BHAUMIK GOHEL
Ahmedabad,Gujarat
Summary
Asst. Manager CRM & Business Development with experience supporting health insurance TPA clients through claim coordination, grievance resolution, and policy servicing. Manages corporate, broker, and insurer relationships through routine meetings, service follow-ups, and support for cashless and non-cashless claim procedures. Strengthens client satisfaction by handling endorsement changes, waiver requests, and review discussions with clear communication.
Overview
1
1
Language
12
12
years of professional experience
Work History
Senior Consultant - Partnership
9One Consultancy
06.2026 - Current
- Formulated and executed process improvement strategies elevating operational efficiency for client organizations.
- daily visits as help desk representative at orthopedic hospital to scrutinize reimbursement claims file
- advising policyholders and clarifying policy elements including coverages, start date, insured amount, and other advantages
- to evaluate every document variation and liaise with medical section nursing teams and administrators to establish claim file
- audited claim file forwarded to TPA insurance company for a claim increase on behalf of insured.
Asst. Manager CRM & Business Development
Medsave Health Insurance TPA Ltd
06.2014 - 01.2019
- Job profile and Responsibilities
- Experience with Third Party Administration a solid background in evaluating
- Routine visit at Divisional office/Micro office/Branch Office/Regional Office of the insurance company for business development and claim related waiver, approvals and confirmation
- Routine Visit at Corporate and Insurance Broker for maintaining the relation, Claim related help to cashless - non cashless procedure
Asst. Manager - CRM & BD
Paramount Health Service & Insurance TPA Pvt Ltd
11.2019 - 10.2024
- Profile and Responsibilities
- Processing excellent communication skill to effectively interact with the client , Conduct telephonically call from the insured and address concern over the phone for conclusion
- Routine visit at the insurance company for settlement of grievances, Delayed intimation or Delayed submission waiver and addition - deletions or modifications of data endorsement.
- During the making policy routine Visit at the Corporate and Insurance Broker for understanding the RFQs and related benefits determined between the insurance brokers and the corporates
- General meetings, Review meetings related to ongoing policy and resolve the service related issues
- Purpose to support, benefits and the satisfaction of the each insured/corporate said client.
CRM - Account Management
Medi Assist TPA
11.2025 - 05.2026
- Conduct routine divisional office visits for business development and claim waivers.
- Review approvals and confirmations during insurance office check-ins and follow-ups.
- Maintain broker and corporate relationships through cashless and reimbursement guidance.
- Arrange health check-ups and health talks with leading hospitals at premises.
- Attend monthly and weekly help-desk visits across corporate locations.
Education
Bachelor of Commerce -
Gujarat University
01-2022
Higher Secondary/12th - undefined
GHSEB (Gujarat Higher Secondary Education Board
01-2010
Matriculation/ 10th - undefined
GSEB (Gujarat Secondary Education Board)
01-2007
Skills
Client relationship management
Key account management
Business development
Stakeholder engagement
Renewal management
Insurance claims coordination
Policy servicing
Grievance resolution
Claims waiver processing
Policy endorsement processing
Personal Information
- Date of Birth: 09th June, 1990
- Nationality: Indian
- Marital Status: Unmarried
- Religion: Hindu
Achievements & Awards
In 2023-24 at Paramount Health Service & Insurance TPA Pvt Ltd, Ahmedabad given Appreciation as an Employee of the Quarter Certificate
Timeline
Senior Consultant - Partnership
9One Consultancy
06.2026 - Current
CRM - Account Management
Medi Assist TPA
11.2025 - 05.2026
Asst. Manager - CRM & BD
Paramount Health Service & Insurance TPA Pvt Ltd
11.2019 - 10.2024
Asst. Manager CRM & Business Development
Medsave Health Insurance TPA Ltd
06.2014 - 01.2019
Matriculation/ 10th - undefined
GSEB (Gujarat Secondary Education Board)
Higher Secondary/12th - undefined
GHSEB (Gujarat Higher Secondary Education Board
Bachelor of Commerce -
Gujarat University