Summary
Overview
Work History
Education
Skills
Languages
Personal Information
Disclaimer
Timeline
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Archana M

Bangalore

Summary

Senior Associate with 8+ years of experience in the healthcare industry. Specializes in sales, customer support, claim adjudication, and balance confirmation for customers and third parties. Recognized for exceptional customer orientation, effective communication, and strong documentation skills. Adept at problem-solving, client training, and handling. Demonstrates ability to lead, manage, and drive multiple teams simultaneously.

Overview

8
8
years of professional experience

Work History

Senior Associate

Carelon Global Solutions
06.2020 - 07.2024
  • Worked as an Acting TL
  • Manage activities through frequent communication with external clients and internal business partners and act as a single point of contact throughout the claim cycle
  • Utilize industry-standard project management tools and methodologies to oversee project lifecycles, from initiation to closure
  • Handling client billing queries and releasing payments to clients
  • Collaborate with cross-functional teams to facilitate seamless integration of new software products and services
  • Drive continuous improvement initiatives to enhance productivity, reduce costs, and optimize project delivery timelines
  • Managed the end-to-end lifecycle of software products, from concept to launch, ensuring they meet market needs and company goals
  • Conducted market research and competitive analysis to inform product strategy and feature prioritization
  • Worked closely with engineering teams to define product requirements and roadmaps, balancing technical feasibility with business objectives
  • Document and finalize the Scope of Work including requirements and timelines by coordinating with technical team and customers
  • Track team on a regular basis and update customers with the current progress
  • Develop a long-term relationship with clients through regular and open communication Requirements
  • Ability to work under pressure and across time zones
  • Provide alternative solution to the Client to fulfill the requirement by understanding business case
  • Making detailed program plan, project plan for each task
  • Track and update same on weekly basis and share the progress, delay with client and entire projects team
  • Any Tech dependencies to be highlighted and work closely with tech team on development and timeline to make sure project is live on time.

Process Analyst

Gallagher Service Center LLP
03.2019 - 06.2020
  • Training new hire
  • Handling 15 members of team
  • Owing the responsibility of the team and their production
  • Handling Client escalation and critical tasks
  • Conducts regular training about client specifics to keep aware of client requirement
  • Auditing the claims resolved to make sure the production & quality meets client expectation
  • Assist with on-boarding, development, training and mentoring of new hires and less-experienced associates.

Senior Associate

Hinduja Global Solution Limited
11.2016 - 02.2019
  • Responsible for processing the claims and pricing according to the services
  • Specialist as facing onshore facing role responsible for end-to-end recon of claim and paying the claim of US client
  • Made sure to meet the quality SLA with 100% production
  • Assisting new batches and laterals to cope up with their production and quality
  • Identifying trends and coming up with an idea to close the accounts sooner.

Education

SSLC -

Sree Saraswathi Vidya Mandira
Bengaluru

Vijaya PU College
Bengaluru

Bangalore University

Skills

  • MS Excel
  • MS Point
  • Client Understanding
  • Customer Relationship

Languages

Kannada
English
Hindi
Tamil
Telugu

Personal Information

  • Date of Birth: 01/11/1993
  • Nationality: Indian
  • Marital Status: Single

Disclaimer

I hereby declare that all the statements above-mentioned are true to the best of my knowledge.

Timeline

Senior Associate

Carelon Global Solutions
06.2020 - 07.2024

Process Analyst

Gallagher Service Center LLP
03.2019 - 06.2020

Senior Associate

Hinduja Global Solution Limited
11.2016 - 02.2019

SSLC -

Sree Saraswathi Vidya Mandira

Vijaya PU College

Bangalore University

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Archana M