Kingshuk Das

Dynamic Assistant Vice President at HDFC ERGO, adept in data analysis and regulatory compliance. Spearheaded innovative KPI dashboards, enhancing operational efficiency and driving strategic insights. Proven track record in business process optimization and fostering strong insurer-hospital relationships, achieving significant cost savings through innovative initiatives.

Volunteering in Community Initiatives, Technology and Analytics Workshops, Exploring Data-Driven Problem Solving

SEED Leadership Award - 2019 & 2022, Most Impactful Customer Service Journey - 2018, Internal recognitions for innovation and MIS strategy

• Enterprise-wide MIS & Analytics Leadership
• Regulatory & Compliance Reporting (IRDAI, Public Disclosure, IIB)
• KPI Dashboarding (Power BI, Excel VBA, SQL, Access)
• Cross-functional Team Management: TPA, Legal, Vendors
• A&H Claims Strategy, Cost Control & Reconciliation
• Budgeting & Payment Initiation
• Data-Driven Decision Making
• Claims Compliance & Governance
• Process Automation & Reporting Efficiency
• Internal Audit & Process Gap Analysis
• Stakeholder Communication & Leadership Reports

• Professional affiliations: Active part of the upcoming Claim Processing and Reporting System
• Certification:

a) Diploma in Software Management - Aptech - 2001

b) Claims Management Training from OSTC - 2006

c) Licentiate from Insurance Institute of India - 2016

d) BS ISO/IEC 27001/2013 Information Security Management System

Trained and certified in BS ISO/IEC 27001/2013, Information Security Management System, Implementation from BSI (British Standards

Institution) Training Academy.

e) Six Sigma Black Belt - 2024

f) Power BI for Management Level Dashboard - 2025

2024: Received SEED award for excellence in the execution of claim services

2022: Honored to have been awarded the prestigious SEED Leadership Award

2020: 'Redbox' award for best innovation

2019: Received Leadership Award 'SEED'

2018: Awarded 'Most Impactful Customer Service Journey'

HDFC ERGO General Insurance Company Limited

· End-to-End Claim Application Development:
Solely led the development of comprehensive claim processing applications, including requirement gathering, automation, and process improvements across Health, Personal Accident, Travel, and Miscellaneous segments for both in-house and TPA operations. Modules also covered legal and vendor payment processes.

· Key Automation Initiatives:
a) Industry-first cloning mechanism for GMC/Retail product and benefit setup, reducing manual duplication.
b) Self-moving system for automated claim approvals, significantly minimizing human intervention.
c) Dynamic Process Lead Dashboard for real-time TAT monitoring, intelligent claim assignment, ageing alerts, and TAT-wise claim colour coding for swift decision-making.

· Impact & Efficiency Gains:
a) Reduced average TAT for cashless claims from 120 minutes to 15 minutes, and reimbursement claims from 6 days to 1.5 days.
b) Marked improvement in Net Promoter Score (NPS) and customer retention rates due to faster resolution and better transparency.

Good Health Insurance TPA Ltd.

· Enrollment Module Design:
Designed business logic for accurate policy enrolment system, optimizing data processing and improving TPA-insurer transparency.

Genins India TPA Ltd.

· In-house Card Printing System:
Initiated and executed an internal member card printing solution, significantly reducing dependency on external vendors and cutting issuance time from 10 to 3 days.

Health Data Validation & IIB Compliance System:
Developed a robust data validation system for health claims, policy, and insured data, identifying and rectifying errors and discrepancies prior to IIB submission.