Dr. Alpa Malaviya
Senior Manager (Private Insurance)
Mumbai
Summary
Rich experience in health insurance industry Expert in health Claims assessment as per policy terms & condition, resolving grievances and resolving queries of insured. 7 yrs 10 months Hospital clinical experience as RMO. Approx 10 + yrs experience in TPA Health Insurance , End to end experience in Insurance Brokers_ EB Vertical
Overview
18
18
years of professional experience
1
1
Certification
4
4
Languages
Work History
Senior Manager (Private Insurance)
HEALTH INDIA TPA SERVICES PVT LTD
02.2026 - Current
- Managing a portfolio of 20 private insurance companies & 1 MNC broker with booksize of 675 crs
- Handling team of 10 doctors and 9 SPOCs for management of Pvt insurers.
- Manage end to end co ordination with pvt insurance company accounts.
- Ensure adherence to SLAs,guidelines and compliance requirements.
- Drive initiatives for efficient cashless operations,claims management and reporting.
- Analyse portfolio performance and share insights with management.
- Handle escalations and resolve issues promptly to maintain client satisfaction.
- Maintain corporate retention and corporate renewals.
- Reporting to : CEO
Online Homeopathy practitioner
SHREEJI HOMEOPATHY CLINIC
03.2023 - Current
- Online Homeopathy practitioner
AVP (CRM & Underwriting)
SPA INSURANCE BROKING SERVICES LTD
09.2021 - 01.2023
- Servicing of GMC, GPA, GTLI accounts
- Supporting Clients in Monthly Claims (cashless and reimbursement etc.)
- Sending monthly Flow chart to all clients Regular updates on Claim MIS, regular follow up on Claim Status of all clients, periodic help desk, and coordinationwith TPA/Insurance Co’s for all GMC corporate clients along with handlingcashless and reimbursements.
- Regular (monthly & quarterly) review for all clients insurance portfolio for the purpose of to avoid any gaps in client servicing.
- Maintaining PR & liaison with clients/operation Dept/Insurance Co in most cordial and smooth manner, Regular & scheduled meetings with all allotted clients in structured manner
- Organising Wellness Calander & Activities for corporates
- Underwriting & Servicing of EB policies.
- Reporting to : CEO
Senior Manager -Business development
HITECH INSURANCE BROKERS
12.2019 - 08.2021
- Preparing RFQs for GMC Corporate accounts & Participating in GMC renewals for business development.
- Liasoning hospitals for commercial business development.
- Co ordinating with Insurance companies for quotations and negotiating the same
- Understanding client requirements and facilitating the services and wellness services
- Co ordinating with Vendors for health camps & health check up services.
- Reporting to : CEO
Senior Manager (Broker & Corporate) relations
Medsave Healthcare TPA Ltd
07.2019 - 12.2019
- Managing a team of 10 CRM Executives
- Retention of clients,client servicing
- Resolving claim queries and grievances
- Maintaining relations at Insurance companies and attending review meets
- Performing wellness Activities for esteemed corporates
- Expedite escalated claims and resolving them.
- Attending review meetings of divisional and regional office
- Attending corporates for presentations and service reviews
- Organising Wellness Calander & Activities for corporates
- Reporting to : COO
Corporate Medical Manager
Vipul Medcorp TPA Pvt Ltd
08.2012 - 06.2019
- Handling corporate claims with a team of 6 doctors & 3 non medico’s
- Visiting corporate for processing of claims & resolving queries & interacting with clients
- Scrutinising the claims and medically opining the same for admissibility of claim.
- Expedite escalated claims and resolving them.
- Handling the client & insurer query in day-to-day work
- Reporting to : Vice President
- Experience : 10 years
Asst Manager
Vipul Medcorp TPA Pvt Ltd
10.2008 - 05.2011
- Handling corporate claims with a team of 6 doctors & 3 non medico’s
- Visiting corporate for processing of claims & resolving queries & interacting with clients
- Scrutinising the claims and medically opining the same for admissibility of claim.
- Expedite escalated claims and resolving them.
- Handling the client & insurer query in day-to-day work
- Reporting to : Vice President
- Experience : 10 years
Education
BHMS - undefined
Karnataka
01-2000
HSC - undefined
Mumbai
01-1994
SSC - undefined
Mumbai
01-1992
Skills
Strategic planning
Talent development
Operations management
Resource allocation
Operations planning
Market analysis
Data analytics
Documentation and reporting
Organizational improvement
Partnership development
Reporting management
Corporate communications
Team building
Teamwork and collaboration
Decision-making
Time management
Customer relationship management
Excellent communication
Positive attitude
Relationship building
Certification
INSURANCE BROKERS EXAMINATION CERIFICATE (BQP Qualified from National Insurance Academy)
Interests
Reading, Music
Timeline
Senior Manager (Private Insurance)
HEALTH INDIA TPA SERVICES PVT LTD
02.2026 - Current
Online Homeopathy practitioner
SHREEJI HOMEOPATHY CLINIC
03.2023 - Current
AVP (CRM & Underwriting)
SPA INSURANCE BROKING SERVICES LTD
09.2021 - 01.2023
Senior Manager -Business development
HITECH INSURANCE BROKERS
12.2019 - 08.2021
Senior Manager (Broker & Corporate) relations
Medsave Healthcare TPA Ltd
07.2019 - 12.2019
Corporate Medical Manager
Vipul Medcorp TPA Pvt Ltd
08.2012 - 06.2019
Asst Manager
Vipul Medcorp TPA Pvt Ltd
10.2008 - 05.2011
BHMS - undefined
Karnataka
HSC - undefined
Mumbai
SSC - undefined
Mumbai