Experience

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  Paramount health services(tpa) pvt. ltd.

  Jul 2003 - Jul 2005

  Executive

   Responsible for supervising the North India & Central India Cashless Hospitalization round the clock. Responsible for monitoring & running Call Centre round the clock, handling all types of queries related to private (corporate) sector as well to public (PSU) sector. Personal involvement in each and every request for cashless and to ensure that its status timely reach to hospital as well as to the patient. Coordinating with various Regional and Divisional offices of various Public Sector Insurance Companies and also with various Private Sector Insurance Companies. Comprehensive experience of dealing with doctors, hospitals, diagnostic centers, & nursing homes. Show less

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  Bajaj allianz general insurance co. ltd. pune

  Jul 2005 - Apr 2007

  Executive operations

  Key highlights:  Supervising the all over India Cashless Hospitalization round the clock. Claim Assessment as well claim processing both for Cashless / Reimbursement Claims. & maintained automated workflow processes. Coordinating with all Regional and Branch offices of Bajaj Allianz General Insurance Co. Ltd. for CASHLESS / REIMBRUSEMENT/ CLAIMS queries.  Analyzing Claims with history and past Policy preferences for customizing Underwriting standards. Handling all types of queries related to Cashless hospitalization as well for reimbursement claims.  Coordinating with Medical Team and Audit Team for speedy settlement of claims. Preparation of MIS Reports for Senior Management, Claims Admin Teams as well as for R/O & B/O of BAGIC for daily Inward Claims (Cashless) including request Intimation for hospitalization. Monitoring, controlling and improving cashless process through statistical studies, problem analysis and corrective action implementation. Show less

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  Prudent insurance brokers pvt. ltd.

  Jul 2008 - Oct 2013

  Senior manager - employee benefits claims & operations

  Key highlights: Monitoring the insurance market, the credibility of the players and the quality of services they render.Analyzing the various products available in the market and assist the clients in choosing the products that suit their requirement.Develop tactical plans addressing the requirements of the client’s proposal.Monitoring the overall operational functions for the policy issuance till placement as specifications required by the clients.Allocation of operational resources to team in order to achieve pre-defined objectives. Helping the client in the completion of the proposals, conclusion of the contract and render subsequent services, if any. Ensuring that the policy, once received, is reviewed in the most stringent manner to ensure that all the coverage’s sought has been provided correctly.Liasoning with the sales team and the insurers to ensure coverage is as per original understanding with the client.Maintenances meticulous records of all communication with all the parties concerned, tracking changes being mode on the policy.Ensuring complete response and timely resolution for all ‘Claims related’, issues along with interacting with external customers/ insurance companies, In order to facilitate the settlement of claims.Generation of MIS Reports for Corporate’s, Insurance Companies and Network Providers for Claims documented.Coordinating with various Regional and Divisional offices of various Public Sector Insurance Companies and also with various Private Sector Insurance Companies.Customizing ergonomic session according to the profile of the client.Arranging eye camps, Dental camps, ergonomic sessions, health talks, health checkups, Basic Life support and first aid trainings.Disease specific health talks e.g. (Breast & cervical cancer, lifestyle diseases, Cardiovascular Talk). Show less

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  Smc insurance brokers pvt. ltd.

  Oct 2013 - Sept 2018

  General manager _(head_ employee benefits-gen insurance corporates)

  Heading the GI _Corporate dept’ responsible for Marketing, sell and servicing general insurance Health business.Liasoning with the sales team and the insurers to ensure coverage is as per original understanding with the client. Generating new business by leveraging existing relationships, prospecting, conducting market analysis and launching campaigns.Handled underwriting project on: Group Mediclaim Policies/Group Accidental Polices/Group term Life policies/Travel Insurance/Motor Insurance.Preparing Request for Quote (RFQ) / mandates, receiving effective quotes for insurance renewals, negotiating competitive renewal premium rates with insurers, & insurance consultants, preparing management notes & getting management approvals, finalizing M.O.U's with insurers.Scrutiny of policies/endorsements issued by insurers, processing of premium payments, submission of monthly declarations data, refunds to be received from insurers, reconciliation of cash deposit accounts with insurers. Show less

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  Zoom insurance brokers pvt ltd

  Sept 2018 - Mar 2020

  Chief manager - placement & servicing head
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  K m dastur reinsurance brokers pvt. ltd.

  Jul 2020 - now

  • Associate Vice President

    Nov 2024 - now

  • Assistant General Manager

    Aug 2022 - Nov 2024

  • Chief Manager - Placement & Servicing

    Jul 2020 - Aug 2022