Devjot Singh
New Delhi
Summary
Dynamic Assistant Manager with more than 10 years of varied experience in Employee Health & Benefits, Life Event Processing, Group Insurance Benefit Enrollment, New Hire Handling, Insurance Underwriting, Claims Reimbursement Management, as well as People Management and Client Reporting. With over 7.5 years dedicated to Employee Health & Benefits, and 2.5 years focused on Client Reporting and People Work Management, I offer a robust combination of domain knowledge and operational effectiveness. My proficiency in Employee Health & Benefits, Life Event Processing, and Claims Reimbursement Management has allowed me to showcase effective leadership skills by establishing seamless processes for clients and teams, consistently delivering results for all stakeholders, while maintaining customer satisfaction.
Overview
11
11
years of professional experience
Work History
Assistant Manager
Mercer India Consulting Pvt. Ltd.
Noida
09.2023 - Current
- Managing and supporting team in Employee Heath & Benefit tasks like claim adjudication and life event process for Singapore clients (Asia-Pacific Singapore)
- Managing all aspects of operations management, such as claim adjudication, reimbursement, payroll and reimbursement administration, underwriting, and employee's life events.
- Worked on VSM project on claims adjudication process to minimizing additional time and effort, which contributes to a reduction in man hours by implementing automation.
- Working with team to identify gray-area in order to streamline the claims guidelines and mitigate challenges in claims processing.
- Involve in sharing RCA on client's negative feedback receive via client survey and share feedback to the employee.
- Involve in monthly and quarterly client reporting to Singapore onshore team.
- Engage in monthly dashboards for monitoring team performance and volume.
- Performing quarterly process knowledge assessments, provided valuable feedback, and facilitated training sessions to foster team growth.
- Working with team members and management as a communication channel and facilitate effective collaboration.
- Collaborating with internal teams for enhancing efficiency and reducing error rate.
- Coordinated training sessions to improve team skills and process knowledge.
- Supervised daily operations including assigning claims.
- Organize training sessions for new hires to familiarize them with the workplace environment.
Process Champion
Mercer India Consulting Pvt. Ltd.
Noida
09.2021 - 08.2023
- Worked in life event environment that includes activities like creating profile for new hire or rehire, adding dependent details, marriage details, updating termination, movement details etc.
- Majorly involved in adding benefit balance, providing enrollment window, calculating benefits price tag etc of the employees.
- Coordinate changes across medical, dental, vision, life, and disability plans.
- Ensure correct payroll deductions and employer contributions.
- Resolve discrepancies between systems and vendors.
- Educate employees on coverage options, deadlines, and documentation requirements.
- Provide clear guidance on impact of life events on benefits and costs.
- Perform quality checks and peer reviews of life event transactions.
- Creating and reviewing salary deductions due to enrollment or benefit over utilization under claim to client HR.
Process Developer
Mercer India Consulting Pvt. Ltd.
Noida
11.2019 - 08.2021
- Demonstrated proficiency in accurately adjudicating claims, maintaining high level of quality and productivity for Singapore clients like Amazon and Deutsche Bank Singapore.
- Majorly involved in preparing and sharing reimbursement and salary deductions file to the clients as per the timeline.
- Utilized my knowledge of healthcare regulations to ensure compliance with industry standard.
- Involved in auditing and sharing claims data with manager with teams quality score.
- Participated in client calls for discussion and providing solutions to the onshore team members.
- Streamlined multiple claims guidelines to improve accuracy and efficiency.
- Worked on clients claims reporting to track and allocate claims to the team member.
Benefit Operation Administrator
Wipro
Gurugram
09.2017 - 11.2019
- Analyse healthcare claims to determine the extent of the company's liability, make approval or denial decisions and negotiate settlements with client in accordance with the policy provisions.
- Worked on Siebel and IBM lotus notes tool to resolve client queries.
- Involved in supporting team leaders and managers in providing resolution within SLA with proper documented RCA.
- Responsible for processing US healthcare, child care, premium, medical and wellness claims.
- Worked as a mentor and trainer of new hires, contractors, and various location batches.
- Created process documentation including flowcharts, SOPs, and work instructions.
- Worked with team to resolved complex claim issues, clients concerns over emails resulting in enhanced customer satisfaction and decreased claim processing time.
- Contributed to the professional growth and team performance of junior claim adjudicators through mentoring and training.
Senior Practitioner
IBM
Gurugram
05.2015 - 09.2017
- Performed HCPC code verification for US insurance providers over calls.
- Managed B2B claims processing and risk assessment.
- Collaborated with team members to enhance workflow efficiency.
- Engaged in research to identify the major reason for claim denial and provide possible workaround with the management.
- Involved in Quality Audit of calls of team members and share details with the managers for their further action.
- Worked on Yellow Belt and Tiger Project for insurance verification and B2B process.
Education
Bachelor of Commerce - Delhi
PGDAV College, University of Delhi
Delhi05.2014
Skills
- Operations and Task Management
- Healthcare Insurance
- Process Improvement & Optimization
- Claim Management & Adjudication
- Employee Health & Benefit
- Analytical Thinking
- Six Sigma - Yellow Belt
- Data-driven decision making
- JIRA
- Darwin
- MS Office
- Siebel
- Lotus Notes
- Citrix
- Payroll administration
- Problem-solving
Accomplishments
Star of the Month, Mercer, India.
Languages
English
Advanced (C1)
C1
Hindi
Advanced (C1)
C1
Timeline
Assistant Manager
Mercer India Consulting Pvt. Ltd.
09.2023 - Current
Process Champion
Mercer India Consulting Pvt. Ltd.
09.2021 - 08.2023
Process Developer
Mercer India Consulting Pvt. Ltd.
11.2019 - 08.2021
Benefit Operation Administrator
Wipro
09.2017 - 11.2019
Senior Practitioner
IBM
05.2015 - 09.2017
Bachelor of Commerce - Delhi
PGDAV College, University of Delhi