AI Operations Analyst (AI Operations Trainee)
Xtransmatrix Consulting Services Pvt. Ltd. · Jul 2025 – Sep 2026
- Performed HIPAA-compliant verification of patient identity and case details with insurance agents before any information exchange, in line with data-privacy and compliance requirements.
- Gathered and validated patient eligibility and benefits (E&B) information, including plan coverage, drug coverage status, and cost-share structure (copay, coinsurance, deductible), directly from insurance payers.
- Cross-referenced payer-provided information against policy and plan documentation to catch discrepancies and ensure data accuracy before it reached downstream teams.
- Operated within both agent-handled and AI-assisted (human-in-the-loop) call workflows using structured, pre-built prompts, and reviewed AI-generated responses for accuracy, flagging inconsistencies as part of quality checks.
- Followed defined SOPs and quality standards across all cases, and identified recurring process bottlenecks that supported workflow improvements and reduced case turnaround time.