Dhiraj Ramrao Masne

• Identified key trends in customer behavior through analysis of CRM data.
• Prepared detailed reports outlining progress towards meeting organizational objectives related to customer satisfaction.
• Implemented new technologies that improved efficiency in managing customer relationships.

Daily email/call/chat conversation with customers and given resolution from end to end.
Knowledge of preparing excel reports of Regarding (Claim investigation, IR calling documents, TAT Report analysis and Prepare daily report of Claims and sending the report to the manager, broker and Corporate HR.
IR Calling to customer regards on IR documents query.
Handling customer escalation as a first level and provides resolution from end to end.
Handling customer query on email using outlook and live mail.
Collection of claim documents from corporate and broker and inward on the system.
Attend corporate Help desk on daily and weekly basis and resolve queries related to claims.

• Serve as the main point of contact for Loop Health members for all claims-related inquiries
• Build relationships and familiarity with all TPAs and insurers to improve TATs and approval time
• Escalate issues in claims to TPA, conduct a root-cause analysis, and share with the client
• Coordinate with hospitals for the resolution of claims issue
• Maintain a clean and useful claims tracker
• Attend Helpdesk for Corporate as well as virtually through Zoom and Google Meet.

• Daily email/call/chat conversation with customers and given resolution from end to end.
• Knowledge of preparing excel reports of Regarding (Claim investigation, IR calling documents, payment process, TAT Report analysis and Prepare daily report of Claims and sending the report to the manager, broker and Corporate HR.
• IR Calling to customer regards on IR documents query.
• Handling customer escalation as a first level and provides resolution from end to end.
• Handling customer query on email using outlook and live mail.
• Chat with customer through official works apps and solve queries.
• Closing ticket on daily basis from Medibuddy portal.
• Collection of claim documents from corporate and broker and inward on the system.
• Attend corporate Help desk on daily and weekly basis and resolve queries related to claims.

• Handle 70+ calls on daily basis in English and Hindi language
• Maintain excel sheet and maintain the information about calls like caller name,mobile number and given resolution
• Provide proper information about health insurance policy
• Ex: policy end-start date, sum insured, claim status
• Emails drafting about claim intimations
• Co-ordinate with customer and handle all queries related to policy and given resolution from end to end
• Raise feasibility as per customer requirement and handle issues.