Apurva Karnik

Spearheading operations as Claims Adjuster for processing:

• Property & Causality Claims of (U.S. & Canada)
  
• Bordereaux files and Global Claims
  
• Managing Line of Business (LOB) like Auto, Personal Property, Inland Marine, Marine, Ocean Cargo, General average claims, Aviation.
  
• Preparing and sending reports to clients.
  
• Reviewing static claims and liaising with brokers to ask for claim updates on non-moving claims
  
• Extending support to risk analysts, brokers and underwriters
  
• Identifying and managing the defects in the process and working on defect reductions.
  
• Setting up new losses.
  
• Administered and maintained reports for incidents, claims, litigation and property losses.
• Trained new joiners in marine process and procedures, answering questions and providing guidance.

• It is an US Based Insurance Organization called National General Insurance Claims- National General Insurance Sr Customer Support Officer: Information relating the commercial and residential condominiums as we have to set up Policy creation, Documentation collection & Review, Authorizations, Binding, quotes and Policy Issue, Group Benefits- plan updates & payouts.
• Review the document received from participant/Insured/ Owner/ Insurer to decide, whether the payment must be done or not have to make a call out if something is missing or not clear based on the documented procedure (provided by the client).
• New customers registration throughcalls or emails related to condominiums, transcription, Investigation, Assignments, Fraud management, Legaldocuments, invoices, Appeals, and reporting requirements Key Responsibility Areas: Interact with clients over phone/emails.
• Understand & gather information about the request, review the available information, resolve issues/queries, Proactive identification & resolution of issues with the objective of providing highest level of customer satisfaction.
• Connect with the customer & provide highest levelof satisfaction to the customer Making reports for the production and quality data for the team.
• Field Current org.
• Post Months ofexp.
• Insurance (New Business).

• Designation: Senior Process Executive Solutions and Claims Client Description: It is an US Based Insurance Organization called VOYA Claims- Voya INS (life and pension )- Sr Process Specialist: New Business process such as Plan set up, Policy creation, Documentation collection & Review, Authorizations, Binding, quotes and Policy Issue, Group Benefits- plan updates, commission calculations & pay out, contract renewals, Agent licensing.
• Review the document received from participant/Annuitant/Employer/Custodian/ Insured/ Owner/ Insurer to decide, “In Good Order” or “Not in Good Order” based on the documented procedure (provided by the client).
• Ascertain premium rates required and cash reserves necessary to ensure payment of future benefits.
• Claims management -Claim registration through calls or emails related to death claims, disability claims, surveyor document review, transcription, Investigation, Assignments, Fraud management, Legal documents, invoices, Appeals,, Tax compliance, Statutory and Legalreporting requirements Key Responsibility Areas: Interact with clients over phone/emails.
• Understand & gather information about the request, review the available information, resolve issues/queries, Escalate unresolved incidents, execute the task accurately, Proactive identification & resolution of issues with the objective of providing highest level of customer satisfaction.
• Connect with the customer & provide highest levelof satisfaction to the customer Training Attended- Infosys BPO: SRI 111Retirement Marketplace for Learners SEP Training Professional Experience: Field Current org.
• Post Years of exp.
• Insurance (Solutions & Claims) Cognizant Technology Solutions India Private LTD Sr.
• Process Executive 2 Years Application Used at work: Task Manager (Work Assigned) Life cad (Account information) PeopleSoft (Payment Received Correctly) Lotus Notes(PRD- Payment send to third party, Raise Service Request ) Penley (Customer Verification Check) Lexis Nexus (Helps to finds the Customer Information).

• It’s an US & UK based Telecom Organization, Now called as Everything Everywhere (EE) after merger with Orange Telecom and T-mobile.
• UK’s 1st 4G Organization.
• Commissions- EE- Process Specialist: Handling indirect queries for all two brands (TMUK& EE) on their plans.
• Assistance on queries to team members.
• Weekly/Daily Client Calls Team huddle and updates Interaction with Excaliber service team technicalsupport.
• Work allocation to the team members, estimate the time frame.
• Support on inbox handling (Mails from the Customers Or Direct Onshore) Key Responsibility Areas: Meeting the SLA Record data relating to production statistics, end-user related notes, etc.
• As appropriate Refer to knowledge updates/ repositories to effectively process transactions Training Attended- Infosys BPO: T-100 Domain Certification – telecom.
• T-100 Certification – Accounting.
• Professional Experience: Field Current org.
• Post Years of exp.
• Finance and Account (Commissions) Infosys BPO limited Process Executive 1 Year Application Used at work: Excalibur Sap Excel.