Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
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Dr Adeshkumar Jambhulkar

Hyderabad

Summary

Accomplished and well-rounded management postgraduate from Tata Institute of Social Science, Mumbai and professional, with an overall 15 years of healthcare experience and 10 years of explicit experience in Health Insurance industry. A proven track of working in off and on field positions for various aspects of health insurance domain viz corporate business, Mediclaim and government sponsored schemes. Overall, I believe myself is a force to reckon upon.

Overview

12
12
years of professional experience
8
8
years of post-secondary education
3
3
Certifications

Work History

Vice President & National Claims Manager

Liberty General Insurance
08.2018 - Current
  • Awarded with Liberty Mutual's Group President Award for exceptional claims services in 2020
  • Founding Member of In-house claims unit of Liberty General Insurance
  • Set the vision for corporate relations and claims and defined overall strategy from launch to scale
  • Formulated unique client servicing approach for corporate EB business
  • [Anchored the customer NPS of 100]
  • Determined highest order KPIs for team to ensure efficient customer service and built plans to measure, monitor and improve them
  • Developed partnership with vendors for wellness and concierge services for corporates.
  • Demonstrated breadth and depth of operational service delivery management expertise
  • Lead the team towards path of customer experience improvements and transformation across journeys.
  • Sustaining a great team culture consisting of clearly articulated values and inspired leadership.
  • Compliance Champion 3 years.
  • Member of DEI council

Chief Manager

Tata AIG General Insurance
01.2016 - 01.2018
  • Promoted in six months from Manager position.
  • Awarded with Rising Champion award.
  • Lead the health claims business development, provider relations and indemnity claims.
  • Lead the health claims business development, provider relations and indemnity claims
  • Lead the company's first Health Claims Unit in Hyderabad
  • Lead the digital transformation across portfolio
  • Ensured resources, capabilities and capacities in meeting client requirements
  • Engagement with onshore leads and, chain stakeholders and their requirements and the outsourcer's ability to meet them

Manager

Reliance General Insurance
11.2015 - 05.2016

Managed Government Insurance Business

Lead the zero grievance roadmap and executed with success.

Assistant Manager

Medi Assist India TPA
05.2013 - 11.2015
  • Company Overview: Government Business and Mass Health Insurance
  • Joined as Management Trainee post MBA
  • Lead the consolidation of private insurance business
  • Corporate Relationship Management for private insurance
  • Government Business and Mass Health Insurance

Project Manager

Medi Assist India TPA
01.2013 - 01.2015
  • Company Overview: Government Health Insurance Scheme
  • Established TPA business in 8 new districts of Maharashtra
  • Structured a thoughtful organizational plan for recruit, retain and develop talent
  • Collaboration with civic authorities, public health department, local polity for steady inception
  • Internal Audit and Compliance
  • Government Health Insurance Scheme

Education

MHA (Master of Health Administration) -

Tata Institute of Social Sciences
Mumbai
06.2011 - 05.2013

BAMS -

Government Ayurved Hospital
Nagpur
08.2004 - 06.2010

Skills

    Emotional Intelligence

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Certification

Artificial Intelligence in General Insurance (Non-Life), National Insurance Academy, Pune

Accomplishments

  • Liberty Mutual Global President Award, 2020, In customer service.
  • Tata AIG's Rising Champion, 2017
  • All India Rank One in TISS-NET, 2011, For Master of Health Administration, Tata Institute of Social Sciences, Mumbai.
  • Gold medalist, 2001, For being topper in SSC MSBSHSE board examinations.
  • Published an article, 2013, In special edition of daily DNA on 'Democracy embedded in Indian Values'.
  • Contributed to Hindi website development, 2015, Of Medi Assist India TPA Pvt. Ltd.

Timeline

Vice President & National Claims Manager

Liberty General Insurance
08.2018 - Current

Chief Manager

Tata AIG General Insurance
01.2016 - 01.2018

Manager

Reliance General Insurance
11.2015 - 05.2016

Assistant Manager

Medi Assist India TPA
05.2013 - 11.2015

Project Manager

Medi Assist India TPA
01.2013 - 01.2015

MHA (Master of Health Administration) -

Tata Institute of Social Sciences
06.2011 - 05.2013

BAMS -

Government Ayurved Hospital
08.2004 - 06.2010
Dr Adeshkumar Jambhulkar