Dr. Foram Kapdi
Mumbai
Summary
Strategic and results-driven Senior Manager with strong expertise in insurance and healthcare operations, underwriting, and risk management. Proven ability to lead high-performing teams, manage multinational clients, and streamline claims and policy processes to improve efficiency and client retention. Recognized for clear leadership, stakeholder management, and delivering sustainable business growth in complex, global environments.
Overview
10
10
years of professional experience
Work History
Senior Manager-Multinational Client Specialist
Prudent Insurance Brokers
07.2024 - Current
- Manage and retain multinational and international corporate clients, ensuring long-term relationships and revenue stability
- Act as the single point of contact for global insurance programs, coordinating with insurers, TPAs, and international broker networks
- Drive client retention strategies, renewals, and service excellence across geographies
- Lead renewal negotiations, global program structuring, and stewardship reviews
- Identify opportunities for account expansion, cross-sell, and up-sell within existing clients
- Ensure compliance with global standards, SLAs, and regulatory requirements
- Oversee service delivery, claims escalation, and timely resolution for global accounts
- Collaborate with internal teams to ensure seamless onboarding and ongoing client management
SENIOR MANAGER
Alliance Insurance Brokers
09.2023 - 06.2024
- TAT Management: Skilled in establishing and maintaining effective TAT benchmarks for claim resolution
- Proactively identify bottlenecks and implement strategies to optimize efficiency and reduce turnaround times, thereby enhancing customer satisfaction
- Optimized claim TATs, enhancing customer satisfaction andamp; efficiency
- Expert in insurance policies, coverage andamp; regulatory compliance
- Analyzed claims data to improve management & strategize solutions.
ASSISTANT MANAGER
Aditya Birla Health Insurance
09.2022 - 10.2023
- Assist the Manager in overseeing daily operations of the health insurance department, including claims processing, policy administration, and customer service
- Supervise and train a team of insurance professionals, providing guidance, support, and performance feedback
- Collaborate with cross-functional teams, such as underwriting, actuarial, and compliance, to ensure seamless workflow and adherence to regulatory guidelines
- Implement process improvements to enhance operational efficiency, reduce costs, and optimize customer satisfaction
- Conduct quality assurance reviews to ensure accuracy and compliance with established policies and procedures
- Handle complex customer inquiries and complaints, resolving issues promptly and maintaining a high level of customer satisfaction
- Evaluated insurance applications and assessed risks to determine appropriate coverage and premiums
- Assist in the development and implementation of training programs for staff to enhance their knowledge and skills
- Participate in strategic planning and goal setting, contributing to the achievement of organizational objectives
- Conducted periodic audits of policy portfolios to ensure compliance with underwriting guidelines and identify potential risks
- Stayed updated on industry trends, regulatory changes, and emerging risks to inform underwriting decisions and policy development.
MEDICAL OFFICER
Vidal TPA
01.2021 - 07.2022
- Evaluated insurance applications and assessed risks to determine appropriate coverage and premiums
- Reviewed incoming applications and supporting documents, such as medical records, financial statements, and claim history
- Conducted thorough analysis of applicant information to determine eligibility and evaluate the level of risk involved
- Collaborated with agents, brokers, and underwriting team to gather additional information and clarify policy details
- Utilized underwriting guidelines and risk assessment models to evaluate applications and determine the terms and conditions of coverage
- Analyzed the potential for losses based on the applicant's profile, industry standards, and market trends
- Reviewed policy renewals and made adjustments as necessary based on changes in risk factors or market conditions
- Provided recommendations for policy cancellations, non-renewals, or premium adjustments when warranted
- Assessed policyholders' claims history, loss ratios, and other relevant factors to determine appropriate actions
- Conducted periodic audits of policy portfolios to ensure compliance with underwriting guidelines and identify potential risks
- Identified patterns or trends in claims data to improve risk assessment accuracy
- Supported the marketing and business development teams by providing underwriting insights and participating in client meetings or presentations.
MEDICAL OFFICER (CLAIM PROCESSOR)
Medi Assist TPA
08.2019 - 10.2020
- Processed and adjudicated insurance claims, ensuring accuracy, compliance, and timely resolution within company guidelines
- Reviewed claim documentation, medical records, and invoices to determine claim validity, completeness, and accuracy
- Conducted investigations into potentially fraudulent activities or irregularities, collaborating with internal departments and external agencies as needed
- Communicated with policyholders, providers, and internal teams to address claim-related inquiries, resolve issues, and provide updates on claim status
- Maintained comprehensive and organized claim files, ensuring confidentiality and adherence to data protection regulations
- Assisted in training new claim processors, sharing knowledge of best practices, company policies, and procedures
- Maintained accurate records of underwriting decisions, correspondence, and policy changes
- Utilized underwriting software and databases to update and track policy information
- Stayed updated on industry trends, regulatory changes, and emerging risks to inform underwriting decisions and policy development
- Attended industry conferences and workshops to enhance knowledge and skills.
DENTAL SURGEON
Royal Dental Clinic
02.2018 - 01.2020
- Performed comprehensive dental examinations, diagnoses, and treatment planning for patients of all ages
- Administered local anesthesia, performed tooth extractions, and conducted root canal therapy
- Placed and restored dental implants, performed crown and bridge work, and carried out cosmetic dental procedures
- Educated patients about proper oral hygiene techniques, preventive care, and the importance of regular dental check-ups
- Collaborated with a multidisciplinary team of dental professionals to develop personalized treatment plans
- Utilized digital imaging technology and electronic dental records for accurate diagnosis and efficient patient management
- Participated in ongoing continuing education courses and conferences to stay updated on the latest advancements in dentistry
- Completed specialized training in areas such as orthodontics, periodontics, or oral surgery
- Attended workshops on practice management, patient communication, and dental technology.
DENTAL SURGEON
Apurva dental clinic
03.2016 - 01.2018
- Provide a wide range of dental treatments, including general dentistry, restorative procedures, and cosmetic dentistry
- Perform dental examinations, diagnoses, and treatment planning for patients of all ages
- Administer local anesthesia and ensure patient comfort during procedures
- Conduct thorough dental cleanings and educate patients on proper oral hygiene practices
- Collaborate with specialists and refer patients as needed for advanced procedures
- Supervise and mentor dental staff, including dental hygienists and dental assistants
- Maintain accurate patient records and documentation of treatments provided
- Stay updated with the latest advancements in dental techniques, technologies, and materials
- Adhere to infection control protocols and maintain a clean and safe working environment
- Implement strategies to enhance patient satisfaction and improve practice efficiency.
Education
BDS -
Maharaja Krishna Kumar Shinji University
HSC -
Maharashtra Pune Board
SSC -
Maharashtra Pune Board
Skills
- Client & Stakeholder Management
- Leadership & Communication
- Healthcare & Dental Expertise
- Insurance Underwriting & Claims
- Digital Systems & Documentation
Personal Information
- Date of Birth: 09/12/91
- Nationality: Indian
- Marital Status: Single
- Title: Senior Manager
Timeline
Senior Manager-Multinational Client Specialist
Prudent Insurance Brokers
07.2024 - Current
SENIOR MANAGER
Alliance Insurance Brokers
09.2023 - 06.2024
ASSISTANT MANAGER
Aditya Birla Health Insurance
09.2022 - 10.2023
MEDICAL OFFICER
Vidal TPA
01.2021 - 07.2022
MEDICAL OFFICER (CLAIM PROCESSOR)
Medi Assist TPA
08.2019 - 10.2020
DENTAL SURGEON
Royal Dental Clinic
02.2018 - 01.2020
DENTAL SURGEON
Apurva dental clinic
03.2016 - 01.2018
BDS -
Maharaja Krishna Kumar Shinji University
HSC -
Maharashtra Pune Board
SSC -
Maharashtra Pune Board