Summary
Overview
Work History
Education
Skills
Personal Information
Languages
Additional Qualification
Timeline
Generic

Siddhika Karandekar

Navi Mumbai

Summary

Subject Matter Expert and trusted advisor skilled in research, analysis and examination of company technology and standard operating procedures. Interface and collaborate with clients and internal team members, providing consultative enhancement recommendations based on industry research. Improve existing processes, procedures, technical enhancements, resource requirements and stakeholder engagement procedures to align with strategic goals.

Overview

6
6
years of professional experience

Work History

Health Admin Services Analyst

Accenture Pvt. Ltd.
Mumbai
08.2021 - Current
  • Working for US client BCBS (Blue Cross Blue Shield) on behalf of HCSC (Health Care Services Corporation)
  • Ensure the accuracy and quality of work within their area of expertise.
  • After assessment we either Pay/Deny/Route/Withdraw the claims as per the steps mentioned in the Blue Source document
  • We work on 5 states i.e., Texas, Illinois, Oklahoma, New Mexico & Montana. Currently working for Texas.
  • Team Support and Mentored and Supervised Team consisting of 15 to 20 people.
  • Assessing and resolving issues/problems related to Retail claim
  • Assess and resolve non-standard and standard issues when faced with tasks/problems outside the scope of the work
  • Part of Tech Time Data Base Team where we need to forward the Examiner/Technician/Sr.
  • Developed actionable roadmaps for improving workflows and processes.

Transaction Processing Representative

Trigent Software Pvt Ltd.
08.2020 - 08.2021
  • Handling health insurance claims of US client Blue cross blue shield
  • Adjudication of claims through research for making the payment
  • Managing daily reports by communicating with the client
  • Maintaining quality and production on daily basis.

Operation Assistant

S. M. Multi Service's
Navi Mumbai
08.2018 - 08.2020
  • Checking PO and STOCK
  • Coordinating with Customers for their activation process
  • Maintain a database or coordinate with dealers
  • Maintain documents correctly for accurate accessibility
  • Negotiate contract terms of agreement and pricing
  • Track orders and ensure timely delivery.

Education

Post Graduate Program in Data Analyst -

Careerera Education Center
01.2022

Bachelors of Commerce -

Sydenham college of commerce & economics Mumbai University
01.2018

H.S.C -

Sydenham college of commerce & economics Maharashtra Board
01.2015

S.S.C -

Vidya Vikas Highschool Maharashtra Board
01.2013

Skills

  • Time Management and problem-solving strategies
  • Audit Support
  • Issue Resolution
  • Production Support
  • Workflow Analysis
  • Performance Evaluations

Personal Information

  • Date of Birth: 05/09/97
  • Nationality: Indian
  • Marital Status: Unmarried

Languages

  • English,Hindi,Marathi

Additional Qualification

● Advance Excel. ● MS Word ● Basic Power BI.

Timeline

Health Admin Services Analyst

Accenture Pvt. Ltd.
08.2021 - Current

Transaction Processing Representative

Trigent Software Pvt Ltd.
08.2020 - 08.2021

Operation Assistant

S. M. Multi Service's
08.2018 - 08.2020

Post Graduate Program in Data Analyst -

Careerera Education Center

Bachelors of Commerce -

Sydenham college of commerce & economics Mumbai University

H.S.C -

Sydenham college of commerce & economics Maharashtra Board

S.S.C -

Vidya Vikas Highschool Maharashtra Board

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Siddhika Karandekar