Amol Jadhav
Airoli
Summary
Result-oriented underwriter with 2.5 years of experience in the Indian life insurance industry and 11 years of expertise in U.S. health care. Currently excelling as an Assistant Manager - Underwriting at SBI Life Insurance, overseeing high-net-worth insurance proposals, term plans, and collaborating with various channels. Proven track record as a Team Lead at Gebbs Healthcare Solutions, driving team performance, and managing client reports. Skilled in decision-making, time management, and communication, with a B. Pharmacy degree from Pune University. Eager to leverage analytical skills and leadership abilities in an underwriting role to drive accurate risk assessment and premium calculations. Committed to contributing to organizational growth and success through adaptability and fast learning.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Assistant manager: Operations Underwriting
SBI Life insurance
04.2023 - Current
- UW of Life, TROP, HNI and ULIP insurance proposals.
- Gathering and assessing background information in order to effectively assess the risk involved;
- Calculating possible risk and deciding how much individuals or organizations should pay for insurance (the premium);
- Deciding whether the risk should be shared with a reinsurer;
- Computing results for appropriate premiums using actuarial information, other statistics and own judgement;
- Stake holding of various channel like Agency, Banca, Online etc.
- Liaising with specialists, such as surveyors or doctors, for risk assessment;
- Gathering information and various types of reports (e.g. medical records) from specialist.
Team Leader
GeBBS healthcare solutions private Limited
Airoli
08.2022 - 04.2023
- Monitoring the day-to-day work.
- Pulling out daily inventory, doing allocation of inventory.
- Managing floor, completing daily task of DPT tracker management, Leave tracker, Attendance management.
- Daily Team huddle, Complaint handling and Capacity Planning.
- Sharing daily client update with team, Successfully manage, motivate, coach and inspire the team.
- Performance analysis and implementing improvements.
- Identify training gaps and plan trainings, Doing trend analysis for Team and accordingly providing training.
- Taking follow up on new specialty started in process or going to start.
- Analyze and Monitor the client reports and performance.
- Encourage & respect an open communication.
- Act as a point of contact for escalation or queries internal as external.
- Replying to escalation mails with TAT, sharing rebuttals in any.
- Creating login for new user.
Team coach
AQuity solutions India private Limited
Airoli
10.2019 - 07.2022
- Monitoring the day-to-day work.
- Floor management, Complaint handling and Capacity Planning.
- Successfully manage, motivate, coach and inspire the team.
- Performance analysis and implementing improvements.
- Identify training gaps and plan trainings.
- Analyze and Monitor the client reports and performance.
- Encourage & respect an open communication.
- Conducting interview and recruitment/retention of team members.
- Act as a point of contact for escalation or queries internal as external.
- Working closely with scribble team and delivering the Prospective Hierarchical condition categories (HCC) audits.
- Conducted clinical documentation improvement (CDI) sessions for providers from Top Medical Schools in US.
- Multi-specialty coding experience and client handling capabilities.
- Responsible for overall coding delivery of the account.
- Transition management of any new processes from existing/new clients.
- Provide strategic inputs to the top management for the growth of the organization.
- Staffing requirements for new coding projects, process improvements.
- Preparation of Deck’s for ROI and presenting it to top management as well as client.
Quality analyst
Inventurus knowledge solutions (IKS health)
Airoli
03.2016 - 10.2019
- Perform coding quality internal audit and provide feedback to coders.
- Assist in training new coders and provides input in performance evaluation.
- Perform coding compliance and quality audits in support of Optum360's Compliance Program and client expectations.
- Preparing quality and Production data monthly basis.
- Risk calculation and giving level to EnM chart note.
- Chart Analysis, ED and E&M Coding, Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures.
- Adhere to Standards of Ethical Coding (AHIMA/AAPC).
- Coding of Surgical procedures.
Medical coder
Veldos India pvt Ltd.
03.2013 - 03.2014
- Coding EHR records and abstracting codes following the ICD 10 CM coding guidelines.
- Well versed with medical terminology and anatomy.
- Follow CMS coding guidelines for coding decisions.
- Code 40-50 charts a day while maintaining 95 % of quality.
Senior Medical Coder –ED coding and Evaluation and Management
GeBBS healthcare solution
Airoli
03.2012 - 03.2013
- Coding of Evaluation and Management medical records with appropriate Diagnosis and Procedures using ICD-10 CM and CPT. code.
- Review and abstract relevant clinical data/medical records to select and sequence ICD and CPT codes and PCS codes.
- Performed coding and Auditing Emergency Department physician and Facility coding diagnosis and procedures.
- Follow CMS coding Guidelines and regulatory rules in governing corresponding coding decisions.
- Compile and maintain client side and internal feedback in order to circulate it to the team members on daily basis.
- Code 225-250 ED charts a day while maintaining 98 % of quality.
- Line trained coders in the ED coding specifics.
Education
B.Pharmacy -
Pune University
Pune04-2011
H.S.C. -
Mumbai University
Airoli, Navi Mumbai02-2007
S.S.C -
Mumbai University
Airoli , Navi Mumbai03-2005
Skills
- Risk assessment
- Team performance analysis
- Microsoft Office (Excel, Word, PowerPoint)
- Inventory management
- Time management
- Analytical thinking
- Team handling
- Citrix
- Epic
Certification
- Certified Professional Coder (CPC), AAPC
- ICD-10-CM certified
- Completed the TrustHCS Academy ICD-9 MDC training program
Accomplishments
- Awarded the IKS Merit Award as the best performer in 2017
- Awarded the GeBBS Achievers Award as a GeBBS Rising Star in 2012 and 2014
Languages
- Marathi
- Hindi
- English
Hobbies and Interests
- Travelling
- Trekking
Personal Information
- Date of Birth: 10/15/89
- Marital Status: Married
Projects And Seminars
- Hepatoprotective activity of Flavonoid rich extract of Cajanus Scarabaeoides, Research in 3rd Year of Bachelor Degree
- Research Paper Published, In 2011 Asian Journal pharma biological research on the hepatoprotective activity of crude Flavonoid extract of Cajanus scarabaeoides (L) in Paracetamol Intoxicated Albino Rats
- Participation, Participated in 61st Indian Pharmaceutical Congress held at Ahmedabad, Gujarat (2009)
Languages
Marathi
First Language
English
Proficient (C2)
C2
Hindi
Proficient (C2)
C2
Timeline
Assistant manager: Operations Underwriting
SBI Life insurance
04.2023 - Current
Team Leader
GeBBS healthcare solutions private Limited
08.2022 - 04.2023
Team coach
AQuity solutions India private Limited
10.2019 - 07.2022
Quality analyst
Inventurus knowledge solutions (IKS health)
03.2016 - 10.2019
Medical coder
Veldos India pvt Ltd.
03.2013 - 03.2014
Senior Medical Coder –ED coding and Evaluation and Management
GeBBS healthcare solution
03.2012 - 03.2013
B.Pharmacy -
Pune University
H.S.C. -
Mumbai University
S.S.C -
Mumbai University