Dr Sathish Kumar V
Bangalore
Summary
Dynamic Deputy Manager at Narayana Health with expertise in claim adjudication and process improvement. Proven track record in enhancing customer satisfaction through effective complaint resolution and compliance monitoring. Skilled in pricing data analysis and known for strong decision-making abilities, driving operational excellence in claims management.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Deputy Manager
Narayana Health / Narayana health Insurance
Bangalore
05.2022 - Current
- Claims processing and Handling Self-Funded Employee Benefit Scheme.
- Created processes for handling customer complaints effectively.
- Monitored daily operations and ensured compliance with company policies and regulations.
- Claim adjudication
- Providing medical opinion
- Claim audits
- Customer coordination for all claims related queries
- Supporting automation of Claim processing application development
- Pricing data analysis for all affiliated hospitals
- Price revision and contributing medical expertise for pricing strategies
Assistant Manager
Medi - Assist Health Insurance TPA
Bangalore
09.2020 - 05.2022
- Verifying claim documents
- Auditing claims to confirm financial medical admissibility and provide medical opinions
Senior Medical Officer
Medi - Assist Health Insurance TPA
Bangalore
09.2018 - 09.2020
- Verifying claim documents
- Auditing claims to confirm financial medical admissibility and provide medical opinions
Medical Officer
Vidal Health Insurance TPA
Bangalore
04.2016 - 09.2018
- Verifying claim documents
- Processing claims
Education
Bachelor of Homeopathy Medicine and Surgery - Homeopathic Medicine
Dr. MGR Medical University
Madurai09-2015
XII -
M.M Higher Secondary School
Idaikal, Tamilnadu01.2009
S.S.L.C -
M. M Higher Secondary School
Idaikal, Tamilnadu01.2007
Skills
- Claim Adjudication
- Claim audit
- Medical opinion
- Process improvement
- Insurance Policy Analysis
- Claims management tools
- Pricing Data Analysis
- Observation
- Decision making
- Communication
- Multi-tasking
- Team player
- Adaptability
Languages
- English
- Tamil
Certification
LICENTITATE- Indian Institute of Insurance-2024
Timeline
Deputy Manager
Narayana Health / Narayana health Insurance
05.2022 - Current
Assistant Manager
Medi - Assist Health Insurance TPA
09.2020 - 05.2022
Senior Medical Officer
Medi - Assist Health Insurance TPA
09.2018 - 09.2020
Medical Officer
Vidal Health Insurance TPA
04.2016 - 09.2018
Bachelor of Homeopathy Medicine and Surgery - Homeopathic Medicine
Dr. MGR Medical University
XII -
M.M Higher Secondary School
S.S.L.C -
M. M Higher Secondary School
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