Dynamic Senior Claims Manager with a proven track record in leadership and strategic initiatives. Expertise in process improvement and team collaboration, driving significant enhancements in customer satisfaction and operational efficiency.
Overview
15
15
years of professional experience
Work History
Senior Claims Manager
ICICI LOMBARD General Insurance
vishakapatnam
01.2013 - Current
Led claims processing team to ensure timely resolution of insurance claims.
Developed strategic initiatives to enhance customer satisfaction and service delivery.
Mentored junior claims staff on best practices and compliance regulations.
Analyzed claim trends to identify areas for process improvement and efficiency.
Collaborated with cross-functional teams to streamline claims management procedures.
Implemented training programs for staff on new technology and systems usage.
Facilitated communication between clients, adjusters, and legal teams during disputes.
Managed team members effectively to meet high production standards with accurate results.
Collaborated with quality team regarding quality assurance reviews.
Motivated team members to maintain targeted turnaround time to obtain processing goals.
Submitted clean claims to reduce denial rates, following payer reimbursement policies and procedures.
Conducted meetings to discuss issues and find pertinent solutions to problems.
Created systems for tracking key performance indicators such as turnaround times, customer satisfaction ratings and cost savings initiatives.
Managed and coordinated the investigation of complex claims to ensure accuracy, efficiency and compliance with applicable laws.
Maintained accurate records of all claim activities in accordance with company guidelines.
Provided guidance and support to junior team members on how to handle difficult claims cases.
Negotiated settlements between claimants and insurers when necessary.
Participated in internal meetings as well as external conferences related to the field of insurance claims management.
Trained new team members on policies and procedures for claims handling.
Managed department budget, optimizing resource allocation to meet operational and financial objectives.
Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Diagnostic engineer
Mahvair Skoda
vishakapatnam
12.2010 - 12.2012
Designed innovative solutions for vehicle performance and efficiency.
Collaborated with cross-functional teams to streamline engineering processes.
Participated in team meetings to discuss project progress updates.
Provided support during the installation, maintenance.
Assisted in troubleshooting issues related to vehicle complaints