ANKITA MAHESHWARI
Gurgaon
Summary
Results-driven Provider Data Analyst at Optum Global Advantage with strong analytical and communication skills. Successfully led enterprise-level projects, enhancing stakeholder collaboration and improving onboarding processes. Recognized for delivering actionable insights and fostering teamwork, ensuring compliance and quality in claims analysis. Proven ability to streamline operations and support employee engagement initiatives.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Provider Data Analyst
Optum Global Advantage
08.2016 - Current
- Business Analyst for enterprise-level projects.
- Delivered timely support by tracking issues and communicating resolutions to end users.
- Collaborated with stakeholders across departments to define requirements for new projects.
- Facilitated design sessions with the implementation team to define the solution.
- Monitored project progress by tracking activity, resolving problems, publishing progress reports, and recommending actions.
- Managed and led meetings with multiple departments to solidify requirements.
- Performed daily, weekly, and monthly reviews and analyses of current processes.
- Created, analyzed, and validated detailed functional specifications.
- New hires' onboarding across sites.
- Process training and OJT support for new hires.
- BSL for Enterprise Analytics and Automation (EAA)
- Employee Engagement Single Point of Contact.
Claims Quality Auditor
Optum Global Advantage
03.2012 - 07.2016
- Examined claims, records and procedures to grant approval of coverage.
- Reviewed and validated claim documents for accuracy and completeness.
- Provided training to new staff members on quality assurance processes.
Sr. Claims Analyst
Optum Global Advantage
03.2009 - 02.2012
- Participated in claims audit processes to ensure compliance with internal and external standards.
- Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
Claims Analyst
Optum Global Advantage
06.2007 - 02.2009
- Analyzed claims data to determine coverage and liability, ensuring accurate decision-making.
- Participated in claims audit processes to ensure compliance with internal and external standards.
Team Leader
Sentac Sales Pvt. Ltd.
10.2005 - 12.2006
- Delegated daily tasks to team members to optimize group productivity
- Reviewed completed work to verify consistency, quality, and conformance.
- Facilitated team meetings to discuss targets, strategies, and address any issues.
Tele-marketing Executive
Sentac Sales Pvt. Ltd.
10.2004 - 09.2005
- Analyzed customer data using various software programs such as Excel and Access for identifying target markets for promotional campaigns.
- Updated customer information in the database accurately.
- Followed up on leads generated by marketing campaigns in order to convert them into customers.
- Tracked daily progress against assigned goals for successful completion of projects.
Education
Commerce Graduate -
Delhi University
01.2006
12th -
S.B.M. Public
01.2002
10th -
S.B.M. Public
01.2000
Skills
- Communication
- Inter-personal skills
- Planning skills
- Analytical skills
- Teamwork
- Decision-making
Certification
- Certified Advance Scrum Master, 05/01/23
- Certified Scrum Master, 11/01/21
- Scan AI certification, 02/01/23
Languages
- English
- Hindi
Personal Information
Nationality: Indian
Business Skills Strengths
Use my effective communication skills to communicate at all levels in the organization, Excellent inter-personal, planning and analytical skills, Involved in various team projects at office, college & school, Often played the role of planning meetings after synchronizing everyone's schedule effectively & successfully, Good listener with an aptitude to be patient and affect evaluated decision-making, Good analytical skills and logical thinking helps me in my job
Timeline
Provider Data Analyst
Optum Global Advantage
08.2016 - Current
Claims Quality Auditor
Optum Global Advantage
03.2012 - 07.2016
Sr. Claims Analyst
Optum Global Advantage
03.2009 - 02.2012
Claims Analyst
Optum Global Advantage
06.2007 - 02.2009
Team Leader
Sentac Sales Pvt. Ltd.
10.2005 - 12.2006
Tele-marketing Executive
Sentac Sales Pvt. Ltd.
10.2004 - 09.2005
Commerce Graduate -
Delhi University
12th -
S.B.M. Public
10th -
S.B.M. Public
Similar Profiles
SHUBHRA MAHAJANSHUBHRA MAHAJAN
Sr. Project Manager at Optum Global AdvantageSr. Project Manager at Optum Global Advantage
Mark Justin VerzosaMark Justin Verzosa
Training Supervisor at Optum Global AdvantageTraining Supervisor at Optum Global Advantage
MICHELLE ANN SANDOVALMICHELLE ANN SANDOVAL
Assistant Manager at Optum Global AdvantageAssistant Manager at Optum Global Advantage