Chakrapani Ranganathan

Key Responsibilities & Achievements:

• Spearheaded the automation of medical and life insurance underwriting and claims processes through innovative software applications, streamlining operations and reducing turnaround time.
• Provided domain expertise to software development teams, ensuring the creation of precise, user-friendly, and regulatory-compliant applications.
• Played a pivotal role in designing and implementing comprehensive Third-Party Administrator (TPA) interfaces, enhancing interoperability and efficiency in claims processing.
• Collaborated with cross-functional teams to identify pain points in underwriting and claims workflows, proposing technology-driven solutions to optimize outcomes.
• Ensured compliance with industry regulations and standards, incorporating best practices into software design and functionality.
• Facilitated knowledge transfer sessions and provided hands-on guidance to developers, bridging the gap between technical requirements and domain-specific needs.
• Led process improvement initiatives that resulted in measurable increases in operational efficiency and customer satisfaction.

Skills:

• Domain expertise in medical and life insurance underwriting and claims.
• Proficiency in developing and automating insurance processes and TPA solutions.
• Strong collaboration skills with technical teams to translate domain requirements into functional applications.
• Expertise in process optimization, compliance management, and stakeholder engagement.

Achievements:

• Successfully implemented an automated underwriting system, reducing processing time by 30%.
• Contributed to the launch of a state-of-the-art TPA interface, enabling seamless integration with insurance providers, and healthcare networks.
• Recognized for domain insights that significantly improved the accuracy of claims assessments and underwriting decisions.

• Performed risk assessments across multiple areas of operations in order to identify potential issues before they arise.
• Implemented quality assurance protocols in order to improve overall system performance.
• Worked closely with systems analysts, engineers and programmers to understand limitations, develop capabilities and resolve software problems.
• Created user-friendly software applications to meet customer requirements.
• Analyzed reinsurance contracts and agreements to ensure compliance with company policies and industry regulations.
• Designed training materials for new hires on topics related to reinsurance analysis techniques.
• Reviewed insurance, annuity and pension plans to determine financial soundness for calculating premiums.
• Prepared and presented reports on reinsurance market trends to senior management.
• Evaluated emerging technologies used by competitors that could improve operational efficiency.
• Participated in audits of reinsurance operations to identify areas for process improvement.
• Collaborated with internal stakeholders to develop innovative solutions for complex problems.

• Overall responsibility for P&L management in specified product lines.
• Sales and Distribution Management for a portfolio size of approximately $25 million annually.
• Reinsurance placements in Middle East and European markets for specified product lines.
• Conceive, plan, and execute business plans at the corporate level.
• Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
• Provided support and guidance to colleagues to maintain a collaborative work environment.

• Underwriting & Claims Management: Led the underwriting and claims management functions for both individual and group medical insurance products.
  Conducted thorough risk assessment, premium pricing, and policy issuance processes for new and renewal medical insurance policies.
  Coordinated the evaluation and settlement of complex claims, ensuring compliance with policy terms, timelines, and accuracy.
  Worked closely with internal teams to develop and implement strategies that reduced claim leakage and improved cost efficiency.
• Third-Party Administrator (TPA) Management: Managed relationships with Third-Party Administrators (TPAs) for medical network administration, ensuring seamless service delivery and network optimization.
  Oversaw the performance of TPAs in areas such as provider network management, claims adjudication, and medical cost containment.
  Negotiated contracts with TPAs to secure competitive pricing, and ensure high-quality services for policyholders.
  Monitored TPA performance metrics, identified improvement opportunities, and implemented corrective actions to improve operational efficiency and customer satisfaction.
• Digital Automation of Claims Processing: Spearheaded the introduction and implementation of software applications to automate internal claims processing, enhancing operational efficiency.
  Collaborated with IT teams to design and deploy digital solutions that streamlined the underwriting and claims workflows, reducing manual interventions, and processing errors.
  Integrated data-driven decision-making tools into the claims management system to improve claim adjudication accuracy and speed.
  Trained internal teams on new digital tools, ensuring smooth transitions and optimal usage across the underwriting and claims departments.
• Cross-functional Collaboration & Process Improvement: Collaborated with the actuarial, sales, legal, and compliance teams to ensure alignment on product development, risk management, and regulatory compliance.
  Led process optimization initiatives that streamlined underwriting and claims workflows, resulting in improved turnaround times and customer experience.
• Regulatory & Compliance Oversight: Ensured all underwriting and claims operations adhered to local and international insurance regulations, maintaining high standards of compliance and risk mitigation.
  Stayed updated with evolving industry regulations, and worked proactively to adapt internal policies and procedures.
  
• Customer Engagement & Support: Provided guidance and support to policyholders in navigating medical claims processes and coverage options, ensuring clear communication and customer satisfaction.
  Developed training materials and conducted workshops for internal teams to enhance their understanding of medical insurance policies and claim processes.

Skills:

• Medical Insurance Underwriting and Claims Management.
• Third-Party Administrator (TPA) Oversight and Relationship Management.
• Digital Automation and Software Implementation in Claims Processing.
• Risk Assessment and Cost Containment Strategies.
• Process Optimization and Operational Efficiency
• Regulatory Compliance and Industry Standards.
• Achieved cost-savings by developing functional solutions to problems.
• Contributed innovative ideas and solutions to enhance team performance and outcomes.

• Achieve business targets for both growth and profitability in key product lines.
• Led a team of 50 members (including branches and sales outlets) with an annual growth of over 20%.
• Annual training and development plan of the team.
• Analyzed data from market research surveys to identify trends and develop actionable insights for organizational growth.
• Reported to executive leadership on performance metrics, challenges, and strategic opportunities.
• Managed annual budgeting process, including forecasting and financial analysis to optimize resources.
• Oversaw quality assurance efforts to maintain high standards of product and service delivery.

• Established strong relationships with vendors, brokers, agents, insurers.
• Analyzed medical records and financial documents to determine eligibility for life insurance coverage.
• Collaborated with underwriters to facilitate the approval of applications.
• Collaborated with other departments such as underwriting and sales teams to ensure client satisfaction.
• Achieved sales targets through effective client presentations and follow-up.
• Maintained up-to-date knowledge of industry regulations, trends, and best practices.
• Customized insurance policies to meet the specific needs and financial goals of clients.
• Ensured compliance with state laws governing life insurance policies.
• Used mailings and phone solicitation and made presentations to groups at company-sponsored gatherings to gain new clientele.
• Assisted clients with claims processing and policy changes.
• Sought out new clients and developed clientele by networking to find new customers.
• Conducted policy reviews to identify opportunities for additional coverage or adjustments.
• Achieved repeat business and referrals through personalized services.
• Developed marketing strategies to compete with other individuals or companies selling insurance.
• Implemented marketing strategies to attract new clients and retain existing ones.
• Delivered outstanding customer service, addressing client inquiries and concerns promptly.
• Worked with cross-functional teams to achieve goals.
• Upsold products to policyholders and potential new clients.