IMRAN PASHA
Bangalore
Summary
Dynamic Fraud Operations Senior Executive with a proven track record at Navi General Insurance, excelling in insurance claim investigations and team leadership. Expert in process improvement and risk management, I have successfully enhanced operational efficiency and stakeholder alignment, driving significant improvements in fraud prevention and resolution outcomes.
Overview
5
5
years of professional experience
Work History
Fraud Operations Senior Executive
Navi General Insurance
Bangalore
04.2023 - Current
- Lead health claim fraud investigations Agencies, ensuring compliance and timely resolution.
- Supervise and mentor a team of investigators, boosting productivity and efficiency.
- Analyze performance metrics of internal teams and external agencies to improve outcomes.
- Conduct field visits, validate financial invoices, and implement fraud prevention measures.
- Develop standardized reporting formats, checklists, and quality control processes.
- Managed relationships with key stakeholders to ensure alignment on business goals.
Customer Support Executive
Navi General Insurance
Bangalore
12.2021 - 03.2023
- Resolved customer queries and complaints related to health insurance policies.
- Coordinated with internal departments for quick resolution of service issues.
- Provided documentation support and improved claim processing efficiency.
Executive – Operations
MediBuddy
Bangalore
06.2020 - 09.2021
- Coordinated backend healthcare operations, improving service delivery efficiency.
- Liaised with hospitals and labs to manage sample collection and appointment scheduling.
- Streamlined operational processes and enhanced customer experience.
Education
MBA - Marketing & Financial Management
Glocal University
01.2023
B.Com - Commerce
Rabindranath Tagore University
01.2020
PUC -
VK Institute of Open Schooling
01.2017
High School -
HGBHS
01.2015
Skills
- Insurance claim investigation
- Microsoft Excel
- Process improvement
- Team leadership
- Risk management
- Healthcare operations
- Fraud investigation
- Performance metrics
- Training and development
Accomplishments
- Created structured reporting formats and checklists for fraud investigations
- Detected fraudulent claims, minimizing financial risk exposure
- Improved vendor performance through data-driven insights
- Developed and led onboarding programs for investigative teams
Languages
- English
- Hindi
- Urdu
- Kannada
- Telugu
Languages
Urdu
First Language
Hindi
Proficient (C2)
C2
English
Advanced (C1)
C1
Kannada
Advanced (C1)
C1
Telugu
Elementary (A2)
A2
Timeline
Fraud Operations Senior Executive
Navi General Insurance
04.2023 - Current
Customer Support Executive
Navi General Insurance
12.2021 - 03.2023
Executive – Operations
MediBuddy
06.2020 - 09.2021
MBA - Marketing & Financial Management
Glocal University
B.Com - Commerce
Rabindranath Tagore University
PUC -
VK Institute of Open Schooling
High School -
HGBHS