Amborish Bose
Kolkata
Summary
Results-driven and detail-oriented Deputy Manager with extensive experience in managing health insurance claims processes, including claim assessment, adjudication, approval, and escalation handling. Proven expertise in ensuring compliance with regulatory guidelines, policy terms, and service-level agreements. Skilled in leading claims teams, streamlining operational workflows, mitigating claim-related risks, and enhancing customer satisfaction. Strong analytical, decision-making, and leadership capabilities, with a commitment to maintaining the integrity and efficiency of health insurance claim operations.
Overview
19
19
years of professional experience
Work History
Deputy Manager
HDFC ERGO GENERAL INSURANCE FORMALY APOLLO MUNICH HEALTH INSURANCE
04.2023 - Current
- Supervise day-to-day health insurance operations
- Ensure timely processing of claims, policy issuance, and customer service requests
- Implement process improvements to enhance operational efficiency
- Oversee health claims processing (cashless & reimbursement).
- Ensure adherence to TAT (Turnaround Time) and quality standards
- Monitor fraud detection and prevention mechanisms
- Support sales team in business acquisition and renewals
- Analyze market trends and contribute to product positioning
- Manage relationships with agents and brokers
- Handle escalated queries and complaints
- Monitor customer satisfaction scores and implement corrective actions
- Ensure adherence to IRDAI service standards
- Lead, mentor, and train junior staff
- Monitor performance KPIs and ensure team alignment with goals
- Analyze data on claims, sales, and operational metrics
- Present insights and reports to senior management
- Recommend strategic changes based on trends.
Assistant Manager
HDFC ERGO GENERAL INSURANCE FORMALY APOLLO MUNICH HEALTH INSURANCE
04.2021 - 03.2023
- Handling team
- Handle customer inquiries and complaints
- Database hunting by marketing activities, reference gathering, and using ingenuity.
- Process insurance claims accurately and efficiently
- Assist the Insurance Manager in daily operations, desired performance levels
- Implementation of the right sales strategy to meet monthly, weekly, and daily goals.
- Rendering service to customers and handling queries, complaints and requirements of customer across all products.
- Competition monitoring, tracking, and implementing proactive measures to protect and grow the business.
- Achieve sales targets and provide customer service to increase sales, and improve customer service
- Ensuring 100% revenue generation for the company
- Responsible for client servicing and building long term business relationship
Direct Senior Sales Manager
HDFC ERGO GENERAL INSURANCE FORMALY APOLLO MUNICH HEALTH INSURANCE
01.2020 - 01.2021
- Maintaing the same KRA as was in Apollo Munich Health Insurance
Direct Senior Sales Manager
APOLLO MUNICH HEALTH INSURANCE
04.2018 - 01.2020
- Handling the team of 3 members
- Looking after Saltlake and Guwahati branch Renewal Retention
- Database hunting by Marketing Activities, reference gathering and using ingenuity.
- Ensure well controlled Audit with updating of Daily Sales Reports, Field Activity Reports, Training sheets, Profile sheets, Referral sheets, Marketing Activity Calendar etc.
- Identify training needs within the group and Responsible for weekly training, developing, and managing performance of the team
- Work with Branch Manager to develop/implement action plans to achieve desired performance levels.
- Implementation of Right Sales strategy to meet Monthly/Weekly/Daily goals.
- Rendering service to customers and handling queries, complaints and requirements of customer across all products.
- Competition monitoring, tracking and implementing proactive measures to protect and growth of business.
- Achieve sales targets and providing customer service.
- Achieving assigned sales targets of Health insurance products.
- Generate business & Relationship Management with existing partner of Apollo Group.
- Ensuring 100% revenue generation for the company.
- Responsible for client servicing and building long term business relationship.
- Sales strategy to meet Monthly/Weekly/Daily goals.
- Identifying best practices and implementing the same within the team
Sales Manager
APOLLO MUNICH HEALTH INSURANCE
04.2016 - 03.2018
- Rendering service to customers and handling queries, complaints and requirements of customer across all products.
- Competition monitoring, tracking and implementing proactive measures to protect and growth of business.
- Achieve sales targets and providing customer service.
- Achieving assigned sales targets of Health insurance products.
- Generate business & Relationship Management with existing partner of Apollo Group.
- Ensuring 100% revenue generation for the company.
- Responsible for client servicing and building long term business relationship.
- Sales strategy to meet Monthly/Weekly/Daily goals.
- Identifying best practices and implementing the same within the team
Senior Relationship Manager
APOLLO MUNICH HEALTH INSURANCE
11.2014 - 03.2016
- Achieving assigned sales targets of Health insurance products.
- Generate business & Relationship Management with existing partner of Apollo Group.
- Ensuring 100% revenue generation for the company.
- Responsible for client servicing and building long term business relationship.
- Identifying best practices and implementing the same within the team
- Acquisition of new partners (Pharmacy, Clinics, Hospitals & other referral partners) from open market.
- Continuously review New Partners performance and their productivity.
- Managing client database and renewal retention month on month.
- Work Profile
Sales Development Manager
APOLLO MUNICH HEALTH INSURANCE
05.2013 - 10.2014
- Achieving assigned sales targets of Health insurance products.
- Generate business & Relationship Management with existing partner of Apollo Group.
- Acquisition of new partners (Pharmacy, Clinics, Hospitals & other referral partners) from open market.
- Continuously review New Partners performance and their productivity.
- Solving customer queries on one to one basis.
- Managing and update client database on daily basis.
- Work Profile
Finance Planning Manager
HDFC STANDARD LIFE
05.2012 - 04.2013
- Cross selling of Insurance product.
- Provide resolution to the customer related to their policy and related problem.
- Managing client database through LTS and FPT.
- To generate business through existing client and from open market.
- Daily monitoring & following process for driving sales.
- Doing Performance Review of team member.
- Work Profile: Direct Marketing (Loyalty)
Relationship Manager
HDFC STANDARD LIFE
01.2012 - 04.2012
- Direct Marketing –Loyalty channel (existing customer handling).
- Cross selling of Insurance product.
- Provide resolution to the customer related to their policy and related problem.
- Managing client database through LTS and FPT.
- To generate business through existing client and from open market.
- Work Profile: Direct Marketing (Loyalty)
Student Acquisition Manager
Bangalore School of Business
01.2010 - 12.2011
- Company Overview: A venture of Rai Foundation , five years ago started operating from Bangalore and within a short span of time carved a niche of academic excellence and set up other campuses in Kolkata , Delhi, and Hyderabad.
- Handling a team of 5 on roll executive for student recruitment
- Rendering service to customers and handling queries, complaints and requirements of customer across all products.
- Networking with peers & superiors for marketing assistance.
- Competition monitoring, tracking and implementing proactive measures to protect and growth of business.
- Achieve sales targets and providing customer service.
- Work Profile
Operations Manager
IIAS Group of Institution
06.2006 - 12.2009
- Company Overview: A leading institution in Hotel Management and Management field all over India, having branches at Kolkata, Siliguri, Goa, Dehradun & Bhilai.
- Leadership and administration of student retention programs at the campus.
- Management of admissions responsibilities. Development of policies and procedures for admissions.
- Administration of academic advising services including services to new students.
- Compilation of data for annual Student Profile, student surveys, and other reports as required by management from time to time.
- Work Profile
Education
MBA - Marketing
M.S. UNIVERSITY TAMILNADU
01.2012
B.COM -
UNIVERSITY OF CALCUTTA
01.2005
HIGER SECONDARY -
WEST BENGAL COUNCIL OF HIGER SECONDARY
01.2002
MADHYAMIK -
WEST BENGAL BOARD OF SECONDERY EDUCATION
01.2000
Skills
- Claims processing
- Customer service
- Operational efficiency
- Market analysis
- Customer relationship management
- Team leadership
- Effective communication
- Strategic planning
- MS Excel for data analysis and reporting
Languages
English, Hindi, Bengali
References
On Request.
Disclaimer
I hereby declare all the above information is true to best of my knowledge.
Qualities
Optimistic / Hardworking / Punctual.
Timeline
Deputy Manager
HDFC ERGO GENERAL INSURANCE FORMALY APOLLO MUNICH HEALTH INSURANCE
04.2023 - Current
Assistant Manager
HDFC ERGO GENERAL INSURANCE FORMALY APOLLO MUNICH HEALTH INSURANCE
04.2021 - 03.2023
Direct Senior Sales Manager
HDFC ERGO GENERAL INSURANCE FORMALY APOLLO MUNICH HEALTH INSURANCE
01.2020 - 01.2021
Direct Senior Sales Manager
APOLLO MUNICH HEALTH INSURANCE
04.2018 - 01.2020
Sales Manager
APOLLO MUNICH HEALTH INSURANCE
04.2016 - 03.2018
Senior Relationship Manager
APOLLO MUNICH HEALTH INSURANCE
11.2014 - 03.2016
Sales Development Manager
APOLLO MUNICH HEALTH INSURANCE
05.2013 - 10.2014
Finance Planning Manager
HDFC STANDARD LIFE
05.2012 - 04.2013
Relationship Manager
HDFC STANDARD LIFE
01.2012 - 04.2012
Student Acquisition Manager
Bangalore School of Business
01.2010 - 12.2011
Operations Manager
IIAS Group of Institution
06.2006 - 12.2009
MBA - Marketing
M.S. UNIVERSITY TAMILNADU
B.COM -
UNIVERSITY OF CALCUTTA
HIGER SECONDARY -
WEST BENGAL COUNCIL OF HIGER SECONDARY
MADHYAMIK -
WEST BENGAL BOARD OF SECONDERY EDUCATION
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