Anjaly Rawat
Underwriting Support/Claims Specialist
Ghaziabad
Summary
Experienced in underwriting support, policy evaluation, and claims processing. Demonstrated expertise in claims management and premium calculation, consistently providing accurate quotes and comprehensive reports that facilitate informed decision-making. Proficient in optimizing operations for enhanced efficiency, leveraging advanced Microsoft Excel skills for effective data analysis and reporting. Dedicated to achieving outstanding results in dynamic environments with a strong emphasis on operational excellence.
Overview
11
11
years of professional experience
Work History
Senior Specialist
MERCER CONSULTING (INDIA) PVT LTD.
Noida
11.2024 - 08.2025
- Prepared detailed renewal Excel reports outlining pricing adjustments, coverage recommendations, and alternative plan options.
- Supported both new business and renewal processes by coordinating with cross functional teams, including underwriting, operations, and sales.
- Delivered accurate quotes and pricing information to facilitate informed customer decision-making and improve client satisfaction.
- Calculate the premium on the basis of the client's given renewal data and send it back to the broker.
- Conducted a Root Cause Analysis (RCA) to determine process gaps and drive corrective measures.
- Prepared and analyzed daily and monthly production and utilization reports to monitor team efficiency and capacity.
Underwriting Analyst
ACCENTURE SOLUTIONS
Noida
01.2021 - 11.2024
- Assessed insurance applications and sales specialists' reports to pinpoint potential risks.
- Formulated detailed checklists for group life policies, encompassing all essential information.
- Calculated ratings and premiums using CPM and internal pricing tools, maintaining 100% accuracy across submitted cases.
- Submitted quotes for RFPs to onshore underwriters, ensuring precision.
- Resolved inquiries from underwriters while adhering to established guidelines.
- Produced detailed daily, weekly, monthly, and quarterly reports to track production metrics and identify workflow optimization opportunities.
Senior Analyst
Metlife GOSC
Noida
06.2016 - 11.2020
- Communicate with the Claim Specialist regarding the escalations we received.
- Conducts initial and ongoing investigations to determine whether or not to accept disability and gives our decisions to claims specialists regarding the acceptance or denial of benefits.
- Investigates, identifies, and communicates appropriate offsets; assesses financial impact on (including, but not limited to) social security, workers' compensation, retirement, etc. benefits.
- Knowledge and experience with ICD-10 and CPT-4 coding.
- Make accurate, timely decisions on claims based on contract/plan provisions, guidelines, and thorough analysis of information/documentation provided by claimants, employers, and physicians.
Process Associate
AON HEWITT
11.2014 - 06.2016
- Streamlined efficiency and productivity across all task executions.
- Evaluated dependent eligibility for insurance coverage.
- Evaluated and executed precise benefit programmes.
- Granted approval and denial letters to participants following eligibility verification.
Education
Bachelor of Arts - English Lang. and Military Science
01.2011
Skills
- Risk assessment and policy evaluation
- Pricing strategy and premium calculation
- Claims analysis and underwriting
- Proficiency in Microsoft Excel, PowerPoint, and Word
HOBBIES AND INTERESTS
I have a passion for dance and enjoy exploring new places, I have represented at the national level in judo, I'm also a dedicated food enthusiast.
Personal Details
- Date of birth - 03 March 1992
- Father's name - M. S. Rawat
- Currently residing in Ghaziabad.
Timeline
Senior Specialist - MERCER CONSULTING (INDIA) PVT LTD.
11.2024 - 08.2025
Underwriting Analyst - ACCENTURE SOLUTIONS
01.2021 - 11.2024
Senior Analyst - Metlife GOSC
06.2016 - 11.2020
Process Associate - AON HEWITT
11.2014 - 06.2016
V.S.S.D College - Bachelor of Arts, English Lang. and Military Science