Rupesh Ray

I am an Insurance Operations Specialist with over 7 years of experience, specialized in high-accuracy document indexing, healthcare claims processing, and back-office transaction management.
My expertise includes utilizing industry-leading tools like AWD and Horizon to manage sensitive documentation, ensuring 100% compliance with HIPAA, AML, and state/federal insurance regulations. I specialize in silent, non-voice workflows, including metadata tagging, automated work distribution (PAC, Credit Card Authorization), and complex agent contracting (CAKC).
I support my clients by delivering meticulously validated data and streamlined document routing, providing proactive quality audits, process documentation (SOP) updates, and strategic operational support. My goal is to ensure the integrity of your document management lifecycle, allowing your organization to focus on what matters most: efficient processing and business growth.
• Proven Track Record: Experience with global leaders such as Optum Global Solutions and DXC Technology.
• System Mastery: Expert-level proficiency in AWD and Horizon platforms.
• High-Accuracy Focus: Skilled in performing weekly quality and surprise audits to maintain peak operational standards.
• Compliance-Driven: Deep knowledge of HIPAA and Anti-Money Laundering (AML) rules to safeguard confidential data.