
Shajahan P
Senior Claims Representative

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About me
Vigilance Manger- Risk Minimisation Mitigation Unit
Education

University of Madras
-Master of Business Administration - MBA.webp)
The New College (Autonomous)
-Bachelor's degree Computer Science
Experience

Reliance Life Insurance Co Ltd
Jun 2008 - Mar 2010Senior Claims Representative-Processing and assessing of death claims including CI,TPD & MSBR.-Assist the team with respect to analyzing and interpreting medical documents and understanding diseases (their symptoms, treatment and prognosis)-Seeking legal, medical underwriter & reinsurers opinion wherever necessary to arrive at a decision as to accept /reject as well as repudiate claims-if necessary-Coordination with external investigation agencies-Ensure fraudulent claims are not paid & genuine claims are paid-Maintaining QC accuracy, claim settlement TAT & claims ratio-Handling claims session in induction for new recruits.-Testing and providing sign off for claims set up of new products in Life Asia.-Establish positive working relationships with customers and team members-Resolving and addressing complaints. Show less

Reliance Nippon Life Insurance
Mar 2012 - Oct 2013Senior Claims Representative-Processing and assessing of death claims including CI,TPD & MSBR.-Assist the team with respect to analyzing and interpreting medical documents and understanding diseases (their symptoms, treatment and prognosis)-Seeking legal, medical underwriter & reinsurers opinion wherever necessary to arrive at a decision as to accept /reject as well as repudiate claims-if necessary-Coordination with external investigation agencies-Ensure fraudulent claims are not paid & genuine claims are paid-Maintaining QC accuracy, claim settlement TAT & claims ratio-Handling claims session in induction for new recruits.-Testing and providing sign off for claims set up of new products in Life Asia.-Establish positive working relationships with customers and team members-Resolving and addressing complaints. Show less

Kotak Mahindra Old Mutual Life Insurance
Nov 2013 - Oct 2016Senior Manager
Apr 2016 - Oct 2016Manager
Nov 2013 - Mar 2016

HDFC Life
Nov 2016 - Apr 2019Deputy Manager
Bajaj Allianz General Insurance
Apr 2019 - Nov 2021Deputy Manager-Investigtaion and Loss Mitigation
Royal Sundaram General Insurance Co. Limited
Nov 2021 - nowVigilance Manager - Risk Minimisation Mitigation Unit
Licenses & Certifications

Certified Fraud Examiner (CFE)
Association of Certified Fraud Examiners (ACFE)Feb 2025- View certificate

Forensic Accounting & Fraud Examination
West Virginia UniversityNov 2019
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