Tehseen Ahmed

Experience

• 

  Pak Qatar Takaful

  Nov 2015 - Jul 2021

  • Initial assessment of presented facts, i.e., event occurred, date of event, member coverage, and applied benefit to generate a claim in the system.• Creates and documents claims file to comply with company guidelines.• Determines value of the claim considering depreciation (i.e., through partial withdrawal, surrender or lapsed) and actual cash value during claim processing, makes a note by assessment of claim documents for the decision of claim, and moves claim to closure.• Initial assessment of Claim documents to analyze the authenticity and legitimacy of all claims put forwards in front of claims committee for Bancassurance, Individual life as well as Group life and if required, further documents can be called from claimants.• Determines customer eligibility as per terms and conditions of the policy by reviewing contractual language, interpreting information, and making decisions based on facts presented for the claim.• Carry out follow-ups with Investigators on a fortnightly basis for undergoing investigation cases.• Prepare a report on findings of an investigation for the claim, if investigated.• Assisting in maintaining Monthly MIS for Group Life, Bancassurance & Individual Life.• Maintaining Monthly MIS for Group Life, Bancassurance & Individual Life, if required.• Processing of Family Income benefits on a quarterly basis for Individual Life claims.• Manages both new claims, and opened ones equally and maintains decision times as defined by regulatory authorities.• Processing mails (queries and claim documents), determining and prioritizing workload and assignment issues to ensure effective claims processing, expense management, and claims disposition.• Customer handling, managing claims-related queries for Bancassurance, Individual life, and Group life.• Perform duties as assigned by supervisor/senior management Show less

  • Claims Lead

    Jan 2019 - Jul 2021

  • Executive Officer

    Nov 2016 - Jan 2019

  • Management Trainee

    Nov 2015 - Nov 2016
• 

  Adamjee Life Assurance Co. Ltd

  Jul 2021 - now

  • Senior Officer

    Apr 2023 - now

  • Underwriting Officer

    Jul 2021 - Apr 2023