Omkar Yadav
Jogeshwari East, Mumbai
Summary
PGDM and B.Com with 17+ years in Life and Health Insurance.
Expertise in Claims, Operations, Product Development, Audits, and Regulatory Reporting.
Skilled in team leadership, fraud control, training, System development and process automation.
Overview
18
18
years of professional experience
Work History
Senior Chief Manager – Product Development
Adity birla health Insurance Co. Ltd.
02.2023 - Current
- Collaborated with stakeholders to gather and define business requirements, ensuring successful project delivery
- Developed and maintained BRD and FSD, keeping documentation aligned with business needs
- Led workshops to identify inefficiencies, driving process improvements
- Analyzed business data using Excel and SQL, creating dashboards for key KPIs
- Coordinated with development teams to align with business goals
- Conducted competition benchmarking and ideated new products
- Prepared product filing documents and regulatory reports
- Contributed to health product design, development, and management
- Managed product launches, including system development, training, and marketing
Manager – Product Development Team
SBI General Insurance Co. Ltd.
08.2021 - 02.2023
- Conducted competition benchmarking to generate innovative product ideas
- Led product ideation through market research and stakeholder engagement
- Prepared product filing documents and regulatory reports
- Contributed to health product design, development, and end-to-end management, including launches, IT development, training, and marketing
- Provided feedback on advertising and product feature materials
Retainer – Underwriting Risk Team
HDFC Life Insurance Co. Ltd.
03.2021 - 07.2021
- Managing risk verification for Individual and Health cases end to end
- Preparing data for high-risk cases and allot cases for investigation
- Cancelled the negative cases for Individual and Health policy
- Discuss high ageing cases with investigator
- Managing Team with day-to-day activity
Assistant Manager – Claims
AEGON Life Insurance Co. Ltd.
12.2018 - 03.2021
- Managed end-to-end Individual, Group, and Health claim processing from registration to settlement.
- Led a team with daily activity allocation and monitored claim progress for timely settlements.
- Reviewed high-aging and repudiation cases with investigators, CMO, and Legal team.
- Handled monthly reconciliations, regulatory reporting (BAP & statistics), and audits.
- Managed pre-claim activities and provided monthly claim summaries to management.
Assistant Manager – Claims
TATA AIA Life Insurance Co. Ltd.
11.2017 - 12.2018
- Managed end-to-end Group Death & Health claim processing, from registration to settlement.
- Led and guided a team of claims assessors and approvers, with an approval limit of ₹8,00,000.
- Ensured timely claim settlements, monitored progress, and resolved pending cases.
- Handled monthly reconciliations, IRDAI reporting (BAP & statistics), and audits.
- Achievements: Star Performer for zero claim pendency, and Excellence Awards for 100% quality.
Manager – Claims
Kotak Mahindra Old Mutual Life Insurance Co. Ltd.
09.2012 - 11.2017
- Managed group death and health claims with a ₹8L approval limit, ensuring timely settlements and compliance.
- Led investigations, audits, and process improvements, including GCP portal and claim workflow.
- Resolved queries, trained teams, and implemented strategic projects.
- Awards: Best Employee (3 years), Star Performer (3 years), Highest Productivity, Outstanding TAT.
- Achieved double promotion (Assistant Manager to Manager).
Senior Associate in Operations Department
HDFC Standard Life insurance Ltd.
09.2008 - 09.2012
- Reviewed policy documents for underwriting and servicing in Wonders and Life Asia.
- Managed servicing requests and resolved customer complaints.
- Contributed to audits, quality checks, MIS, and IRDAI reporting.
- Awarded for performance and customer focus (2009).
- Recognized for highest conversions (2010) and developing control reports.
Case Management Executive in New Business Department
Relaince Life Insurance Company Pvt Ltd.
03.2007 - 09.2008
- Managed Auto Underwriting and prepared MIS reports.
- Awarded "Best Performance" and received cash incentives for team handling.
Education
PGDM -
Welingkar Institute of Management
Mumbai01-2019
B. Com -
Mumbai University
Mumbai01-2006
Skills
- SQL
- Cognos
- Macros in Excel
Professional qualifications and skills
- PGDM from Welingkar Institute of Management
- Developing queries on SQL based application (DTF), Cognos and Macros in Excel.
- Appeared for MS-CIT exam and secured 84% marks.
Personal Information
- Passport Number: M7017317
- Father's Name: Kamala Shankar Yadav
- Spouse's Name: Pramila O. Yadav
- Date of Birth: 11/02/1983
- Marital Status: Married
Timeline
Senior Chief Manager – Product Development
Adity birla health Insurance Co. Ltd.
02.2023 - Current
Manager – Product Development Team
SBI General Insurance Co. Ltd.
08.2021 - 02.2023
Retainer – Underwriting Risk Team
HDFC Life Insurance Co. Ltd.
03.2021 - 07.2021
Assistant Manager – Claims
AEGON Life Insurance Co. Ltd.
12.2018 - 03.2021
Assistant Manager – Claims
TATA AIA Life Insurance Co. Ltd.
11.2017 - 12.2018
Manager – Claims
Kotak Mahindra Old Mutual Life Insurance Co. Ltd.
09.2012 - 11.2017
Senior Associate in Operations Department
HDFC Standard Life insurance Ltd.
09.2008 - 09.2012
Case Management Executive in New Business Department
Relaince Life Insurance Company Pvt Ltd.
03.2007 - 09.2008
PGDM -
Welingkar Institute of Management
B. Com -
Mumbai University