and health management in construction Industry.

Languages

English, Tamil

Timeline

ACMV Service and Project Engineer

Y.K Aircon Engineering Pte Ltd Under Exceltec.
04.2024 - Current

Senior Processor Associate

NTT DATA Information Processing Services Private Limited
04.2019 - 04.2024

Auto Injury Solutions

SOURCE HOV INDIA PVT. LTD
04.2014 - 12.2018

Bachelor Of Engineering - Electrical, Electronics And Communications Engineering

Anna University
01.2007 - 01.2011
I have successfully completed the work place safety and health management in construction Industry.
JEYARAJ RAJADURAIACMV Service and Project Engineer