Seeking an entry-level position where I can apply my strong work ethic, enthusiasm, and willingness to learn to contribute effectively to the team. To leverage my education and internship experiences to gain hands-on experience and develop new skills in a professional work environment.
Desire to contribute all my skill to work at the highest level of creativity, which would help me to get a commanding and rewarding position in the corporate word. To associate myself with a challenging origination where I can grow with potential through my diligence and continuity.
Overview
22
22
years of professional experience
Work History
Assistant Vice President
Medi Assist Insurance TPA Private Limited
04.2023 - Current
Company Overview: We help make lives better through curated claim management and health and wellness solutions built on the crux of robust technology. We serve a wide range of organizations that represent virtually every industry and comprise some of the most respected names in the country today. Our industry-leading team pioneers new solutions for the industries and customers we serve.
Delivering excellent customer service and ensure 100% client retention.
Identifying, acquiring, developing and maintaining customer relationships.
Handling end to end renewal process of TPA & Self-fund clients, system updates, policy configuration for new policy benefits and to ensure smooth cashless transactions during renewal activity.
Maintain the tracker of all clients with their premium, lives & revenue.
Keep updating the upcoming renewal status to the management and loss with reason if any.
Support in sales to acquire new business by using strong relationship with external stakeholders.
Monthly review call with all team members on client’s feedback and upcoming renewal update.
Discussion with team on challenges faced during client servicing and ensure to provide them the resolution for better client’s servicing.
Close co-ordination with Legal & finance team for renewal of SLA with client/insurer.
Co-ordination with internal departments for endorsement updates and data reconciliation.
Build up relationship with client, insurer & broker and doing quarterly review meeting.
Provide MIS reports & analysis for each & every corporate client time to time.
Coming up with new ideas to improve customer relationships & taking on complex customer issues and resolving them.
Planning projects and activities systematically in line with business priorities.
Maintaining up to date knowledge of competitor activity, products and services.
Regular update on new features of portal, provide demo and introduce about our new products.
We help make lives better through curated claim management and health and wellness solutions built on the crux of robust technology. We serve a wide range of organizations that represent virtually every industry and comprise some of the most respected names in the country today. Our industry-leading team pioneers new solutions for the industries and customers we serve.
Support in Audit requirements for assigned clients and close co-ordination with auditors during the visit in office, insurer offices and outside of Delhi if required.
Involve in audit recovery discussions with internal and external stakeholders for clients and try to reduce the same by using strong relationship.
Regional Manager for North & West
UnitedHealthcare Parekh TPA Pvt. Ltd.
11.2007 - 03.2008
Company Overview: UnitedHealthcare India was 100% subsidiary of United Health Group. This was one of the top health insurance TPA in India. UnitedHealthcare Insurance TPA is formally known as a Sedgwick Parekh Health Management India (Private) Ltd. UnitedHealthcare India is managing 14,00,000 lives currently across the India from last 15 years. UnitedHealthcare Insurance TPA was working with most of the insurance companies like United India Insurance, New India Assurance, Oriental Insurance Company, National Insurance Company, Liberty Insurance, Tata AIG, Iffco Tokio, Royal Sundaram Assurance, Apollo Munich, ICICI Lombard, Reliance, HDFC Ergo etc.
Delivering excellent customer service and ensure 100% client retention.
Identifying, acquiring, developing and maintaining customer relationships.
Handling end to end renewal process of TPA & Self-fund clients, system updates for new policy benefits and to ensure smooth cashless transactions during renewal activity.
Maintain the tracker of all clients with their premium, lives & revenue (North & West).
Keep updating the upcoming renewal status to the management and loss with reason if any.
Support in sales to acquire new business by using strong relationship with external stakeholders.
Attend all TPA evaluation meeting alongwith sales team to explain the process of enrollment, cashless & reimbursement etc.
Team handling for North & West region and help them on the escalations.
Monthly review call with all team members on client’s feedback and upcoming renewal update.
Discussion with team on challenges faced during client servicing and ensure to provide them the resolution for better client’s servicing.
Close co-ordination with Legal & finance team for renewal of SLA with client/insurer.
Ensure to raise the service fees invoice on monthly/quarterly basis and follow-up on payments.
Co-ordination with internal departments for endorsement updates and data reconciliation.
Present the medical benefits (PPT) of new joiners at client office.
Build up relationship with client, insurer & broker and doing quarterly review meeting.
Provide MIS reports & analysis for each & every corporate client time to time.
Attending high volume of daily phone calls and emails from customers.
Coming up with new ideas to improve customer relationships & taking on complex customer issues and resolving them.
Planning projects and activities systematically in line with business priorities.
Maintaining up to date knowledge of competitor activity, products and services.
Keeping in touch with customers through regular visits, telephone calls and correspondence.
Regular update on new features of portal, provide demo and introduce about our new products.
Setting up meetings with new clients & ability to explain complex information clearly and simply.
UnitedHealthcare India was 100% subsidiary of United Health Group. This was one of the top health insurance TPA in India. UnitedHealthcare Insurance TPA is formally known as a Sedgwick Parekh Health Management India (Private) Ltd. UnitedHealthcare India is managing 14,00,000 lives currently across the India from last 15 years. UnitedHealthcare Insurance TPA was working with most of the insurance companies like United India Insurance, New India Assurance, Oriental Insurance Company, National Insurance Company, Liberty Insurance, Tata AIG, Iffco Tokio, Royal Sundaram Assurance, Apollo Munich, ICICI Lombard, Reliance, HDFC Ergo etc.
Support in Audit requirements and co-ordination with auditors during the visit in office.
Local coordinator for insurance companies in North Region.
Attending TPA meeting held in insurer place and update the same to HO & other stakeholders.
Liaison with all insurance companies like UIIC, OIC, NIA & NIC (All PSUs) and Private insurance companies for the outstanding/endorsements/medical opinion etc.
Handling petty cash for branch and sharing monthly statement with HO.
Assisting the Branch Manager in controlling the day-to-day activities.
Senior Executive (Team Leader of Call Centre)
Alankit Group of Companies
09.2003 - 11.2007
Handled Major Corporate like HCL Comnet Ltd., Noida as a full time implant from December 2006 to 11th November, 2007. Representing Alankit Healthcare TPA as a Medical Benefits Counselor and help employees to know the cashless & reimbursement process alongwith policy benefits.
Customer relationship management through service satisfaction, daily interaction with employees & HR, also act on feedback received during helpdesk.
Ensured all cashless requests approved within TAT and maintained internal coordination with medical team and hospitals for smooth transactions.
Handled retail policies for data updating in system and resolved grievances for the same.
Education
B. Com (Pass) -
Delhi University
01.2003
12th - commerce stream
C.B.S.E
01.2000
10th -
C.B.S.E
01.1998
Skills
One year Diploma (DIT) From NIIT, Karol Bagh, New Delhi
Shorthand with speed of 80 wpm
Manual Typing speed of 40 wpm
Ability to grasp, retain and apply knowledge & information to achieve the results
Ability to work on own initiative, setting own priorities and working to defined deadlines
Positive attitude with good leadership quality
A good learner, punctual and well organized
Teamwork and Problem Solving
Good communication and interpersonal skills
Accomplishments
Appreciations received from management in terms of quarterly award, star of the month etc.
Got certificate from our parent company (UHGIS) for excellent servicing.
Promoted from Health Benefit Coordinator (21 Grade) to Regional Manager (27 Grade).
Supported our sales team to generate the high revenue for organization by using good relationship with clients/broker/insurer.