Summary
Overview
Work History
Education
Skills
Websites
Accomplishments
Projects
Hobbies and Interests
Languages
Timeline
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DALMI ROY

Summary

With a deep-seated passion for the healthcare sector and an unwavering commitment to enhancing health operations, I aim to leverage my expertise in data analysis, client relationship management, and policy processing to drive innovative solutions as a Healthcare Analyst. Meticulously trained in pharmacy and armed with hands-on experience in medical client partnering, I am poised to contribute to effective healthcare service delivery. My objective is to employ analytical acumen and regulatory knowledge to improve patient outcomes, streamline operations, and uphold the integrity of healthcare data.

Expertise in health operation processing with a proven track record at HSBC Electronic Data Processing and Access Health Care Pvt Ltd. Proficient in the analysis and processing of Employee Benefit policies, contributing to client satisfaction and operational efficiency. Skilled in utilizing VLOOKUP and Salesforce to manage and interpret large datasets, driving insights for business development. Strong command of Excel for meticulous documentation and reporting, ensuring accuracy and regulatory compliance. Demonstrated ability to multitask and organize workloads effectively, maintaining high-quality standards under tight deadlines. Adept at fostering teamwork and collaboration, proven by successfully supporting peers to achieve collective goals. Recognized for exceptional attention to detail and quality control, pivotal in upholding service excellence in healthcare operations.

Overview

3
3
years of professional experience

Work History

Medical Underwriter Large Group

Carelon global solutions (ascent staffing solutions pvt ltd)
Banglore
09.2024 - Current
  • Prepared detailed reports summarizing findings and recommendations for coverage eligibility.
  • Conducted interviews with physicians and other healthcare providers to obtain additional information regarding applicant's medical condition.
  • Evaluated claims data to determine the extent of benefits available under various policies.

Junior Medical Underwriter (Singapore Health)

HSBC Electronic Data Processing India Private Limited
Bangalore
04.2023 - Current
  • Processing health insurance policies for individuals, groups, and organizations, ensuring accuracy and adherence to service standards
  • Conducting thorough assessments of medical information to determine risk levels and appropriate premium rates
  • Handling inquiries related to medical underwriting promptly and accurately
  • Analyzing and summarizing medical histories and risk factors
  • Collaborating with medical professionals to evaluate health-related data
  • Calculating premiums based on medical risk assessments
  • Identifying areas for process improvement and implementing changes to enhance efficiency and accuracy
  • Liaising with operations and underwriting teams to address queries and ensure compliance with regulatory standards
  • Meeting key performance indicators (KPIs) for turnaround time and accuracy
  • Facilitating communication and collaboration between underwriting and finance departments

Medical Client Partner (US Health)

Access Health Care Pvt Ltd
Chennai
08.2022 - 11.2022
  • Communication facilitation
  • Needs assessment and solution development
  • Contract management and Data analysis for insights
  • Client education on services and Prompt issue resolution
  • Quality assurance monitoring
  • Regular reporting to clients
  • Cross-functional collaboration for efficiency
  • Ensure compliance with healthcare regulations
  • Client relationship management
  • Managing health-related transactions
  • Processing health claims
  • Coordinating with healthcare providers
  • Ensuring compliance with regulations
  • Maintaining accurate records

Intern

BioPharm Drugs and Pharmaceuticals
Bangalore
01.2022 - 02.2022

Education

B Pharmacy -

Rajiv Gandhi University Of Health And Science
01.2022

Skills

  • Communication
  • Teamwork
  • Problem-Solving
  • Project Management
  • Leadership
  • MS Office
  • IBM AS/400
  • Salesforce
  • Aura
  • SAP
  • RARE

Accomplishments

  • Instrumental in introducing a new policy processing procedure that enhanced operational productivity by 15%.
  • Received commendations for outstanding client service, leading to a 98% client retention rate during my tenure.

Projects

Research, Preparation and evaluation of bathing bar using herbal extract of Alovara, ginger oil and flax seed oil, Developing and implementing standard operating procedures (SOPs) to streamline cross-functional processes and enhance effectiveness.

Hobbies and Interests

  • Volunteering at local health clinics
  • Reading medical journals and literature
  • Participating in fitness and wellness activities
  • Traveling to explore global healthcare systems

Languages

  • English
  • Malayalam
  • Kannada

Timeline

Medical Underwriter Large Group

Carelon global solutions (ascent staffing solutions pvt ltd)
09.2024 - Current

Junior Medical Underwriter (Singapore Health)

HSBC Electronic Data Processing India Private Limited
04.2023 - Current

Medical Client Partner (US Health)

Access Health Care Pvt Ltd
08.2022 - 11.2022

Intern

BioPharm Drugs and Pharmaceuticals
01.2022 - 02.2022

B Pharmacy -

Rajiv Gandhi University Of Health And Science
DALMI ROY