Ashish Pandey
Claim Advisor
Gurgaon
Summary
Claim Advisor in the Health Claims Department at PolicyBazaar, with a strong background in customer service, claims coordination, and operational support. Experienced in managing health insurance claims, coordinating effectively with TPAs, hospitals, and internal stakeholders, and ensuring timely and seamless claim resolution.
Previously worked at Aptronix Apple Service Center, where I developed expertise in delivering exceptional retail customer service and resolving technical issues efficiently. Recognized for strong communication, problem-solving abilities, customer-centric approach, and commitment to maintaining high service standards while building long-term customer trust.
Overview
4
4
years of professional experience
Work History
Claim Advisor
Policy Bazaar
06.2025 - 09.2026
- Verify policy details, eligibility, and documentation required for pre-authorization and claim approvals.
- Coordinate with hospitals and insurance companies to initiate cashless claims and keep patients informed during hospitalization.
- Follow up with TPAs to secure timely cashless approvals and clear discrepancies before settlement delays arise.
- Provide end-to-end hospitalization support to policyholders, combining clear communication with calm conflict resolution.
- Maintain accurate claim-status records and reports while meeting service quality and turnaround time targets.
Customer Care Executive
Aptronix Apple Service Center
01.2023 - 01.2024
- Guided customers through Apple product troubleshooting for iPhones, iPads, and Macs.
- Coordinated product repairs, warranty claims, and diagnostic tests with technical teams for complex issues.
- Maintained detailed customer records in the service management system for accurate case tracking and follow-up.
- Educated customers on Apple features, usage, and best practices to improve day-to-day product confidence.
- Managed escalations with technical teams and applied conflict resolution to keep complex cases moving.
Education
Bachelor of Humanities and Social Science - undefined
Asian International University
01-2024
Schooling / Intermediate - undefined
01-2018
Skills
Claim processing
Service operations
Troubleshooting
Escalation management
Conflict resolution
Eligibility verification
Pre-authorization support
Policy interpretation
Documentation review
Care coordination
Timeline
Claim Advisor
Policy Bazaar
06.2025 - 09.2026
Customer Care Executive
Aptronix Apple Service Center
01.2023 - 01.2024
Schooling / Intermediate - undefined
Bachelor of Humanities and Social Science - undefined
Asian International University