About
US Healthcare Senior Associate with 5+ years at Carelon Global Solutions (Elevance Health), driving claims quality, operational efficiency, and customer satisfaction in US healthcare claims processing. Guides associate teams, oversees caseloads and QA reviews, and partners with stakeholders on compliance and process improvement. Strengthens operations with SQL, Power BI, and advanced Excel reporting, turning claims data into dashboards that support management decisions. Strong grounding in eligibility & enrollment, provider data, and HIPAA compliance.
Experience4
Senior Associate
Apr 2023 — Feb 2026Carelon Global Solutions (Elevance Health)
Led junior associates on complex US healthcare claims, managing caseloads and ensuring SLA adherence. Processed claims for procedural, financial, and HIPAA compliance, resolved inquiries, and conducted quality assurance reviews. Utilized SQL and Power BI (DAX, Power Query) to analyze claims data and build KPI dashboards for management. Automated Excel reporting workflows using VBA macros, reducing manual effort. Collaborated with stakeholders to translate requirements into KPIs and dashboards.
Claims Associate
Dec 2020 — Apr 2023Carelon Global Solutions
Processed US healthcare insurance claims with procedural and financial accuracy, adhering to guidelines and turnaround times. Addressed customer inquiries and complaints on claim status. Identified discrepancies across systems, requested additional details, and created weekly Excel performance reports for management review.
Data Analyst Intern
Mar 2026 — Jun 2026AIvariant
Developed an end-to-end Insurance Analytics project including an 11-table MySQL database and Power BI dashboards tracking brokerage KPIs across 7 branches, alongside automated Excel and SQL reporting.
Business Development Intern
Jun 2019 — Aug 2019Tikona Infinet
Conducted market research and prepared weekly analytical sales and market trend reports for management.
Projects2
Developed an MySQL database (11 tables) and Power BI dashboards tracking brokerage revenue, policy KPIs, and account executive performance across 7 branches. Automated Excel and SQL-based reporting workflows.
- Power BI
- MySQL
- DAX
- Excel
Used advanced MySQL queries and Python Pandas for exploratory data analysis on 8,906 e-commerce orders covering segmentation, joins, subqueries, and revenue/pricing trends.
- MySQL
- Python
- Pandas
Education2
MBA
2020Presidency University, Bangalore
Finance & Data Science
B.Com
2017N.S.S. College, Manjeri
Commerce