Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic
Ajay Gurung

Ajay Gurung

Bangalore

Summary

Experienced in insurance verification, managing authorizations, and ensuring compliance with pre-authorization requirements. Skilled in supporting Property and Casualty (P&C) and Surplus Lines (SL) license holders, assisting with license renewals, and encouraging Continuing Education. Proficient in preparing reports, resolving issues, and enhancing customer experience through strategic improvements and retention initiatives.

Overview

7
7
years of professional experience

Work History

Program Specialist

Aston Carter(Allegis services)
Bangalore
11.2024 - Current
  • Verifying patient insurance coverage by contacting payers or using online systems to ensure all necessary details are accurately reviewed.
  • Handling authorizations for prescriptions, procedures, and services, ensuring all required documentation, administration codes, dosage details, and prior approvals are submitted accurately.
  • Identifying specific requirements, such as pre-authorization, pre-determination, and prescription benefits, to prevent delays and ensure timely service delivery.

02.2027 - 08.2029

Process Analyst

Gallagher Service Centre LLP
Bengaluru
02.2022 - 08.2024
  • *Handle queries and concerns* from Property and Casualty (P&C) and Surplus Lines (SL) license holders.
  • *Encourage licensees* to take Continuing Education courses to enhance their skills and expand business opportunities.
  • * Provide end-to-end support *to licensees for applying for and renewing licenses.
  • *Suggest upgrades* to licensees that genuinely improve the customer experience.
  • *Prepare weekly reports*on inactive licensees and discuss reasons for inactivity and retention strategies with management.

Education

B.com - Insurance And Accounting

Baldwin Methodist College
Bangalore
09-2020

Skills

  • Strategic planning
  • Project management
  • Team oversight
  • Program optimization
  • Proactive mindset
  • Critical thinking
  • Report preparation
  • Root-cause analysis
  • Time management
  • Resolution-oriented
  • Upselling
  • Promotional support

Languages

Nepali
First Language
English
Proficient (C2)
C2
Hindi
Proficient (C2)
C2

Timeline

02.2027 - 08.2029

Program Specialist

Aston Carter(Allegis services)
11.2024 - Current

Process Analyst

Gallagher Service Centre LLP
02.2022 - 08.2024

B.com - Insurance And Accounting

Baldwin Methodist College
Ajay Gurung