Robin Antony

Senior Reporting Analyst at EXL | System Analyst | Health rules payer | Claim Analysis | Benefit , Pricing configuration | Health Insurance | Testing | Skilled in Microsoft Excel | Knowledgeable in DevOps |

Role
Senior Reporting Analyst at EXL
Location
Kottayam, KL, IN
LinkedIn followers
500 followers
General Business & ManagementView LinkedIn profile

About Robin Antony

With over 4 years of professional experience since 2021, I currently serve as a Senior…

Experience

  1. Senior Reporting Analyst

    EXL

    Mar 2025 — Present · Kochi, IN

    End-to-End Product Configuration & Benefit Design:Spearheaded product configuration for projects, covering multiple states.Designed, built, and implemented benefit plans and provider contracts, reducing configuration errors and streamlining processes by 25%. Claims Processing & System Optimization:Conducted rigorous claims testing and documentation to enhance accuracy, reducing processing errors by 30%.Managed client escalations, performed root cause analysis, and ensured resolution within SLAs, maintaining high customer satisfaction. Healthcare Data Expertise & Technical Skills:Extensive experience with HealthEdge (HE), HealthRules Payor (HRP), and Test Runner Tool.Strong command of SQL and deep knowledge of healthcare data sets, including Claims, Billing, Clinical, and Pharmacy. Process Automation & System Migrations:Supported the development of new tools and automation solutions, improving operational efficiency.Led teams in technical training on HE/HRP system migrations, enhancing productivity. Industry Knowledge & Compliance:Expertise in medical coding standards (CPT, HCPCS, ICD-9/10, CDT, Revenue, DRG) and claims workflows across multiple Lines of Business (FEP, BCBS mandates).Ensured compliance with healthcare regulations and payer requirements for seamless benefit and provider configurations.

Education

  • Mahatma Gandhi University (MGU), Kottayam

    Bachelor of Computer Application - BCA, Computer Science

  • Amal Jyothi College of Engineering Autonomous

    Master of Computer Applications - MCA, Computer Science

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Robin Antony — Senior Reporting Analyst at EXL in Kottayam, KL, IN | Unifers