Open To Work
Sowmyashree MP
Senior Reporting Analyst
Bengaluru
Summary
Experienced reporting analyst with strong focus on data analysis, reporting, and insights. Adept at collaborating with teams to achieve results, ensuring flexibility with changing needs. Skilled in Excel, data visualization tools, and financial reporting systems. Known for reliability and ability to drive impactful data-driven decisions, analytical professional with proven track record in delivering high-quality data reports and insights. Known for enhancing decision-making processes and driving operational efficiencies through meticulous data analysis. Reliable team collaborator, adaptable to evolving project requirements.
Overview
6
6
years of professional experience
3
3
Languages
Work History
Senior Reporting Analyst
EXL Services
Bengaluru
03.2022 - 12.2025
- Health insurance end to end claims processing.
- Processed an average of 70 claims per day with over 100% accuracy.
- Verified patient eligibility, benefits, and pre-authorization requirements.
- Medical terminology and coding (ICD-10, CPT)
- Regulatory compliance(HIPPA)
- Denial management and appeals and RCM(revenue cycle management)
- Finding of over-payment based on the projects like Member Term, COB, Medicare, contract, Provider selection, Par provider, ECR Denied services, Retroactive contract, Flat Rate, Incorrect member, Medicaid pre-certification denied.
- Working on different projects as check processing, rework the claims based on the scenarios like, incorrect contract, incorrect provider selection, skilled nursing facility ranges which paid incorrectly.
- Handling OPTS for reworked claims which paid in error which is not followed the policy and plan benefits.
- Claims which was not rework able and a restricted access claims will be routed to rework area through EWMP application.
- Pre-auditing claims before sending to internal auditors.
- Championed a data-driven culture within the organization by promoting the use of analytics and sharing best practices with colleagues.
- Established strong relationships with stakeholders to better understand their needs and tailor reports accordingly.
- Trained junior analysts on best practices for effective reporting and analysis, fostering team growth and development.
Process Consultant
Hinduja Global Solutions
Bengaluru
10.2019 - 02.2022
- Process and adjudicate complex healthcare insurance claims with a focus on accuracy and compliance.
- Review medical document, verify coding and ensure alignment with policy coverage.
- Handling escalated claims and resolve discrepancies with providers and internal teams.
- Maintaining the quality and production with zero errors and achieving the targets on team requirements.
- Assigning and compiling Inventory to associates.
- KT to associates based on weekly/monthly updates.
- Train and mentor juniors analysts improving team productivity.
- Ensure compliance with healthcare regulations and internal audit standers.
- Developed and implemented new processes to optimize organizational performance.
- Collaborated with cross-functional teams to identify areas for process improvement.
- Mentored junior team members, fostering a culture of learning and growth within the organization''s process consulting department.
- Streamlined workflow for increased productivity through detailed process mapping.
Education
B.COM -
Govt First Grade College
Kadur, India05-2019
PUC -
Govt Pu College
Kadur04-2016
SSLC -
Govt Pu College
Banavara04-2014
Skills
Familiar with MS Office
Expert in EWMP
GPS Application
DCN application
VLOOKUP
Medcompas
Work Preference
Job Search Status
Open to workSalary Range
₹-1000/yr - ₹600000/yrTimeline
Senior Reporting Analyst
EXL Services
03.2022 - 12.2025
Process Consultant
Hinduja Global Solutions
10.2019 - 02.2022
B.COM -
Govt First Grade College
PUC -
Govt Pu College
SSLC -
Govt Pu College