Muzammil Baig
Vasai
Summary
Results-driven individual with a solid track record in delivering quality work. Known for teamwork abilities, with a commitment to achieving company goals and delivering exceptional service. Passionate about continuous learning and professional development.
Overview
7
7
years of professional experience
Work History
Senior Consultant
Davies Advisors Pvt Ltd.
12.2023 - Current
- Directed workflows focused on efficiently resolving claims across multiple insurance categories like motor, pet, gadgets
- Delivered effective responses to client inquiries promptly via call and email.
- Facilitated timely reporting by maintaining consistent communication with UK counterparts regarding claim progress.
- Streamlined interdepartmental alignment to expedite resolution of claims effectively.
- Demonstrated excellent active listening and interpersonal skills to understand client needs and resolve concerns promptly
- Tracked claim lifecycles, emphasizing settlement process and securing favorable client results.
- Streamlined workflows by effectively applying insurance tracking systems.
- Identified and implemented process improvements to enhance claim efficiency and reduce operational costs
- Successfully navigated challenging claim situations, ensuring client satisfaction and minimizing potential losses
Manager
TATA AIG General Insurance Company Ltd.
Mumbai
02.2023 - 06.2023
- Gathered essential information from insured parties regarding the incident through direct interaction
- Acted as the primary point of contact (SPOC) for GPA across India
- Conducted thorough claim reviews, analyzed supporting documentation, and determined claim eligibility (e.g., payable or query)
- Calculated and processed payable claims as per policy terms and conditions and collaborated effectively with the audit team for timely payment approvals
- Maintained effective communication with internal departments via email and phone to track claim status and facilitate timely claim processing
- Communicated claim settlement details to insured parties through the issuance of settlement letters
- Resolved payment error cases through close collaboration with underwriting, IT, and other relevant teams
- Streamlined the claim process by sending timely reminders to insured parties for the submission of outstanding documentation
- Collaborated effectively with outstation offices, sales personnel, investigation teams, and hospitals regarding claim processes
- Effectively addressed and resolved customer grievances across all communication channels, including in-person, phone, and webmail
- Maintaining TAT for all reimbursement cases for better service & customer satisfaction
- Analysed customer feedback data to develop action plans for improving services offered
- Enforced customer service standards and resolved customer problems to uphold quality service
- Performed weekly evaluations of MIS for enhanced team performance.
- Mentor new joiners
- Performed various tasks and responsibilities as needed.
- Ensured compliance with industry regulations and company policies.
- Reviewed completed work to verify consistency, quality, and conformance.
Revenue Cycle Management - Specialist
eClinicalWorks Pvt Ltd.
Mumbai
06.2019 - 01.2023
- Conducted direct communications with US insurance companies to effectively address and resolve claims.
- Reduced claim processing times by identifying and implementing quicker methods for handling assigned claims
- Managed IMP and Aging claims.
- Contributed to team knowledge by proactively sharing valuable intelligence and insights gathered from customer calls with team members and supervisors
- Delivered consistent performance by adhering to and maintaining Service Level Agreements (SLAs) at all times
- Minimized potential negative impacts on clients by proactively identifying and escalating potential challenges and issues
- Payment posting into medical billing software for various Insurance as per EOB (Explanation of Benefit)
- Handled denial management across multiple insurance providers in accordance with individual cases.
- Maintained consistent communication with insurance companies to ensure timely claim resolution
- Served as a mentor to new employees, fostering their success and integration into the team
- Claim Account Auditing
- Effectively diagnosed and resolved complex technical problems for client
- Improved client satisfaction by analyzing their needs and recommending tailored solutions
- Demonstrated excellent phone etiquette, including the ability to effectively handle challenging client interactions
- Fostered strong collaborative relationships with colleagues and management
- Maintained positive working relationship with fellow staff and management.
Accountant Trainee
KDS Company Pvt Ltd.
06.2018 - 05.2019
- Accounting for Individuals, Proprietorship Business & Partnership Firm
- Computerized accounts writing including Purchase, Sales, Cash Book & Bank Book etc
- Preparation of Bank Reconciliation Statement (BRS)
- Auditing of Small firms
- GST
Education
Certification Course in Finance - Financial Analysis, Valuation & Risk Management
Hero Vired – In association with University of Columbia
Mumbai02.2024
Graduation (BCOM) - Commerce
University of Mumbai
Mumbai06.2018
Skills
- Client Relationship Management
- Collaborative Team Contributor
- Revenue Cycle Management
- Accounts Receivable Management
- Financial Transaction Processing
- Motor Insurance Management
- Experienced with MS Office Applications
- EClinical Software Proficiency
- Tally ERP9 Experience
Accomplishments
- Consistently received positive feedback and appreciation from physicians (CNAs), clients, and internal stakeholders.
- Built and maintained strong relationships with vendors, resulting in mutual respect and appreciation.
- Hired as an Executive and advanced to the role of Specialist through a promotion.
Projects
Financial Analysis – Union Bank, Prepared detailed financial analysis of Union Bank and analyzed trends in economic performance using various ratios using data from the Income Statement, Balance Sheet, and Cash Flow Statement. Developed insights into its revenue model, capital structure, cash flows, and profitability. Financial Analysis & Financial Modelling – Union Bank, Synthesized data from financial statements, and analyzed ratios and performance trends. Conducted cash flow analysis, and evaluated firm’s ability to meet obligations. Developed a data-driven financial model to support financial decision-making. FREO Project, Credit Risk Management, Analyzed days past due 90+DPD rates of monthly loan cohorts, created a vintage loss curve to identify rate trends, and built waterfall charts to identify 90+DPD loans in individual months.
Timeline
Senior Consultant
Davies Advisors Pvt Ltd.
12.2023 - Current
Manager
TATA AIG General Insurance Company Ltd.
02.2023 - 06.2023
Revenue Cycle Management - Specialist
eClinicalWorks Pvt Ltd.
06.2019 - 01.2023
Accountant Trainee
KDS Company Pvt Ltd.
06.2018 - 05.2019
Certification Course in Finance - Financial Analysis, Valuation & Risk Management
Hero Vired – In association with University of Columbia
Graduation (BCOM) - Commerce
University of Mumbai