Abhijeet Sharad Khatavkar
Kalpana Empress, Rowhouse 6,Hadapsar, Pune
Summary
Dedicated and detail-oriented professional with over 3 years of experience in insurance claims management within the healthcare industry. Expertise in handling Medical billing, Group Personal Accident (GPA) claims, reimbursement claims, and customer escalations. Adept at working with corporate clients, ensuring compliance with policy terms, and delivering exceptional customer service. Strong background in banking sales, financial management, and team coordination. Holds a Master’s degree in Hospitality and Tourism Management and is passionate about customer satisfaction and operational excellence.
Overview
4
4
years of professional experience
Work History
Insurance Claims & Operations Specialist
Urolife
Pune
10.2024 - Current
- Skilled in insurance claims handling, medical billing, and customer service at Urolife Hospital, ensuring smooth settlements, and compliance.
- Proficient in hospital staff and operations management, overseeing daily workflows, and optimizing efficiency for seamless hospital administration.
- Expert in policy compliance, documentation, and administrative processes, ensuring regulatory adherence in healthcare operations.
- Committed to process improvement and patient support, focusing on enhancing operational excellence and service quality.
Assistant Manager
SBI General Insurance
04.2022 - 09.2024
- Managed reimbursement claims, medical billing, and escalations to ensure timely and accurate claim settlements
- Processed claims efficiently to maintain accuracy, eliminate errors, and recommend process improvements
- Reviewed claims for accuracy, determined eligibility, calculated settlements, and ensured compliance with policy terms
- Handled escalations from brokers, clients, sales teams, and MFI, resolving them with priority conclusions
- Managed CKYC documentation and processed Group Personal Accident (GPA) and IRCTC claims, including medical extensions, disability, and death claims
- Established processes for the FINHAAT Group loan Hospicash product, monitored daily MIS, and manually processed claims
- Managed over 50 corporate entities with distinct GPA and IRCTC claim requirements, ensuring efficient processing and compliance
Branch Sales Officer (BSO)
HDFC Bank - Yerwada
06.2021 - 12.2021
- Acquired new customers for Current and Savings Accounts within the branch’s catchment area
- Ensured quality sourcing of new customers and cross-sold banking products such as loans, insurance, and mutual funds
- Promoted Fixed Deposits to new and existing customers
- Generated leads through field activities, direct customer meetings, references, and market mapping
- Delivered exceptional customer service while achieving productivity norms and sales targets
Education
MBA - Hospitality & Tourism Management
JSPM College of Management and Research
Pune01.2020
B.Sc. - Agricultural Biotechnology
College of Agricultural Biotechnology
Chiplun01.2017
H.S.C. -
Ramesh Khalipe Junior College
Piliv, Solapur01.2012
S.S.C. -
Karmaveer Bhaurao Patil Vidyalaya
Piliv, Solapur01.2010
Skills
- MS Word
- PowerPoint
- Excel
- Insurance Claim Processing Software: Hercules
- Eoxygen Software
- Flexcube Software
- Insurance claims processing
- Medical billing
- Process improvement
- Time management
Hobbies and Interests
- Drawing, crafting, singing, cooking, and decorations
- Rangoli, fruit salads, and flower arrangements
Projects
Study on the Impact of Music on Customer Behavior, Conducted research at Magarpatta Clubs & Resorts Pvt. Ltd. (05/01/19 – 07/31/19) to analyze how music influences customer engagement and satisfaction.
Languages
- English, Hindi, and Marathi
Achievements And Awards
- Mountain Mover Award
- Best Student Idol
- 1st Prize in Singing Competition many times
Timeline
Insurance Claims & Operations Specialist
Urolife
10.2024 - Current
Assistant Manager
SBI General Insurance
04.2022 - 09.2024
Branch Sales Officer (BSO)
HDFC Bank - Yerwada
06.2021 - 12.2021
MBA - Hospitality & Tourism Management
JSPM College of Management and Research
B.Sc. - Agricultural Biotechnology
College of Agricultural Biotechnology
H.S.C. -
Ramesh Khalipe Junior College
S.S.C. -
Karmaveer Bhaurao Patil Vidyalaya
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