Naresh Kumar Nama
Hyderabad
Summary
Experienced Senior Manager proficient in managing reporting, budgeting and compliance areas. Adept at updating and working with executive leadership. Bringing superior skills in planning, negotiation and complex problem-solving gained over 10 years of Automotive Insurance experience.
Overview
11
11
years of professional experience
Work History
Senior Manager
ICICI Lombard General insurance Pvt Ltd
Hyderabad
10.2023 - Current
- Analyzed data gathered during investigations to determine the validity of claims or theories.
- Documented facts and statements gathered from complainants, witnesses and accused persons.
- Organized and maintained files of all investigative activities.
- Supervised independent adjusters to promote adherence to guidelines.
- Investigated questionable claims to determine payment authorization.
- Analyzed medical records and documents for accuracy and completeness.
- Gathered evidence through surveillance activities in order to verify reported losses.
- Reduced loss ratios through fair and prompt processing of claims.
- Double-checked and reviewed documentation for denied and accepted insurance claims.
- Paid and processed claims within designated authority level.
- Negotiated settlements with claimants while adhering to company guidelines.
- Completed required investigations on referred files within established timeframes.
- Maintained thorough understanding of fraudulent and illegal practices.
- Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
- Analyzed information gathered by investigations and reported findings and recommendations.
- Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
- Conducted daily reviews on claim files and verified sending of status letters to policyholders.
Senior Associate
Go Digit insurance Pvt Ltd
Hyderabad
04.2021 - 10.2023
Associate
Go Digit General Insurance Pvt Ltd
Hyderabad
09.2019 - 04.2021
- Examined claims, records and procedures to grant approval of coverage.
- Analyzed contracts and claim systems to apply appropriate benefit amounts.
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
- Identified client service improvement opportunities in collaboration with team leads and managers to resolve problems.
- Coordinated and planned investigations of claims to confirm compensability and coverage.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Collaborated with appraisers, facility managers, body shops and salvage vendors.
- Verified claim data correctness in preparation for processing.
- Researched discrepancies between submitted documentation and actual records to identify errors or omissions.
- Examined automobile policies with third-party liability, accident benefits and collision benefits.
- Processed a high volume of incoming claims in accordance with established policies and procedures.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Addressed customer inquiries to provide information and explanations on coverage and terms, expediting claims.
- Analyzed and evaluated claim forms, medical reports, bills, and other documents to ensure accuracy of data.
- Resolved complex issues associated with denied or underpaid claims through negotiation with payers.
- Assisted customers via telephone inquiries related to their specific claim status or general questions about the company's services.
- Collaborated with fellow team members to manage large volume of claims.
- Provided technical guidance and training to new staff members regarding claim processing procedures.
- Managed escalated customer complaints pertaining to denied or delayed payments in a timely manner.
Customer Service Manager - Motor
ICICI Lombard General Insurance Company Private Ltd
01.2014 - 09.2019
- Led team engagement to assist cross-functional departments and achieve goals.
- Analyzed call center data to identify trends in customer issues and recommend solutions accordingly.
- Evaluated individual and team business performance and identified opportunities for improvement.
- Identified areas of improvement within current operational procedures as well as recommended best practices for future operations.
- Participated in regular meetings with management team members discussing progress towards achieving company objectives related to product excellence.
- Resolved customer inquiries and complaints requiring management-level escalation.
Service Advisor
KUN Hyundai
08.2012 - 01.2014
- Ensured that all customer inquiries were handled promptly and accurately.
- Calculated materials, supplies and labor costs to develop estimates and prepare work orders.
- Used service skills and technical knowledge to ascertain issues and provide swift, successful resolutions.
- Reviewed completed service orders to ensure that all work was done correctly, according to dealership standards.
- Participated in ongoing training activities related to automotive technology advancements.
Education
B.Tech - Automotive Engineering
J.N.T.U. HYDERABAD, ANDHRAPRADESH
06-2012
DIPLOMA - Automotive Engineering
STATE BOARD OF TECHNICAL EDUCATION AND TRAINING
06-2009
10th Class -
BOARD OF S.S.C. ANDHRAPRADESH
03-2006
Skills
- Data Analytics
- Business Performance Management
- Documentation and Reporting
Personal Information
- Father's Name: N.VIJAY KUMAR (LATE)
- Date of Birth: 05/31/1991
- Marital Status: Married
Hobbies and Interests
Playing volley ball, Travelling
Languages
Telugu
First Language
Hindi
Upper Intermediate (B2)
B2
English
Upper Intermediate (B2)
B2
Timeline
Senior Manager
ICICI Lombard General insurance Pvt Ltd
10.2023 - Current
Senior Associate
Go Digit insurance Pvt Ltd
04.2021 - 10.2023
Associate
Go Digit General Insurance Pvt Ltd
09.2019 - 04.2021
Customer Service Manager - Motor
ICICI Lombard General Insurance Company Private Ltd
01.2014 - 09.2019
Service Advisor
KUN Hyundai
08.2012 - 01.2014
B.Tech - Automotive Engineering
J.N.T.U. HYDERABAD, ANDHRAPRADESH
DIPLOMA - Automotive Engineering
STATE BOARD OF TECHNICAL EDUCATION AND TRAINING
10th Class -
BOARD OF S.S.C. ANDHRAPRADESH
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