MAYUR BHATT
Bhayander, Mumbai
Summary
I have over 8 years of professional experience in life insurance claims. I have a strong background in customer service, claims management, and account management. I have a proven track record of delivering excellent customer service, efficiently processing claims, and successfully managing accounts. My experience in claims processing has included working with both individual and corporate policyholders. I have implemented a variety of procedures to ensure accurate and timely processing of claims as well as providing a high level of customer service. Additionally, I have developed innovative solutions to streamline and automate processes, which have improved turnaround time and created cost savings for the company. Furthermore, I have consistently met and exceeded all goals set by management. I am confident that my experience and skills will be an asset to any organization.
Overview
13
13
years of professional experience
Work History
Junior Manager
Ageas Federal Life Insurance Private Limited
05.2018 - Current
- Processing of intimations and forwarding the requirement s accordingly based on validity all types of claim
- On receipts of complete requirements analyzing and processing the claim within agreed TAT
- Profile verification and Investigation to detect fraud claims as per trend analysis across Pan India
- Co-coordinating with other departments viz Ops, Actuarial, Under writing, legal, medical, IT etc
- To expedite processing the claim within TATs
- Inputs and innovative measures based on day to day work experience for system developments and streamlining process for department
- Preparing UAT test scenarios for New Products and Relaunch products basis Day 1 and Day 2
- Identify GAPs and raise CRs immediately to avoid any financial loss
- Rigorously follow up IT Team for execute the development on timely
- Review UAT test scenarios and provide sign off accordingly
- Handle end to end development of Life Asia, Group Asia, and Workflow from claims perspective
- Project on revamp of company website as per regularity and easy process for best customer experience
- Review and Upgrading of all types of forms and communication templates.
- Automation of SMS, Emails and Communication at various stages of claims
- Upgrade the internal process and systems from audit perspective
- Provide training to Internal team, Branch executives, Bank officials.
Deputy Manager
Odin Insurance Broking Private Limited
11.2017 - 03.2018
- Preparing prospective client list.
- Making calls for getting appointments with directors.
- Preparing submission of Liability Insurance, Products Liability, Property Insurance.
- Approaching insurers closely to for follow up, negotiation for quotes.
- Preparing Comparison and present to clients.
- QC of Held Cover letter, follow up for policy, QC of final Policy document
Deputy Manager
Birla Sun life Insurance Private Limited
12.2016 - 11.2017
- Processing of intimations and forwarding requirement s accordingly based on validity of claim along with condolence letter
- On receipts of complete requirements analyzing and processing claim within agreed TAT
- Profile verification and Investigation to detect fraud claims as per trend analysis across Pan India
- Co-coordinating with other departments viz Ops, Actuarial, underwriting, legal, medical etc
- Established to expedite processing claim within TATs.
- Inputs and innovative measures based on day to day work experience for system developments and streamlining process for department
- Giving presentation to corporate month on month
- Handling CRM Portal with respect to Claims Queries.
Sr. Claims Associate
HDFC Standard life Insurance Private Limited
09.2012 - 09.2016
- Processing of intimations and forwarding the requirement s accordingly based on validity of claim along with condolence letter
- On receipts of complete requirements analyzing and processing the claim within agreed TAT
- Profile verification and Investigation to detect fraud claims as per trend analysis across Pan India
- Co-coordinating with other departments viz Ops, Actuarial, underwriting, legal, medical etc
- To expedite processing the claim
- Inputs and innovative measures based on day to day work experience for system developments and streamlining process for department
- Giving presentation to the corporate month on month
- Following up for policy copy/endorsements.
Senior Accounts Receivable Representative
Gebbs Heathcare Solutions Pvt Ltd
11.2010 - 09.2012
- USA Healthcare Revenue cycle management
- Follow-up for on outstanding accounts receivables with health insurance companies through Calls, Fax, IVR & Website.
- Resolve disputes claims pending for payers
- Collation information from insurance companies for claim status
- Adherence to HIPPA guidelines & policies
Education
Bachelor of Commerce - Banking & Insurance
K.E.S Shroff College of Commerce And Arts
Kandivali03.2010
Higher Secondary School - Commerce
S.N.College of Commerce And Arts
Bhayander (E)03.2003
Secondary School Certificate -
J.H.Poddar High School
Bhayander03.2001
Skills
- Communication
- Problem solving
- Time management
- Creativity
- Digital Skills
- Change management
- Customer service skills
- Interpersonal Communication
- Process improvements
- Project management
- Active listening
Accomplishments
Long Service Awards, Galaxy Awards for FY22-23, 6 time Spot Awards, and 3 time Star of the Months.
Additional Information
- Achievements: , Long Service Awards, Galaxy Wards, Spot Awards, and Star of the Months.
Languages
English
Upper intermediate (B2)
Hindi
Upper intermediate (B2)
Marathi
Upper intermediate (B2)
Gujarati
Advanced (C1)
Timeline
Junior Manager
Ageas Federal Life Insurance Private Limited
05.2018 - Current
Deputy Manager
Odin Insurance Broking Private Limited
11.2017 - 03.2018
Deputy Manager
Birla Sun life Insurance Private Limited
12.2016 - 11.2017
Sr. Claims Associate
HDFC Standard life Insurance Private Limited
09.2012 - 09.2016
Senior Accounts Receivable Representative
Gebbs Heathcare Solutions Pvt Ltd
11.2010 - 09.2012
Bachelor of Commerce - Banking & Insurance
K.E.S Shroff College of Commerce And Arts
Higher Secondary School - Commerce
S.N.College of Commerce And Arts
Secondary School Certificate -
J.H.Poddar High School
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