Summary
Overview
Work History
Education
Languages
Personal Information
Accomplishments
Languages
Timeline
Generic

MANGESHWARI REDDY

Kalyan West

Summary

I am an energetic self-starter with excellent analytical and organizational skills. I have extensive experience in the insurance industry, particularly in employee health and benefits. My focus is on client retention through innovative strategies and data-driven decision-making. I thrive on analyzing problems and developing streamlined solutions that maximize resource utilization, driving satisfaction and long-term partnerships

Overview

15
15
years of professional experience

Work History

Sr. Manager

Prudent Insurance Brokers Pvt. Ltd
Mumbai
07.2023 - Current
  • Managing client retention of Employee Benefits portfolio for large clients
  • Spearheaded retention strategies for a diverse portfolio of large corporate clients, ensuring continued satisfaction and long-term partnerships
  • Collaborated with cross-functional teams to deliver tailored Employee Benefits solutions, addressing client needs and driving consistent renewals
  • Monitored client engagement and proactively identified opportunities to enhance service offerings, resulting in a 100% improvement in retention rates
  • Conducted regular client meetings to review performance, resolve issues, and align benefits strategies with evolving business goals
  • Collaborate with all key internal functions to deliver best in class service to the clients
  • Focus on servicing existing client relationships and expanding the opportunities in the existing base
  • Identifying opportunities for new business generation
  • Offering technical support function to the Direct Sales Team in preparing RFQ and coordinating with placement team for quotes
  • Conduct Webinars for prospect and clients on key issue facing the industry or launching of new products
  • Demonstrate and drive Best Practices in Benefits Design, Risk Consulting & Analysis

Sr. Manager

Livlong Protection and Wellness Solutions Ltd
Mumbai
11.2022 - 06.2023
  • Contribute towards Data Analytics / Knowledge sharing of Claims experience with relevant stakeholders
  • Analysis of claims portfolio/risks on the basis of data
  • Monitor claims movement, claim reserve and manage Outstanding claims
  • Identifying opportunities for loss minimization to create value for customer/organization
  • Planning, implementation & co-ordination of home care Product initiatives for employee wellness
  • Coordinating assigned projects, initiatives & communications with Healthcare Partners to ensure program oversight, consistency & direction
  • Claims rejection review analysis
  • Claims query management
  • Delivery of simple and effective claims processes to ensure that the organization is achieving exceptional service excellence, which enhances the customer experience and increases customer retention and drives new sales growth

Sr. Manager – Key Account lead

MediAssist Insurance TPA Pvt. Limited
Mumbai
02.2021 - 11.2022
  • Delivery of simple and effective claims processes to ensure that the organization is achieving exceptional service excellence, which enhances the customer experience and increases customer retention and drives new sales growth
  • Designing, implementing and evaluating solutions to help employee them improve their overall health claims experience
  • Handling employee queries, troubleshooting issues related to Enrollment, Claims processing and Claim settlement
  • Planning and supervising changes and managing the daily operations of client service
  • Maintaining current knowledge of industry new developments, productions, and involvement in network - Recording statistics, performance levels and feedback of clients and preparing the reports
  • Methodical Closure of any new account, re-organizing the SLAs of Existing accounts, Updating of SLAs, T&C, etc
  • To HO/IT
  • Ensuring Hassle free delivery of agreed services to the corporate by effective coordination
  • Be a part of healthcare vertical as an offered array of Value Added Services for Employee Benefit Clients on
  • Identifying need for advanced healthcare/wellness services/ providers & onboarding to implement wellness programs for employees
  • Planning implementation & co-ordination of healthcare programs that benefit employee health & wellbeing
  • Identifying opportunities for loss minimization to create value for customer/organization
  • Contribute towards Data Analytics / Knowledge sharing of Claims experience with relevant stakeholders
  • Analysis of claims portfolio/risks on the basis of data
  • Monitor claims movement, claim reserve and manage Outstanding claims
  • Customer delight Excellence award
  • Promoted as Sr
  • Manager with one year

Deputy Manager – Operations (Employee Benefits)

WNS Global Services (P) Ltd
Mumbai
05.2018 - 02.2021
  • Working in partnership technical specialists with TPA and Insurer, make sure that claims are paid appropriately within the policy terms, understanding the medical impact in the context of reimbursement, and case management
  • Designing healthcare strategies, Product & initiatives for employee wellness
  • Guiding and supporting employers in designing, implementing and evaluating robust wellness strategies and programs
  • Managing broker and Insurer relationships
  • Interacting with peers to share experiences and challenges and brainstorm suitable solutions for clients both now and in the future
  • Be a part of healthcare vertical as an offered array of Value Added Services for Employee Benefit Clients on Pan-India basis
  • Planning implementation & co-ordination of healthcare programs that benefit employee health & wellbeing
  • Identifying need for advanced healthcare/wellness services/ providers & onboarding to implement wellness programs for employees
  • Coordinating assigned projects, initiatives & communications with Healthcare Partners to ensure program oversight, consistency & direction
  • Researching and suggesting continuous improvement strategies for the healthcare initiatives
  • Supervise, implement leadership & apply quality assurance & control methodologies throughout the healthcare operations
  • Excellence award claims handling

Assistant Manager

Apollo Munich Health Insurance Company Limited
01.2013 - 05.2018
  • Delivery of simple and effective claims processes to ensure that the organization is achieving exceptional service excellence, which enhances the customer experience and increases customer retention and drives new sales growth
  • Working in partnership technical specialists, make sure that claims are paid appropriately within the policy terms, understanding the medical impact in the context of reimbursement, and case management
  • Maintained a tab and check of the claim ratio of corporate clients
  • Manage and ensure compliance to schedule of standards
  • To implement wellness programs for corporate aiming to lift satisfaction levels
  • Maintaining TAT for appropriate reverts on issues
  • Being in touch with the clients by regular telephonic calls
  • Keeping up to date with the latest in customer service delivery principles
  • Providing policy knowledge, guidelines and process thru service presentation to corporate for smooth functioning throughout the policy period
  • Updating the client with latest industrial changes
  • Regular visits to clients help in building a strong relationship

Manager

Paramount Health Services (TPA) Pvt. Ltd
01.2010 - 01.2013
  • Retention of corporate/individual clients
  • Handling clients and corporate queries, troubleshooting issues related to Enrollment, Claims processing and Claim settlement
  • Review and analyze status of Claims, managing incoming claims and preparing status reports
  • Interacting with the internal department 24 X 7 for various issues in order to ensure a smooth and better functioning of the cashless system
  • Updating & sharing information about the policy to corporate by regular visits & service presentation from time to time
  • Attending queries by giving appropriate reply on phones & via e-mails related to mediclaim
  • Maintaining TAT while attending to escalation queries from insurance cos
  • /corporate
  • Ensuring that there are Zero issues leading to retention of clients
  • Taking initiatives in increasing the portfolio by maintaining good relations with Insurance co
  • /brokers leading to new business

Education

PGDM - Public relation & Advertising

Mumbai
01.2002

B. Com -

Mumbai
01.1997

H.S.C. -

Mumbai
01.1994

Languages

  • English
  • Hindi
  • Tamil
  • Marathi

Personal Information

  • Date of Birth: 12/31/76
  • Nationality: Indian
  • Marital Status: Married

Accomplishments

  • Customer delight excellence award for outstanding performance in client satisfaction.
  • Excellence award for claims handling during tenure at WNS Global Services.

Languages

English
First Language
Hindi
Upper Intermediate (B2)
B2
Marathi
Upper Intermediate (B2)
B2
Tamil
Intermediate (B1)
B1

Timeline

Sr. Manager

Prudent Insurance Brokers Pvt. Ltd
07.2023 - Current

Sr. Manager

Livlong Protection and Wellness Solutions Ltd
11.2022 - 06.2023

Sr. Manager – Key Account lead

MediAssist Insurance TPA Pvt. Limited
02.2021 - 11.2022

Deputy Manager – Operations (Employee Benefits)

WNS Global Services (P) Ltd
05.2018 - 02.2021

Assistant Manager

Apollo Munich Health Insurance Company Limited
01.2013 - 05.2018

Manager

Paramount Health Services (TPA) Pvt. Ltd
01.2010 - 01.2013

PGDM - Public relation & Advertising

B. Com -

H.S.C. -

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