Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Malathy Nair

Malathy Nair

Senior Claims Adjuster
Mumbai

Summary

Being a Master in Commerce my career vision is to contribute my working skills in enhancing an organisation which offers diverse opportunities. Comfortable in handling complex situations and creating new leads. Quick learner with better learning skills.Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Senior Advisor position. Ready to help team achieve company goals.

Overview

5
5
years of professional experience
14
14
years of post-secondary education
1
1
Certification

Work History

Senior Advisor

TCS
Mumbai
05.2021 - 11.2021
  • Verified insurance claims and determined fair amount for settlement.
  • Examined claims forms and other records to determine insurance coverage.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Maintained suspicious claims database and prepared reports for supervisors.
  • Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
  • Researched and analyzed policy contracts to verify proper payment of claims.
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Substantiated legitimate claims and denied unjustified claims.

Claims Advisor

Willis Towers Watson
Thane
08.2019 - 04.2021
  • Followed up with customers on unresolved issues.
  • Conducted full claim investigations and reported updates and legal actions.
  • Reviewed new files to determine current status of injury claim and to develop plan of action.
  • Utilized appropriate cost containment techniques to reduce overall claim costs.
  • Escalated files with significant indemnity exposure to supervisor for further investigation.
  • Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
  • Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
  • Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
  • Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.

Transaction Process Associate,

Accenture Pvt Ltd
Mumbai
01.2017 - 04.2019
  • Performed quality assurance checks on transactions and account actions to assess compliance with state and federal regulations.

  • Identified and resolved process issues to drive optimal workflow and business growth.
  • Collaborated with team to define business requirements for organizational processes, achieve productivity standards, and adhere to accuracy standards.
  • Assessed clients' financial data to determine loan suitability.
  • Collaborated with and facilitated communications between borrowers and lenders to obtain ideal loans for home purchases.

Education

Mcom - Commerce

Mumbai University
Mumbai
06.2019 - 10.2020

BBI - Bcom in Banking And Insurance

SIES College
Mumbai
06.2014 - 04.2017

Commerce -

Vani Vidyalaya High School
Mumbai
07.2012 - 03.2014

Holy Angels High School And Jr College
Mumbai
06.2003 - 01.2012

Skills

    Policy investigations

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Certification

Tally ERP 9

Timeline

Senior Advisor

TCS
05.2021 - 11.2021

Claims Advisor

Willis Towers Watson
08.2019 - 04.2021

Mcom - Commerce

Mumbai University
06.2019 - 10.2020

Transaction Process Associate,

Accenture Pvt Ltd
01.2017 - 04.2019

BBI - Bcom in Banking And Insurance

SIES College
06.2014 - 04.2017

Tally ERP 9

05-2014

Commerce -

Vani Vidyalaya High School
07.2012 - 03.2014

Holy Angels High School And Jr College
06.2003 - 01.2012

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Malathy NairSenior Claims Adjuster