Narendra Nitin Bhumkar
Pune
Summary
Process Analyst & Claims Operations Specialist with over a decade of hands-on experience driving end-to-end claims resolution across Health and Property & Casualty (P&C) lines. Proven expertise in combining deep policy knowledge with operational analysis to streamline claims workflows, reduce processing cycle times, and minimize leakage. Skilled at bridging the gap between technical claims execution and business process optimization to improve compliance and client satisfaction
Overview
1
1
Certification
11
11
years of professional experience
Work History
Process analyst/ claims specialist
Allstate India Pvt. Ltd.
06.2022 - Current
- Serving as Process analyst/ claims specialist for 3rd party Bodily Injury Casualty Claims operations by providing insights for adjuster to help in evaluation & negotiating claims. Upskilled through Insurance domain assessment level 1, IJPs, completed AICTM designation in Liability claims. Also served as Domain Ambassador for the organization driven Domain Capability Program wherein actively mentored the aspirants to get their globally acclaimed domain designations through Domain Capability Program with significant success ratio since last 3 yrs. Also gained process expertise through cross-sectional collaborations, peer assistance
Manager
Star Health Insurance Pvt Ltd.
07.2015 - 06.2022
- Joined as Assistant Manager - Medical (Claims), promoted as Manager. Also served as Zonal Claim manager during Covid-19 pandemic to work as one point contact between different branch offices & Head Office for expedition & escalation of issues related to claims, underwriting & hospital relations. Effectively handled 14 district branches as Zonal manager. Also productively handled Claims in order to find out ingenuine, fraudulent activities during health insurance claims admissions so to control FWA
Education
B.H.M.S. -
M.U.H.S.
Nashik, M.S.01-2005
H.S.C. -
Maharashtra Board
Pune Division01-2000
S.S.C. -
Maharashtra Board
Pune Division01-1998
Skills
- 1) Good analytical and logical skills Ability to learn new things
- 2) Ability to go core of the problem and to resolve it
- 3) Ability to work independently and within a team
- 4) Self-motivated, flexible and adaptable
Personal Information
- Date of Birth: 1983-07-03
- Gender: Male
- Nationality: Indian
- Marital Status: Married
Languages
Language known Marathi, English, Hindi
Hobbies and Interests
Hobby Cricket
Extra-Curricular Activity
1) Active participation in leather ball cricket with significant achievement in national level tournaments
Certification
- Associate in Claims (AIC)
Timeline
Process analyst/ claims specialist
Allstate India Pvt. Ltd.
06.2022 - Current
Manager
Star Health Insurance Pvt Ltd.
07.2015 - 06.2022
B.H.M.S. -
M.U.H.S.
H.S.C. -
Maharashtra Board
S.S.C. -
Maharashtra Board