Amit Arora
Noida
Summary
Dynamic Senior Reporting Analyst with a proven track record at EXL Services, excelling in task processing and claims adjudication. Adept at optimizing workflows and ensuring healthcare compliance, I leverage strong analytical skills to enhance productivity and resolve complex issues efficiently. Committed to delivering quality results while fostering collaborative team environments.
Overview
7
7
years of professional experience
Work History
Senior Reporting Analyst
EXL Services
03.2022 - Current
- Processing daily tasks and onshore escalations within the defined TAT to ensure no financial loss to the company.
- Assist with the production of client reports and portfolio reviews of all members.
- Provide administrative support to high-value portfolio administration team members.
- Process forms and administer general client services activities.
- Taking ownership of work queues and ensuring proper handover of work to team in case of absence from work.
- Maintaining MIS records to elaborate the productivity of work daily.
Senior Claims Associate
Optum Global Solutions
04.2019 - 03.2022
- Adjudication of healthcare medical claims submitted by service provider or Insurer through analyzing different services which are eligible as per Optum guidelines.
- End to End processing of Client in healthcare benefits.
- Working on TBA production in UNET platform & Validate member, provider & other claim information.
- Determine accurate payment criteria for clearing pending claims based on defined policy & procedures.
- Supporting new batches, taking training sessions & doing audit.
- Resolve all dispute/adjustments of provider and member on the given timelines, maintain all the data in excel in timeline & share with manager.
Process Associate
Genpact
05.2018 - 03.2019
- Resolve transactional & customer billing problems generated from SAP and the exception management framework.
- Validate the accuracy for standard and complex products in the daily bill audit process, focusing on attention to detail & quality.
- Engage analytical skills in correcting customer issues resulting from failed transactions, billing & invoicing errors.
Education
Bachelor Of Vocational Studies -
Delhi University
01.2017
Class 12th -
Nehru Internal Public School
01.2014
Class 10th -
City Public School
01.2012
Skills
- Task processing
- Data entry
- Excel
- PowerPoint
- QuickBooks
- Claims adjudication
- Process optimization
- Healthcare compliance
- Quality assurance
- Workflow management
Projects
Contributed to the field of brand promotion and sales promotion, increasing the network, generating leads, and closing sales. Also assisted and conducted secondary research through various reference articles and books, and contributed to the journal's content creation, formatting, and final editing.
Extracurricular Activities
Table tennis, cricket
Personal Information
Date of Birth: 11/02/96
Timeline
Senior Reporting Analyst
EXL Services
03.2022 - Current
Senior Claims Associate
Optum Global Solutions
04.2019 - 03.2022
Process Associate
Genpact
05.2018 - 03.2019
Bachelor Of Vocational Studies -
Delhi University
Class 12th -
Nehru Internal Public School
Class 10th -
City Public School
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