Open To Work
MAGESWARI Srinivasan
Insurance operations
Chennai,Tamil nadu
Work Preference
Summary
Dynamic and results-driven Operations Team Leader with 6+ years of progressive experience across medical insurance claims investigation, fraud analytics, and financial services operations. Proven expertise in heading cross-functional teams, managing expansive networks of 50+ Pan-India vendors, and driving operational excellence for high-value strategic insurer accounts like UIIC. Adept at maintaining 98%+ SLA compliance, mitigating risk, and executing fraud detection protocols under strict regulatory frameworks and worked with 2 CRA in india behalf of HDFC achieved with 0% penalty ratio for grievances.
Overview
3
3
Languages
7
7
years of professional experience
Work History
Team Leader (Claims Investigation Operations)
Medi Assist Insurance TPA Pvt. Ltd.
Chennai, Tamil nadu
11.2024 - Current
- Managed end-to-end investigation operations, achieving 98%+ case completion within TAT while ensuring SLA, quality, SOP, and regulatory compliance.
- Led a 5-member team and managed Pan-India claims investigation operations for United India Insurance Company Ltd. (UIIC), coordinating with 50+ vendors and investigators.
- Analyzed claims data to identify fraud indicators, risk triggers, anomalies, and irregularities, and recommended cases for investigation prioritization or waiver.
- Monitored dashboards and TAT-breached cases to drive timely closures and resolution of escalations with vendors and stakeholders, enhancing operational responsiveness.
- Prepared daily MIS and audit reports, providing operational insights and process guidelines for management review and compliance.
- Conducted review meetings, training, and knowledge-sharing sessions for senior management, corporate SPOCs, vendors, and investigation teams.
Senior Executive (Claims Investigation Operations)
Medi Assist Insurance TPA Pvt. Ltd.
Chennai, Tamil nadu
11.2023 - 10.2024
- Processed Death Exit, Surrender, and Withdrawal claims, achieving timely fund transfers and maintaining regulatory compliance.
- Processed NPS contributions and corporate payments, ensuring accurate reconciliation and timely fund allocation to respective PRAN accounts within TAT.
- Managed PRAN registration, KYC verification, account modifications, profile updates, and maintenance in line with NPS guidelines.
- Resolved grievances and escalations across two CRAs, enhancing NRI NPS operations and account servicing within prescribed TAT.
- Led a 5-member team managing end-to-end NPS operations across KFintech and NSDL CRAs for corporate and retail stakeholders.
- Coordinated fraud verification and investigation with Risk & Audit teams, reinforcing operational controls.
- Coordinated ICSS-CRA and ISS-Corporate change operations, ensuring smooth account transitions and process updates.
- Managed 5 operational mailboxes and provided timely support to corporate and retail stakeholders through calls and emails.
- Prepared daily MIS reports, monitored outstanding activities, and coordinated timely resolution and closure.
Senior Associate (Operations & Compliance)
HDFC Pension Management Company Ltd.
Chennai, Tamil nadu
02.2021 - 05.2022
- Operations Management: Led a team of 5 associates executing end-to-end National Pension System (NPS) operations across NSDL and KFINTECH CRA platforms.
- Compliance & KYC: Supervised retail and corporate PRAN registrations, conducted comprehensive KYC verifications, managed account modifications, and resolved complex multi-channel customer inquiries.
- Financial Controls: Processed and reconciled corporate contributions, fund allocations, withdrawals, and exit requests, ensuring adherence to mandated turnaround times.
- Risk & Audit: Collaborated with Internal Audit and Risk teams on fraud verification checks and coordinated quarterly external regulatory audits with no compliance gaps.
Associate
ICICI Prudential Life Insurance Company Ltd.
Chennai, Tamil nadu
01.2020 - 02.2021
- Managed Credit Life operations across Tamil Nadu, Andhra Pradesh, and Telangana, handling customer service and policy administration.
- Supported Group Insurance operations by managing policy issuance, modifications, and maintenance to enhance service delivery.
- Processed Death and Surrender claims from documentation review through final settlement, ensuring accuracy and timely payouts.
- Coordinated with Finance team on pending payments and claim payouts, ensuring accurate reconciliation.
- Resolved customer, bank, and corporate partner queries via calls and emails, ensuring swift issue resolution and minimizing escalations.
Education
Master of Business Administration (MBA) -
Pondicherry University
Chennai05-2021
Postgraduate Diploma - Finance and Banking Management
TimesPro
Chennai07-2019
Bachelor of Commerce (B.Com) -
Dr. MGR Educational and Research Institute
Chennai04-2018
Skills
- Claims Analysis
- Regulatory Compliance
- Data Analytics
- Vendor management
- Operations leadership
- Analytical problem solving
- Multitasking
- Training
- Mentoring
- Excellent communication and stakeholder engagement
Accomplishments
- Best Contributor Award: Medi Assist Insurance TPA (2025) For exceptional leadership and operational impact within the first year.
- Official Insurer Appreciation Letter: United India Insurance Company (FY 2024–2025) For maintaining 100% compliance with the 20% SLA mandate during audits and Spearheaded Pan-India claim investigation operations for United India Insurance Company (UIIC) one of Medi Assist's largest strategic accounts.
- High-Volume TAT Optimization: Consistently sustained a 98%+ Turnaround Time (TAT) compliance rate for nationwide claim investigation closures while simultaneously fast-tracking regional field turnarounds via proactive partner coordination.
- Regulatory & Audit Excellence: Successfully orchestrated quarterly Internal and External regulatory audits with 100% compliance readiness, while achieving a Zero Penalty Ratio for grievance handling across NSDL and KFINTECH CRA operations.
- Vendor Governance & Performance Multiplier: Enhanced the performance and operational governance of a network of 50+ Pan-India field investigation vendors by implementing rigorous monitoring metrics and standardized multi-stakeholder workflows.
Languages
English
Proficient (C2)
C2
Telugu
Proficient (C2)
C2
Tamil
Native
Native
Timeline
Team Leader (Claims Investigation Operations)
Medi Assist Insurance TPA Pvt. Ltd.
11.2024 - Current
Senior Executive (Claims Investigation Operations)
Medi Assist Insurance TPA Pvt. Ltd.
11.2023 - 10.2024
Senior Associate (Operations & Compliance)
HDFC Pension Management Company Ltd.
02.2021 - 05.2022
Associate
ICICI Prudential Life Insurance Company Ltd.
01.2020 - 02.2021
Master of Business Administration (MBA) -
Pondicherry University
Postgraduate Diploma - Finance and Banking Management
TimesPro
Bachelor of Commerce (B.Com) -
Dr. MGR Educational and Research Institute