Risk Management
Dhruv Kumar Mathur
Assistant Manager - Claims
Chennai
Summary
Highly adaptable fraud analyst with 3+ years of proven expertise in risk management and fraud analysis within the insurance industry. Collaborated effectively with senior management to analyze and address fraud cases. Proficient in managing daily complaint handling, conducting thorough research, and expertly assigning tasks to team members. Trusted as a liaison between team members and top management, ensuring smooth data retrieval and seamless communication. Quick learner who thrives in fast-paced environments. Demonstrated unwavering commitment to maintaining meticulous records for efficient monitoring and future reference.
Overview
3
3
years of professional experience
3
3
years of post-secondary education
6
6
Certifications
Work History
Assistant Manager - Claims
Star Health and Allied Insurance
Chennai
12.2020 - Current
- Collaborated with Assistant General Manager in analyzing, monitoring, and addressing instances of fraud perpetrated by hospitals, insured individuals, and insurance agents, resulting in 30% reduction in daily fraudulent cases.
- As primary liaison between analysis team members and top management, facilitated data retrieval and provided updates on actions taken against hospitals based on metrics, increasing process efficiency by 10% and improving informed decision-making.
- Managed wide range of requests ranging from 7 to 2000 on weekly basis to provide updated actions taken against hospitals and agents, to support data-driven decision-making.
Data Science Intern
Claro Energy
Delhi
08.2020 - 12.2020
- Conducted extensive market research and analysis on weekly basis to evaluate price fluctuation of fruits and vegetables in local market and drew meaningful insights into market trends and dynamics.
- Assisted IT Team in development and implementation of new data recording method which decreased recording time by 10%, resulting in notable 20% increase in company productivity and efficiency.
Education
Master of Business - Information Management And Systems
La Trobe University
Melbourne, Australia 11.2016 - 2018.08
BBA - Business Administration
Manipal University Jaipur
Jaipur, Rajasthan 08.2013 - 09.2016
Skills
Risk Analysis
undefinedSoftware
Flexible
Problem Solving
Accomplishments
- Successfully recovered Rs. 202 Cr. in FY 22-23 from hospitals through effective fraud management and analysis, contributing to significant revenue protection and safeguarding against fraudulent practices
- Implemented efficient data retrieval techniques for semi-structured data, resulting in a remarkable 70% reduction in retrieval time, enhancing data accessibility and decision-making capabilities.
Certification
Data Visualization using Python, IBM
Timeline
Assistant Manager - Claims
Star Health and Allied Insurance
12.2020 - Current
Data Science Intern
Claro Energy
08.2020 - 12.2020
Master of Business - Information Management And Systems
La Trobe University
11.2016 - 2018.08
BBA - Business Administration
Manipal University Jaipur
08.2013 - 09.2016
Similar Profiles
Ajay GaneshAjay Ganesh
Claims-Officer at Star Health And Allied Insurance CoClaims-Officer at Star Health And Allied Insurance Co
PAVITHRA SPAVITHRA S
Deputy Manager - Learning & Development at Star Health and Allied Insurance Co. LtdDeputy Manager - Learning & Development at Star Health and Allied Insurance Co. Ltd
Kamalnath NarasimhanKamalnath Narasimhan
Vice President - Office Of MD & CEO at Star Health And Allied Insurance CoVice President - Office Of MD & CEO at Star Health And Allied Insurance Co
Kritika AtriKritika Atri
Senior Software QA Engineer at Star Health and Allied InsuranceSenior Software QA Engineer at Star Health and Allied Insurance
Sri Ranjith SSri Ranjith S
Splst, Development at Standard Chartered BankSplst, Development at Standard Chartered Bank