Akshaya Balan
Team Lead (Claims)
Bengaluru
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Lead Claims Representative
Genworth
06.2022 - Current
- Performance Management: Monitoring, Coaching, Feedback, responsibility for delivery of defined customer service.
- Operational Management: Handling a team of 11- 12 associates, allocating claims,processing and payments. Managing the tasks, review escalations and situations.
- Leave Management: Ensuring team is adequately active to handle day to day tasks.
- Reporting: Preparing reports on timely basis and maintain employee records on performance. Measure team over all performance productivity, quality and efficiency.
- Training: Conduct process training or refresher training when required and actively involved in cross training of various products.
- Responsible for managing, supervising and motivating team on a daily basis. Managing any internal updates, or communication withing the team.
- Help team take part in any career development plans and provide business improvement ideas.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
- Trained new Claims Representatives on company policies, procedures, and software systems, improving overall team productivity.
Senior Claims Representative
Genworth
05.2021 - 06.2022
- Determine using critical thinking and problem solving, make claim decisions and process transactions based on claimant's policy and other information provided.
- To ensure excellence in our relationship with customer, responsible for inbound and outbound calls to insured care givers, facilities and all other persons or entities involved in the claim.
- Participated in cross-functional teams to evaluate organizational processes related to claims management, resulting in systemic enhancements.
- Reduced claims processing time by implementing efficient workflow and prioritizing tasks.
- Conducted thorough investigations of disputed claims, gathering evidence to support decision-making processes.
- Managed a large caseload while maintaining strict deadlines and delivering consistent results under pressure situations.
Process Associate
Gallagher Service Center
10.2019 - 05.2021
- Submitting of claims, verify data and enter into system for further process.
- Monitor progress of claim and resolve any errors.
- Research and process claims according to the processing guidelines and operating procedures.
- Responsible for daily and weekly reports updates.
- Assist with new hires.
- Participated in regular team meetings, contributing valuable insights toward process enhancements.
- Collaborated with team members for enhanced process efficiency and productivity.
- Handled high volumes of incoming work requests professionally while maintaining excellent organization.
Education
MBA - Hr And Finance
St. Aloysius Institute of Management & Technology
Mangalore, India 04.2001 -
Bachelors in Commerce - Hr And Finance
Mount Carmel College
Bengaluru, India 04.2001 -
Skills
- Claims Investigation
- Microsoft Office
- Time Management
- File Management
- Medical Terminology
- Customer Service
- Excellent Communication
- Critical Thinking
- Reporting
Accomplishments
- Received high five award for lodging the highest number of
claims and reaching the targets. - Received the ingenious award for getting cross trained on trade
credit (Surety bonds). - Recognized as a fastest target achiever for a particular period.
Certification
Six Sigma White Belt
Timeline
Six Sigma White Belt
06-2024
Lead Claims Representative
Genworth
06.2022 - Current
Senior Claims Representative
Genworth
05.2021 - 06.2022
Process Associate
Gallagher Service Center
10.2019 - 05.2021
MBA - Hr And Finance
St. Aloysius Institute of Management & Technology
04.2001 -
Bachelors in Commerce - Hr And Finance
Mount Carmel College
04.2001 -
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