Ashish Saxena

Experience

• 

  E Meditek TPA

  May 2015 - Aug 2016

  Assistant Manager

  • Handling queries of the clients / customers.• Handling all kind of health claims under policies for group Mediclaim, Visiting hospitals for Verifications.• Coordinating with the Doctors team for settlement• Checking if the client is covered as per the policy underwriting guidelines• Handling corporate clients in Delhi and NCR region• Keeping detailed records of each and every Policies.• Scrutinizing the claim documents As per Policy Terms & Condition and recheck the Rejected claim by the TPA on what basi• Help Desk• Creating awareness & imparting training among the clients to get the Policy Coverage, Mediclaim Cards, Network Hospital lists, etc. online.• Detailed Data Reconciliation; Data Analysis; MIS report Analysis and Interpretation.• Taking sole control of Corporates Pertaining to Insurance Co. Managing the client relationship and ensuring any anomalies and rectifying those.• Managing and Helping Corporate and Insurance Company in designing the policy at the time of renewal to control the claim ratio.• Obtained excellent feedback for overall service provided with complete customer satisfaction and added delight.• Responsible for Monthly meeting with the corporate as well as insurance companies and also providing MIS report to them.• Arranging health camps in corporate from various hospitals. Show less

• 

  United Healthcare Parekh TPA Pvt. Ltd.

  Aug 2016 - Mar 2018

  Sr. Team Member

  • Handling queries of the clients / customers.• Handling all kind of health claims under policies for group Mediclaim, Visiting hospitals for Verifications.• Coordinating with the Doctors team for settlement• Checking if the client is covered as per the policy underwriting guidelines• Handling corporate clients in Delhi and NCR region• Keeping detailed records of each and every Policies.• Scrutinizing the claim documents As per Policy Terms & Condition and recheck the Rejected claim by the TPA on what basi• Help Desk• Creating awareness & imparting training among the clients to get the Policy Coverage, Mediclaim Cards, Network Hospital lists, etc. online.• Detailed Data Reconciliation; Data Analysis; MIS report Analysis and Interpretation.• Taking sole control of Corporates Pertaining to Insurance Co. Managing the client relationship and ensuring any anomalies and rectifying those.• Managing and Helping Corporate and Insurance Company in designing the policy at the time of renewal to control the claim ratio.• Obtained excellent feedback for overall service provided with complete customer satisfaction and added delight.• Responsible for Monthly meeting with the corporate as well as insurance companies and also providing MIS report to them.• Arranging health camps in corporate from various hospitals. Show less

• 

  MDIndia Healthcare Services (TPA) Pvt. Ltd.

  Mar 2018 - May 2019

  Assistant Manager
• 

  Prudent Insurance Brokers Pvt Ltd.

  May 2019 - now

  Insurance Professional

  • Assistant Vice President

    Dec 2023 - now

  • Senior Manager

    Jan 2022 - Dec 2023

  • Client Relationship Manager

    May 2019 - Jan 2022