NILESH SHIMPI

• Claim Intimation / Assessments -
• Claim Intimation- to insurance company with required details, for appointment of surveyor.
• Complying with all paper work and LOR required by insurance company including site visits to be carried out jointly with Insurance Company / Surveyor and project engineers in order to get the necessary claims with minimal TAT. Post approval further interdepartmental co-ordination so as to get the claim amount receipt in project escrow accounts.
• Claim Assessment- surveyor assess the loss and make a assessment on quotation, check every assess item with proper rate is applicable or not.
• Categorising and identifying type of accident / incident and accordingly applying to insurance companies for the purpose of claims.
• Work achievements - Settled approx. 50+ claims amounting to INR 20 Crores including 02 critical claims with The New India Insurance which had arose out of unprecedents floods.
• Categorising company assets into Registrable (LMV/LCV/HGV) non registrable (CPM/Fire) personal / commercial vehicles and accordingly approaching insurance companies
• Seeking best quotes with comparative analysis for renewal purpose so as to increase / safeguard bottom level profits. which includes negotiations and dealing with insurance advisor and project LIA.
• Renewal includes asset quantum of approx. 1000+ assets on annual basis.
• Work Achievements: Having strong control on assets which are retarded / sold/ scrapped – Such 40 Cases identified
• MAINTAING MIS, MAKING PRESENTATIONS AND COMPLYING DOCUMENTS REQUIRED BY INSURANCE COMPANIES
• Preparing MIS / updating SAP Portal and representing the same to higher management with handy and effective presentations including details of WC Claims / Motors Claims and project claims.
• Working with SAP Module – Payment process Entry, Insurance renewal data updation, Payment Status, Insurance claim data updation,
• Handling MIS - SPV's claim sheet- Master / Policy type wise claim sheet- Master Monthly Claim report – MTTSC (Motor) /Track record of every renewal policies.

• Executed claims processing for private health insurance clients.
• Compiled company-specific and diagnosis-focused MISo reports to facilitate oversight.
• Enhanced efficiency in claims management through systematic reporting and analysis.

MRD – Medical Records Department (In-Charge) Certified by Arvind Eye Hospital, Madurai, Tamil Nadu

• Led end-to-end management of IP/OP medical records, ensuring accuracy, compliance, and seamless accessibility for clinical and administrative teams.
• Designed and implemented a structured Medical Records Department, including an efficient colour-coding system to track IP/OP patient files with defined turnaround times (TAT).
• Streamlined coordination with the Stores Department to maintain optimal inventory levels and support operational continuity.
• Utilised the IHMS (Integrated Hospital Management System) for high-quality data entry, record maintenance, and generating analytics-driven reports for senior management.
• Produced comprehensive MIS dashboards and reports, including IPD/OPD analytics (age-wise, gender-wise, paid/free), Cataract Quality Reports, monthly staff attendance, inventory statements (inward/outward), petty cash (Tally), and claim summaries.