Namrata Karanje
Thane
Summary
6 + years of experience in U.S. Healthcare domain. Have been doing data extraction from Databases to provide operational reports using SQL. Having an aptitude for process improvement and finding problems and planning workable action plans and flow systems. I believe in having a growth mindset, This sets me towards self-development and help me achieve personal as well as organization goals and job satisfaction.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Analyst, Application Support
Evolent Health International Private Limited
Pune
06.2022 - Current
- Providing end to end support from access creation to access termination
- Providing data by writing and executing queries for claims data request
- Provide Level 2 technical assistance, including problem replication, triage, and resolution of issues, the majority of which are associated with Standard Operating Procedures (SOPs)
- Assist in developing reports and processes using T-SQL, MS Excel & Word, JIRA, Confluence and other reporting tools
- Adopted Agile methodology by implementing use of Kanban boards etc
- For issue tracking and feedbacks
- Documented processes by building SOPs to be utilized by other teams/employees, Communication to leadership as needed
- Collaborate with internal stakeholders, including team members from Production Operations, Engineering, and other Business stakeholders where necessary for resolution of issues
- For critical issues that occurred outside of normal business hours, I have participated in the resolution of issues outside of normal business hours (infrequent)
- Creating Jira dashboards for work managements per criticality and for work management purpose for team
- Currently working on new project in Power BI where my jo responsibilities is Data Analysis and Preparation, Data Modeling, Report Design and Visualization, DAX
- Collaborate with stakeholders to understand their data requirements and objectives
- Identify relevant data sources and extract data from databases, spreadsheets, APIs, or other sources
- Transform and clean data using Power Query Editor to ensure data accuracy and consistency
- Develop interactive and visually appealing reports and dashboards
- Create complex calculations and measures using Data Analysis Expressions (DAX) to derive insights and support business logic
- Thoroughly test your reports and dashboards to ensure data accuracy and visualization functionality.
Senior claim Analyst
Access Healthcare
Pune
12.2021 - 03.2022
- Claim Processing
- Receive and review incoming claims to ensure they are complete, accurate, and meet the necessary requirements
- Verify claim information, including policy details, coverage limits, and relevant documentation
- Examine supporting documentation, such as medical records, invoices, photographs, or incident reports, to assess the validity of the claim
- Conduct investigations to determine the legitimacy of claims and assess whether they comply with policy terms and conditions
- Identify areas for process improvement within the claims workflow and propose strategies to enhance efficiency and customer satisfaction
- Review completed claim files for accuracy, completeness, and adherence to company standards before finalizing payouts.
Claim Analyst
Teleperformance Global services Private Limited
Thane
05.2019 - 10.2020
- Claim Processing
- Receive and review incoming claims to ensure they are complete, accurate, and meet the necessary requirements
- Verify claim information, including policy details, coverage limits, and relevant documentation
- Examine supporting documentation, such as medical records, invoices, photographs, or incident reports, to assess the validity of the claim
- Conduct investigations to determine the legitimacy of claims and assess whether they comply with policy terms and conditions
- Identify areas for process improvement within the claims workflow and propose strategies to enhance efficiency and customer satisfaction
- Review completed claim files for accuracy, completeness, and adherence to company standards before finalizing payouts.
Senior Technical Associate
Wipro Limited
Airoli
07.2016 - 04.2019
- Handle escalated technical issues that are more challenging and require advanced troubleshooting skills
- Provide solutions for complex software, hardware, and network problems that may involve multiple systems or components
- Mentor and assist junior support team members with technical challenges and learning opportunities
- Handle high-priority or high-impact customer issues, providing timely updates and resolutions to maintain customer satisfaction
- Address customer complaints and concerns professionally, effectively turning difficult situations into positive experiences
- Analyse trends in support requests and incidents to identify recurring issues and opportunities for improvement
- Perform in-depth root cause analysis for critical incidents to prevent future occurrences and improve overall system stability.
Education
Graduate(BSC-computer science) -
KMC college Khopoli
01.2015
HSC -
G.B Vader Highschool Pali
01.2012
SSC -
Swami Vivekanand Highschool Pali
01.2010
Skills
- SQL
- MS Office Tools
- Power BI
- Jira and Confluence
- MS Excel
- DAX
- Python
- Azure
- BI Dashboards
- Information Gathering
- Incident Reporting
- Technical Analysis
- Data Modeling
- Data Visualization and Presentations
Certification
- DP- 900: Microsoft Azure Data Fundamentals
- PL-300:Microsoft Power BI
Languages
- English
- Hindi
- Marathi
Projects
Sales Performance Dashboard, 07/01/23, 07/01/23, During My certification of Power BI I created this dashboard. Objective: Create a Power BI dashboard that provides insights into the sales performance of a retail company. Monthly Performance Dashboard, Actively working with team in my current organisation where we are gathering organizational data and create monthly performance dashboard where all depts can see there data department wise. We published it on every month.
Languages
Marathi
First Language
Hindi
Proficient (C2)
C2
English
Proficient (C2)
C2
Timeline
Analyst, Application Support
Evolent Health International Private Limited
06.2022 - Current
Senior claim Analyst
Access Healthcare
12.2021 - 03.2022
Claim Analyst
Teleperformance Global services Private Limited
05.2019 - 10.2020
Senior Technical Associate
Wipro Limited
07.2016 - 04.2019
Graduate(BSC-computer science) -
KMC college Khopoli
HSC -
G.B Vader Highschool Pali
SSC -
Swami Vivekanand Highschool Pali
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