GAURAV SHAKYA

Senior Claim Specialist | Internal Auditor | Team Mentor

Summary

Senior Claims Executive with 3+ years of experience in claims adjudication, internal audit, and compliance, now transitioning into data analysis. Proficient in SQL, Power BI, Excel and VBA Automation to extract insights, build dashboards, and streamline reporting processed. Demonstrated success in reducing discrepancies, automating manual workflows, and improving decision-making through data-driven reporting. Seeking to leverage analytical and technical skills in a Data Analyst role to deliver actionable business insights and process optimization.

Projects

Automated Reporting System | VBA, MS Access, SQL, Excel


Dashboard - Power BI + SQL + PandasCustomer Behavior Analysis Dashboard | Power BI


Experience

Jun 2024 — Present
Senior Claims Executive
EXL Services Pvt. Ltd., Noida

  • Designed and deployed automated KPI dashboards using Power BI and Advanced Excel with Power Query, enabling real-time tracking of claims trends, fraud detection signals, and team performance metrics.
  • Implemented VBA automation solutions reducing manual reporting workload by 30% per week, freeing analyst capacity for higher-value tasks.
  • Conducted internal audits of claims data workflows using SQL queries and Excel-based validation, reducing data discrepancies by 15% and ensuring HIPAA compliance.
  • Performed end-to-end ETL operations — extracting, transforming, and loading data into reporting models for daily and monthly production reports.
  • Mentored and trained 10+ junior staff on claims adjudication and data tools including Excel and Power Query.
Jun 2022 — Jun 2024
Claims Executive
EXL Services Pvt. Ltd., Noida

  • Processed and adjudicated complex insurance claims with 98% accuracy, ensuring strict compliance with policy guidelines and HIPAA requirements.
  • Designed Excel-based MIS reporting templates using Power Query and pivot tables, reducing turnaround time by 25%.
  • Performed data analysis on claims patterns to identify root causes of escalations and drive corrective actions.
  • Maintained detailed audit trails and data documentation to support internal audits, compliance reviews, and process optimization.

Certifications

📊 Management Information System(MIS) - Advanced Excel, VBA, Power Query, Pivot Tables, Data Modelling - Completed
🗄️ SQL for Data Analysis — Structured Query Language for Reporting - Completed
📈 Power BI — Data Visualization and Dashboard Development - Completed
🐍 Python for Data Analysis — Pandas, NumPy, Data Manipulation - Completed
🎯 Data Science - Code With Harry - In Progress

Skills & Tools

Programming & Query
SQL | Python | VBA | M Language | Power Query
BI & Data Tools
Power BI | Advanced Excel | MS Access | Pandas | NumPy
Analytics & Reporting
ETL | EDA | KPI Dashboards | MIS Reporting | Data Modelling | RCA
Automation
VBA Automation | Reporting Automation | Web Scraping | Selenium |
Domain Knowledge
Claims Adjudication | HIPAA Compliance | Internal Audit | Policy Interpretation
Soft Skills
Team Mentorship | Training & Dev | Query Resolution

Contact

Email: gauravshakya7535@gmail.com

LinkedIn: linkedin.com/in/gauravshakya7535

GitHub: github.com/gauravshakya7535

Phone: +91 8535012690

Location: Delhi-NCR

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