Shajahan P

Shajahan P

Senior Claims Representative

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location of Shajahan PChennai, Tamil Nadu, India

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  • Timeline

  • About me

    Vigilance Manger- Risk Minimisation Mitigation Unit

  • Education

    • University of Madras

      -
      Master of Business Administration - MBA
    • The New College (Autonomous)

      -
      Bachelor's degree Computer Science
  • Experience

    • Reliance Life Insurance Co Ltd

      Jun 2008 - Mar 2010
      Senior 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 2013
      Senior 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 2016
      • Senior Manager

        Apr 2016 - Oct 2016
      • Manager

        Nov 2013 - Mar 2016
    • HDFC Life

      Nov 2016 - Apr 2019
      Deputy Manager
    • Bajaj Allianz General Insurance

      Apr 2019 - Nov 2021
      Deputy Manager-Investigtaion and Loss Mitigation
    • Royal Sundaram General Insurance Co. Limited

      Nov 2021 - now
      Vigilance Manager - Risk Minimisation Mitigation Unit
  • Licenses & Certifications

    • Certified Fraud Examiner (CFE)

      Association of Certified Fraud Examiners (ACFE)
      Feb 2025
    • Forensic Accounting & Fraud Examination

      West Virginia University
      Nov 2019
      View certificate certificate