Highly motivated, ambitious and adaptable person with a strong work ethic, possessing the capacity to learn rapidly, adopt and thrive in a team or individual environment.
Career Objective:
Making a positive impact in work environment through automation & innovation and strive for excellence in work processes. Further, to bring my strong sense of dedication, motivation, and responsibility to organization that warrants an opportunity not only to learn but also demonstrate skills acquired over the course of my professional experience.
Assessment & Processing of Claims (Death, Medical Expense, Hospital Cash Benefit &
Involuntary Loss of Employment)
Coordinating with Re-Insurer for claim decisions
Processing settlements of approved claims
Processing case for decisions and repudiations
Coordinating with legal department of Insurance Authority and Court Cases
Communicating with HR departments of companies to verify employees detail for Involuntary
Loss of Employment Claims
Handle and resolve client’s concern, queries
Develop system for claims management, automation and report generation
Attend walk-in client to resolve their queries
Record management of closed claims as per company guidelines
Death, PPD, PTD & TTD claims processing (Group, Individual, Banca)
Work with IT department to modify system requirements as per requirement
Participate in system development efforts and system implementations, including analysis,
design, development, testing and documentation
Develop solutions to meet objective of department and solve problems
Support claims department initiatives company wide
Claim records management
Activating new polices on systems and updating records of clients
Preparing PSS/PMD and Issuing Endorsements for renewal or other changes
Preparing and verifying Bills & Billing Details
Client Servicing: Coordinating with clients & sales team and resolving queries
Coordinating with regional offices and assisting them in client servicing
Commission processing of agents and resolving their queries
Preparing Quotations for Group Health and Life Policies