Rahul Rathi
Analyst I – Insurance Operation
Summary
Highly skilled and dedicated Insurance Operations with 9 Years and 4 Months of experience with Analyst I- Premium Billing, Group Billing, EFT Research, List bill Payment, Premium refund, Premium Research, return checks, Premium Suspense, Journal Entry. Property and Casualty (P&C), Subrogation Demand Launch, Arbitration Forum Decision Payment, Vendor Assignment, Vendor Collection Fees, Daily Transaction Report (DTR), Review Premium and Loan Application, Dividend Processing, and Insurance Claims, Mortgage Banking Operation Effectively managing and optimizing operational processes. Proven track record of driving efficiency, reducing costs, and improving overall productivity. Strong leadership abilities, adept at motivating and guiding teams towards achieving organizational goals. Exceptional problem- solving and decision-making skills, with a keen attention to detail. Excellent communication and interpersonal skills, able to collaborate effectively with cross-functional teams and stakeholders. Seeking a challenging role to utilize my extensive experience and contribute to the success of a dynamic organization.
Results-oriented Analyst skillful in managing and breaking down large volumes of information. Proactive at heading off issues in operations, workflow and production by uncovering trends affecting business success.
Overview
9
9
years of professional experience
2
2
Languages
Work History
Analyst I
DXC Technology Solution
11.2020 - Current
- I am pleased to announce that I got promoted to Analyst I in 2023
- Team handling for payment billing actively using client applications for multiple work types as EFT Research, List bill Payment, Premium refund, Premium Research, return checks, Premium Suspense, Review Premium and Loan Application, Dividend Processing, Journal Entry
- Managed inventory levels
- Assisted in the development and implementation of policies and procedures to ensure compliance with company standards and regulations
- Collaborated with other departments to coordinate and streamline operations, ensuring effective communication and teamwork
- Assisted the manager in overseeing daily operations and ensuring smooth functioning of the department
- Managed and supervised a team of employees, providing guidance and support to achieve department goals
- Developed and implemented operational strategies to improve efficiency and productivity
- Monitored and analyzed key performance indicators to identify areas for improvement and implement corrective actions
- Conducted regular staff meetings to communicate goals, expectations, and provide training on new processes or procedures
- Assisted in the recruitment and selection process of new employees, conducting interviews, and making hiring recommendations
Sr. Process Associate
Cognizant Technology Solution India Pvt. Ltd
01.2019 - 11.2020
- Quality Audit for Subrogation Demand launch, Arbitration Forum Decision Payments, Vendors Assignment, Vendors Closing, Vendor Collection Fees, Daily Transaction Report (DTR) Total 25 Workflows
- Subrogation Demand Launch- Actively use client portal for verify document for launching Demand for different scenarios
- Arbitration Forum Decision Payment- This a legal document both (Applicant and Respondent) parties bound to follow it
- As an applicant recover amount from 3pc and issue deductible to Insured on pro-rata basis and as per respondent execute the payment to 3pc on proved liability percentage against us
- Vendor Assignment- New claims assignment to the Vendors with matching criteria
- Vendor Collection Fees- Pay vendor fees which is arbitration fees, Fee against Recovery Amount
- Daily Transaction Report (DTR)- Maintain DTR to ensure referral amount matches with business and Vendor application
- Serve as a mentor and coach to junior team members
- Monitor and evaluate performance metrics and provide recommendations for improvement
- Identify opportunities for process improvement and efficiency enhancement
- Lead and participate in meetings, presentations, and discussions to share knowledge and insights
- Stay up to date with industry best practices and regulatory requirements
- Create and deliver training programs and materials to educate and empower team members
- Collaborate with cross-functional teams to develop and implement strategies and solutions
- Conduct research and analysis to identify and solve complex problems
- Provide expert advice and guidance to internal teams and clients
- Develop and maintain a deep understanding of the subject matter and industry trends
Process Associate
Capgemini India Pvt. Ltd
11.2015 - 01.2019
- Processing Claims for life insurance Project (Death, Disability claim) and provide our client with the relevant information
- As a claim processor it is my responsibility to verify client & claimants details match with all paperwork available in sales platform and ECM, Verifying the death certificate and other medical documents
- If anything is not in good order, as per procedure re-ordering the required document
- Verifying multiple account coverage i.e( MTG, Rcl & Loan)
- Make approval or denial decisions and negotiate settlements with agent in accordance with policy provisions
- Research the data & preparing financial statement for client
- Sharing team call-back & pending claims status report by Excel
- Providing Mentoring & training of the new joiners
- Actively use VDI, CASPER, encore, on demand & other tools provide by client to search details of policy owners
Education
Senior Secondary -
CBSE
Secondary - English, Hindi, Mathematics, Science and Social Science
Karl Huber School
Bachelor of Business Administration - Finance, Marketing, International Business, Management, Banking and Finance
Mangal may Institute of Mgmt. & Tech.
Skills
Proficient in managing a team of insurance professionals
Strong knowledge of insurance operations and industry regulations
Proficient in Documentation and reporting
Report preparation BI dashboards, Data visualization tools
Business operations analysis
Ability to interpret insurance claims
Strong decision-making abilities
Finding innovative solutions drive performance
Skilled in problem solving
Project management and enhancement
Team collaboration and leadership
Root-cause analysis
Certificationsandskills
- Six Sigma Green Belt, ZSSGB121153534, 10/01/24
- Six Sigma White Belt, ZSSWB121166836, 10/01/24
- Quality Management for Business Excellence (Accredited), 25486690554598, 09/01/24
- Mastering Project Quality Management (Accredited), 51825824653366, 09/01/24
- AIGPE SEVEN BASIC TOOLS OF QUALITY EXPERT, ZSS7Q121143520, 08/01/24
- Project Management Fundamentals, 08/01/24
- Leadership: Practical Leadership Skills, 07/01/24
- Generative AI for Dev Ops Engineers, 07/01/24
- Microsoft Excel - Excel from Beginner to Advanced, 05/01/24
- AI for Business leader, 05/01/24
- PMP, PMI, Under Training
Timeline
Analyst I
DXC Technology Solution
11.2020 - Current
Sr. Process Associate
Cognizant Technology Solution India Pvt. Ltd
01.2019 - 11.2020
Process Associate
Capgemini India Pvt. Ltd
11.2015 - 01.2019
Secondary - English, Hindi, Mathematics, Science and Social Science
Karl Huber School
Senior Secondary -
CBSE
Bachelor of Business Administration - Finance, Marketing, International Business, Management, Banking and Finance
Mangal may Institute of Mgmt. & Tech.