Namrata Karanje

Evolent Health International Private Limited, Pune

Analyst, Application Support 06/2022 - Present

• Access Management: Facilitated end-to-end support, overseeing the lifecycle of access creation to termination, ensuring secure and controlled data access.
• Technical Support (Level 1): Delivered Level 1 technical assistance, resolving issues related to Standard Operating Procedures (SOPs) through meticulous problem replication and triage.
• Report Development and Process Enhancement: Utilized T-SQL, MS Excel & Word, JIRA, Confluence, and other reporting tools to create reports and streamline processes.
• Stakeholder Collaboration: Collaborated effectively with internal stakeholders, including Production Operations, Engineering, and Business teams, ensuring swift issue resolution and continuous process improvement.
• Off-Hours Support: Demonstrated flexibility by participating in the resolution of critical issues outside normal business hours, ensuring business continuity.
• Jira Dashboards for Work Management: Created dynamic Jira dashboards to facilitate work management, categorizing tasks by criticality and optimizing team efficiency.
• Power BI Project: Spearheaded a Power BI project focusing on Data Analysis, Preparation, Modeling, Report Design, and Visualization, employing DAX expressions. Collaborated with stakeholders to understand data requirements, identified relevant sources, and transformed data for accurate insights. Developed visually compelling reports and dashboards, incorporating complex calculations using DAX to support business logic, and rigorously tested reports to ensure data accuracy and optimal performance.
• Excel and Service Desk Projects: Worked extensively on Excel for data analysis and reporting. Managed service desk projects, ensuring prompt issue resolution and maintaining service quality.
• Job Monitoring via App Insight: Handled job monitoring using App Insight, ensuring system performance and reliability.

• Claim Verification:Scrutinize incoming claims to ensure completeness, accuracy, and alignment with necessary requirements.Verify critical information, including policy details, coverage limits, and all relevant supporting documentation.
• Documentation Assessment:Examine supporting documentation, such as medical records, invoices, photographs, or incident reports, to meticulously assess the validity and legitimacy of each claim.
• Investigation and Compliance:Conduct in-depth investigations to determine the legitimacy of claims, ensuring strict adherence to policy terms and conditions.
• Quality Assurance:Review completed claim files for accuracy, completeness, and alignment with company standards, ensuring meticulous attention to detail.
  
  

• Claim Verification:Scrutinize incoming claims to ensure completeness, accuracy, and alignment with necessary requirements.
  Verify critical information, including policy details, coverage limits, and all relevant supporting documentation.
• Documentation Assessment:Examine supporting documentation, such as medical records, invoices, photographs, or incident reports, to meticulously assess the validity and legitimacy of each claim.
• Investigation and Compliance:Conduct in-depth investigations to determine the legitimacy of claims, ensuring strict adherence to policy terms and conditions.
• Quality Assurance:Review completed claim files for accuracy, completeness, and alignment with company standards, ensuring meticulous attention to detail.
  

• Advanced Troubleshooting:Tackle escalated technical issues that demand advanced troubleshooting skills, demonstrating a profound understanding of intricate systems and components.
• Comprehensive Problem Resolution:Provide solutions for intricate software, hardware, and network problems, encompassing multiple systems or components to ensure seamless functionality.
• Mentorship and Guidance:Mentor and assist junior support team members, offering technical guidance and facilitating learning opportunities to enhance the team's collective skill set.
• Customer-Centric Approach:Handle high-priority or impactful customer issues with a sense of urgency, delivering timely updates and resolutions to maintain exceptional customer satisfaction.Address customer complaints and concerns professionally, adeptly transforming challenging situations into positive experiences through effective communication and problem-solving.