JAYBIR NAG
Gurugram
Summary
Over 10 years’ experience as a claims analyst in the insurance industry. Attaining a responsible position in a prestigious organization, this offers opportunities to make best use of my knowledge, technical skills and to further enhance my personal knowledge in profession and offers high growth prospect.
Overview
11
11
years of professional experience
Work History
Senior Claims Analyst
Optum Global Solutions India PVT LTD
Gurgaon
2015.04 - Current
- Resolved complex claim issues by examining evidence, analyzing legal documents, and conducting investigations.
- Reviewed, researched and evaluated customer claims to determine coverage under policy provisions, applicable laws.
- Performed administrative tasks such as report making and responding to escalation emails.
- Provided guidance and support to junior analysts regarding interpretation of contracts and other related matters.
- Maintained accurate records of all claims activities for audit purposes.
- Audits and projects assignments, compilation and quality report making.
- Claims audit internal, analyses to reduce external and internal errors.
- Interpreted insurance policies, endorsements and riders to identify coverage limits and exclusions.
- Participated in training sessions designed to improve knowledge base regarding insurance products.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Claims Associate
EXL Services India PVT LTD
Noida
2012.10 - 2014.07
- Determined liability, compensability, and benefits due on each claim.
- Assessed claims to determine validity and appropriateness of coverage according to policy guidelines.
- Processed payments for approved claims in a timely manner, adhering to established payment schedules and procedures.
- Adjusted credit rating and appraisal claims under close supervision of more experienced claims team members.
- Examined claims, records and procedures to grant approval of coverage.
- Collected payments, processed receipts and informed policyholders of outstanding balances.
- Precisely calculated refunds, premiums, and adjustments.
- Served as subject matter expert for non-standard coverage questions, property damage and collision.
Education
PGDM - Finance
Lloyd Business School
Greater Noida (UP)09.2011
Bachelor of Arts - Economics
Ranchi University
Ranchi (JH)06.2008
Skills
- Business process understanding
- Teamwork and time management
- Problem solving and Result oriented
- Analytical Skills and Decision making
- Quick learner
- Insurance Knowledge
- Claims Review and Processing
- Payment Processing
Computer Application
- 1 Year Higher diploma in computer application Course from LCC, Khunti (JH)
- 6 Month Tally Course from LCC, Khunti (JH)
- Desktop printing Course sponsored by Small Scale Industry Ranchi (JH)
Languages
English, Hindi
Hobbies and Interests
Listening Music, Internet surfing
Timeline
Senior Claims Analyst
Optum Global Solutions India PVT LTD
2015.04 - Current
Claims Associate
EXL Services India PVT LTD
2012.10 - 2014.07
PGDM - Finance
Lloyd Business School
Bachelor of Arts - Economics
Ranchi University
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