Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Archana Rose Joslin

Archana Rose Joslin

Warsaw,14

Summary

Detail-oriented in Students success Specialist Professional with 3 years of expertise in Mentoring and 1 year of experience in Accenture as Health Operation Associate for Arizona state. Have excellent leadership qualities and team work skills. Looking for an opportunity to utilize my acquired skills and training, to help my company and my future peers grow. I want my efforts to make a considerable difference to the company and help in their consequent success.

Overview

3
3
years of professional experience

Work History

Health Operations Associate Management Level- 12

Accenture
09.2023 - 11.2024
  • Reviewing and processing health insurance claims submitted by Blue Cross Blue Shield of Arizona policyholders in accordance with the company's policies and procedures.
  • Investigating the validity of medical claims by reviewing medical records, bills, and other relevant documentation.
  • Communicating with healthcare providers, policyholders, and other stakeholders to gather necessary information and clarify any discrepancies in the claims.
  • Adjudicating claims based on the coverage provided by Blue Cross Blue Shield of Arizona and ensuring accurate and timely processing.
  • Making decisions on claim settlements, including approving or denying claims based on policy guidelines and medical necessity.
  • Documenting all claim activities in the company's systems and maintaining accurate records for auditing and reporting purposes.
  • Collaborating with other departments within Blue Cross Blue Shield of Arizona to resolve complex claims issues and provide exceptional customer service.
  • Staying up-to-date on changes in healthcare regulations and insurance policies that may impact claims processing for Arizona clients.

Students Success Specialist

Byju’s Think & Learn
10.2021 - 08.2023
  • Curriculum Development: They may be involved in designing and planning the curriculum for their grade level, ensuring it aligns with educational standards and meets the needs of the students.
  • Teaching: Delivering lessons and instructions in various subjects, including but not limited to mathematics, language arts, science, social studies, and sometimes additional subjects like art.
  • Assessment and Grading: Evaluating students' academic performance through quizzes, tests, assignments, and projects. Providing timely feedback to students and parents about their progress.
  • Individualized Support: Identifying students who may be struggling academically or emotionally and providing individualized attention and support to help them overcome challenges.
  • Parent Communication: Regularly communicating with parents or guardians about students' progress, behavior, and any concerns that may arise.
  • Creating Learning Materials: Preparing educational materials, visual aids, and resources to enhance the learning experience.
  • Promoting Critical Thinking: Encouraging students to think critically, ask questions, and engage in meaningful discussions.
  • Cultural and Social Awareness: Promoting cultural and social awareness and fostering an inclusive classroom environment that celebrates diversity.
  • Extracurricular Activities: Organizing or participating in extracurricular activities such as clubs, field trips, and school events to enrich students' learning experiences.
  • Safety and Well-being: Ensuring the safety and well-being of students during school hours and addressing any health or safety concerns promptly.
  • Professional Development: Engaging in continuous professional development to stay up-to-date with the latest teaching methodologies, educational trends, and classroom management techniques.
  • Collaboration: Working closely with other teachers, staff, and school administrators to coordinate and align teaching strategies and initiatives.

Education

BA - English Language and Literature

MG University
01.2020

Higher Secondary School - undefined

Board of Higher Secondary
01.2017

Skills

  • Salesforce
  • Ameyo
  • Avaya
  • Knowlarity
  • MS Office
  • Intalk
  • Health Rules Manager
  • Unity Client
  • Guiding Care

Languages

English
Bilingual or Proficient (C2)
Polish
Elementary (A2)

Timeline

Health Operations Associate Management Level- 12

Accenture
09.2023 - 11.2024

Students Success Specialist

Byju’s Think & Learn
10.2021 - 08.2023

Higher Secondary School - undefined

Board of Higher Secondary

BA - English Language and Literature

MG University

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Archana Rose Joslin