Summary
Overview
Work History
Education
Skills
Languages
Accomplishments
Timeline
Generic
Dr. Ruchika Saini

Dr. Ruchika Saini

New Delhi

Summary

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.

Overview

11
11
years of professional experience

Work History

Claims Manager/Insurance

Hdfc Ergo General Insurance
Noida
01.2022 - Current

· 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.

Claims Deputy Manager

Hdfc Ergo General Insurance
Noida
04.2023 - 04.2024

· 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.

Claims Assistant Manager

Hdfc Ergo General Insurance
Noida
01.2022 - 04.2023

· 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.

Senior Medical Summarizer

Genpact
Noida
06.2016 - 01.2021

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.

Medical Officer

Clinic
06.2013 - 06.2016

Pursued Rotational Internship for 6 months in Bakson Homoeopathic Medical College & Hospital and 6 months in Central Research Institute of Homeopathy (CRI), Noida.

Education

BHMS - Homoeopathic Medicine

Bakson Homoeopathic Medical College
Greater Noida
06-2007

High School Diploma -

DLDAV Model School
New Delhi
04-2007

Skills

  • Claims Management
  • Risk Assessment
  • Fraud detection
  • MS office and Word

Languages

Hindi
First Language
English
Beginner (A1)
A1

Accomplishments

  • Top Performer Award for 2 consecutive years

Timeline

Claims Deputy Manager

Hdfc Ergo General Insurance
04.2023 - 04.2024

Claims Manager/Insurance

Hdfc Ergo General Insurance
01.2022 - Current

Claims Assistant Manager

Hdfc Ergo General Insurance
01.2022 - 04.2023

Senior Medical Summarizer

Genpact
06.2016 - 01.2021

Medical Officer

Clinic
06.2013 - 06.2016

BHMS - Homoeopathic Medicine

Bakson Homoeopathic Medical College

High School Diploma -

DLDAV Model School
Dr. Ruchika Saini