Pawan Majoka
New Delhi
Summary
Dynamic professional with a proven track record at AON Hewitt, enhancing operational efficiency and identifying fraud risks. Expert in data analysis (SQL) and visualization (Tableau, Power BI), coupled with exceptional problem-solving and communication skills. Achieved significant improvements in process optimization and fraud detection, demonstrating a strong ability to lead teams in high-stakes environments.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Claim Adjustment Specialist
Optum Health and Technology Private Limited
Gurugram
05.2018 - Current
- Provided guidance to customers regarding their rights under applicable policies and laws.
- Responded promptly to written correspondence from claimants or their representatives.
- Ensured compliance with regulatory requirements related to insurance claims processing.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Utilized claim handling software to document and manage claim files efficiently.
Benefit Operation Analyst
AON Hewitt
Noida
10.2012 - 12.2016
- Analyzed and documented operational processes to identify areas of improvement.
- Created reports and dashboards to track progress against goals and objectives.
- Performed data entry activities in order to maintain accurate records.
- Researched industry trends and best practices related to operations management.
Fraud Analyst
Quatrro Global Services Private Limited
Gurugram
04.2011 - 09.2012
- Performed detailed analysis of financial transactions to identify suspicious activity.
- Monitored customer accounts and identified any discrepancies or irregularities in account activity.
- Investigated cases of suspected fraudulent activities, including tracing money trails and analyzing documents.
Education
Bachelor of Science - Information Technology
Kvuempu University
Karnataka, India01.2010
Higher Secondary Certificate -
Salwan Boys Senior Secondary School
New Delhi, India01.2007
Secondary School Certificate -
Bapu Adrash Vidyalaya
New Delhi, India01.2005
Skills
- Data Analysis (SQL)
- Data Visualization (Tableau and Power BI)
- Strong communication skills
- Problem solving
- Critical thinking
- Team collaboration
Certification
- Data Analytics & Science with Python
Timeline
Claim Adjustment Specialist
Optum Health and Technology Private Limited
05.2018 - Current
Benefit Operation Analyst
AON Hewitt
10.2012 - 12.2016
Fraud Analyst
Quatrro Global Services Private Limited
04.2011 - 09.2012
- Data Analytics & Science with Python
Bachelor of Science - Information Technology
Kvuempu University
Higher Secondary Certificate -
Salwan Boys Senior Secondary School
Secondary School Certificate -
Bapu Adrash Vidyalaya
Similar Profiles
Abinaya RAbinaya R
Senior Business Analyst at Optum Health and Technology Private LimitedSenior Business Analyst at Optum Health and Technology Private Limited
Manoj KumarManoj Kumar
Associate Manager at Optum Health & Technology India Private LimitedAssociate Manager at Optum Health & Technology India Private Limited
Sanjay Kumar GajarSanjay Kumar Gajar
Executive Medical Coder at Episource India Private Limited- An Optum BusinessExecutive Medical Coder at Episource India Private Limited- An Optum Business