Deepak Verma
Greater Noida
Summary
With 11 years of operations experience, I am a goal-oriented professional who has successfully assisted companies by developing and implementing improved operational standards, organizing high-performing teams, and strategizing innovative employee engagement programs. As a proactive employee, I excel at streamlining information, prioritizing critical tasks, and approaching complex issues with an analytical mindset. My expertise in insurance operations, combined with a commitment to continuous improvement, makes me a valuable asset to any organization.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Business Advisory Specialist (Manager)
Accenture Solutions Pvt Ltd
Gurugram, Haryana
10.2022 - Current
- Proficient Team Engagement: Actively engage in various teams within Accenture, with a current focus on enhancing operations for the claims indexing process. In addition, I completed three end-to-end transitions within Accenture.
- Leadership: Lead a team of 50 processors and two team leads in indexing team, ensuring target achievement and efficient performance. Work alignment and monitor queues to meet SLAs, and TAT. Before that, I led a team of 26 processors in the claims process.
- Indexing Team: Manage Group protection, Life, Retirement Pension Scheme, and Annuities work types in indexing team. Review batches along with medical documents to get the details uploaded in the client tools and then route them to the concerned team for further decision with the following instructions of SOPs, DTPs, tools, and applications.
- Insurance Skills: Disability Insurance, Group Insurance, Claims Indexing, FMLA, Leave Absence & Disability Claims, ERISA, HIPPA, ICD-9/10, CPT, Procedure Coding, Diagnosis Codes
- Performance Management: Conduct one-on-one performance discussions with team members.
- Regular Reporting: Maintain daily, weekly, and monthly process reporting including production tracker, quality, OE documents, feedback analysis and RCA
- Process Management: Efficiently manage shrinkage, attrition, attendance, and leave trackers. Address process-related queries, handle IT issues, and fulfill additional requirements.
- Claims Management: Manage OPT/Wellness product claims queues. Review claims along with medical documents to make approval or denial decisions using attached documents, job aids, SOPs, DTPs, tools, and applications.
- Billing Support: Support the premium processing billing process for backlog support as part of the Billing team.
- Issue Resolution: Align with the Problem Management Team, addressing issue tickets raised by customers through end-to-end research, and timely resolution.
Process Developer
Genpact India Pvt Ltd
06.2019 - 10.2022
- Collaborated with STD and Integrated Claims Team: Tasked with the initial assessment of illness/accident claims and the conclusive determination of pregnancy-related claims for a US health insurance company.
- Document Review: Responsible for reviewing eligibility criteria and pertinent documents, including employee statements, employer statements, and attending physician statements.
- Insurance Skills: Leave Absence & Disability Claims, ICD-9/ICD-10 Coding, Diagnosis Codes
- Claims Decision: Ensured precise claims decisions using JA, JI tools, and other applications.
- Team Management: Managed a team of 8 members, hosting daily meetings to discuss Power BI reports and address queries about new claims inventory and pending claims management.
Senior Executive
Easy Policy Insurance Web Aggregators Pvt Ltd
10.2018 - 06.2019
- Managed after-sales service including welcome calls, verification, documentation, loading amounts, arranging PPMC for medical checkups, customer retention and policy issuance
- Ensured maintenance of sales actions and reported daily sales activities
- Scrutinized new business proposals according to underwriting guidelines and followed up with clients for policy issuance
Tele Caller
HDFC ERGO General Insurance Company
07.2016 - 06.2018
- Aligned in renewal and retention process for insurance policies of existing customers
- Responsible for premium collection, timely welcome calls, follow up calls with product information, and ensuring best customer services
Education
MBA - Operations Management
Swami Vivekanand Subharti University
Meerut, UPSkills
- Client Relationship Management
- Claims Management
- Claims Indexing
- Performance Management
- Problem Solving
- Data Analysis & Reporting
- Regulatory Compliance
- Customer Service
- Tech Skills - MS-Office (Excel, Word, PowerPoint, Outlook, Visio)
Accomplishments
- HDFC ERGO: Recognized by management for monthly target achievements.
- Easy Policy: Appreciated by senior management for achieving maximum policy issuance targets.
- Genpact:
- Praised by U.S. trainers and management for achieving 100% accuracy in short-term disability initial review claims, final decision claims, managing pending claims inventory, and providing regular, quick responses to clients and team members
- Commended by Genpact management for handling U.S. client calls, report presentation, inventory management, and receiving awards for monthly performance and target achievements
- Accenture: Received Individual Excellence Awards in Problem Management Team for outstanding performance and contribution in delivering excellence.
Disclaimer
I hereby declare that the information furnished above by me is true to the best of my knowledge.
Certification
FLMI Level 1: Insurance fundamentals - Jan 2025
Languages
English
Proficient (C2)
C2
Hindi
Proficient (C2)
C2
Timeline
Business Advisory Specialist (Manager)
Accenture Solutions Pvt Ltd
10.2022 - Current
Process Developer
Genpact India Pvt Ltd
06.2019 - 10.2022
Senior Executive
Easy Policy Insurance Web Aggregators Pvt Ltd
10.2018 - 06.2019
Tele Caller
HDFC ERGO General Insurance Company
07.2016 - 06.2018
MBA - Operations Management
Swami Vivekanand Subharti University