Dr. RENUKA DASHAVANTAR
Bengaluru
Summary
To enhance my professional skills, capabilities and knowledge in an organization which recognizes the value of hard work and trusts me with responsibilities and challenges.
With overall 17 years of experience, 12 experience in the insurance industry, my expertise lies in claims management, enhancing client satisfaction and reducing fraudulent claims. I have comprehensive knowledge pertaining to claims assessment, investigation, claims inquiry and claims operations, claim settlement and providing quality service to all intermediaries namely client, insurance company and IRDA. I have led teams to achieve significant improvements in workflow efficiency and risk management assessment accuracy.
Overview
18
18
years of professional experience
Work History
Claims Manager
Prudent Insurance Brokers
11.2022
- Served as key liaison between clients and insurance companies, ensuring transparent communication and swift resolution of claims
- Implemented claim tracking system, enhancing the accuracy of claim status reporting and improving client satisfaction
- Identified and addressed potential errors and omissions, safeguarding the agency’s reputation and mitigating the risk exposure
- Understanding clients’ portfolio, their risk exposure and their engagement in the insurance world
- Liaison with internal departments to ensure delivery to the clients’ basis the commitments
- Consulting approach to the client and keeping the client versed with changing market dynamic
- Regular meetings with clients and organizing quarterly governance call
- Inducting employees and the client on placement benefits.
Team Leader
Mediassist TPA
10.2012 - 11.2022
- Lead team of 10 processors and supervised the claim processing, slashing the average claim resolution through strategic work flow improvements
- Accurate claim assessment and speedy claim decision within stipulated IRDA guidelines
- Managed complex liability claims and reduced fraudulent claims by investigation and TAT
- Maintaining knowledge of all appropriate medical insurance coverage laws in the local state and federal jurisdiction when reviewing claims
- Providing medical assessment support opinion to other team members
- Manage the day-to-day operations of the allotted insurers.
Senior Medical Transcriptionist
Jaya Infotech
06.2007 - 10.2012
- Preparation of medical documents listening to voice recordings of physicians and other healthcare workers within TAT.
Assistant Dentist
Dental Care and Research Care
02.2005 - 06.2007
- Providing comprehensive dental care
- Recognised for motivating patients for creating awareness and providing dental education.
Education
Bachelor of Dental Surgery -
M R Ambedkar Dental College, Rajiv Gandhi University
01.2023
MBA in Health Care Services - undefined
Sikkim Manipal University
05.2017
Licentiate and Associate - undefined
Insurance Institute of India
06.2015
Post Graduate Diploma in Clinical Research and Clinical Data Management - undefined
02.2012
Pre-University - undefined
N.M.K.R.V
04.1996
S.S.L.C - undefined
N.S.V.K
04.1994
Skills
- Claims management
- Risk assessment
- Policy analysis
- Stakeholder communication
- Fraud detection
- Strategic planning
- Analytical and logical reasoning bent of mind
- Ability to prioritize tasks
- Ability to manage and function under work pressure
- Strong time management and organizational skills
- Ability to work independently and as part of a team
- Passion for delivering exceptional customer service and meeting targets
- Service orientation
Timeline
Claims Manager
Prudent Insurance Brokers
11.2022
Team Leader
Mediassist TPA
10.2012 - 11.2022
Senior Medical Transcriptionist
Jaya Infotech
06.2007 - 10.2012
Assistant Dentist
Dental Care and Research Care
02.2005 - 06.2007
MBA in Health Care Services - undefined
Sikkim Manipal University
Licentiate and Associate - undefined
Insurance Institute of India
Post Graduate Diploma in Clinical Research and Clinical Data Management - undefined
Pre-University - undefined
N.M.K.R.V
S.S.L.C - undefined
N.S.V.K
Bachelor of Dental Surgery -
M R Ambedkar Dental College, Rajiv Gandhi University
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