With over 11 years of experience in the insurance industry, my expertise lies in Health Claims Management, enhancing client satisfaction, and reducing fraudulent claims. I have led team members to achieve significant improvements in workflow efficiency and risk assessment accuracy.
· Managed complex Health Claims and reduced fraudulent claim through investigation.
· Recognized for excellent service with "Top Performer award for 2 consecutive years, benchmarking claim investigation standards.
· Provided specialized trainings to team members for claim management. Also participated in seminars related to claim management.
· Decreased claim cycle time by enhancing training programs.
· Investigated an average of 200 claims per year, ensuring accurate settlements.
· Contributed to company that cut down false claims and enhancing the overall financial health of the company.
· Efficiently managed 35600 claims yearly, always prioritizing client needs and thorough investigation.
· Developed a client satisfaction initiative through personalized claim handling and follow-up processes.
· Streamlined claim processing procedures resulting in improvement in inter-departmental claim hand-off efficiency.
o Reviewing and analyzing medical records to generate final summary output from analyzed data.
o Additional responsibility of writing summaries of Canadian medical records.
o Participated in discussions with senior management to improve quality standards across the process.
Pursued Rotational Internship for 6 months in Bakson Homoeopathic Medical College & Hospital and 6 months in Central Research Institute of Homeopathy (CRI), Noida.