Summary
Overview
Work History
Education
Skills
Websites
Accomplishments
Additional Information
Languages
Timeline
SeniorSoftwareEngineer

Pallavi Swapnil Pawar

MUMBAI

Summary

Adaptable professional with 6+ years of work experience and proven knowledge of leadership, problem-solving, and workflow prioritization in health insurance domain, providing end to end project management delivery and Business implementations projects in health insurance sector. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

6
6
years of professional experience

Work History

Project Co-Ordinates Inside Sales

DocTalk Solutions
MUMBAI
04.2017 - 10.2018
  • Coordinate with partners, vendors to track down adherence on project process
  • Ensure 100% compliance on all compliances and SLAs as per contract
  • Co-ordinate with internal team like, marketing, site team to facilitate support for project implementation
  • Review all meeting of minutes and attend all calls
  • Manage PMC/client as single point of contact for team and any queries on relevant project topics
  • Co-ordinate and support administrative requirement for team events
  • Work directly with clients PMCs team on updating and sharing performance summaries with key stakeholders
  • Responsible for Identify gaps in buying process and set up SOP to ensure smooth transaction for end customer

Customer Service

Cigna Healthcare Insurance
MUMBAI
12.2014 - 02.2017
  • Insurance Cigna TTK Health Insurance
  • Handling project - Follow-up for status updates on agreed deliverables and closely tracking project's progress, collect & delivers detailed information about all projects to executives and stakeholders
  • Handling Escalated risk related complaints received from various sources i.e., IRDA, Legal Notice, Court Hearing, contact center, senior leadership management
  • Scrutiny of all complaints based on content and sending acknowledgment as per IRADA TAT
  • To attend and review all calls and prepare Minutes of Meeting
  • Track project deliverables using appropriate project management tools
  • Maintenance of all internal project documentation
  • Project closure citing critical deliverables achieved, along with any open issues/risks to be managed going forward
  • Customer relationships building and took escalations calls for contact center
  • Contact Center management with help different tools
  • Migration of insurance-based application with help of IT

Projects – Cigna TTK Health Insurance

  • Key partnership on boarding
  • Partners, being key drivers for companies' business the on boarding process becomes vital, anchored on boarding process and business launch for Banca partners like Saraswat Bank, Lakshmi Vilas Bank & Pay back Contact Centre Go-live
  • Getting Contact Centre functional, includes training of HRMs, lease line connectivity, CRM testing, dialer readiness, process & system alignment
  • Contact center migration of different application related to Insurance, in-charge of sign off activities of different application

Call center outsourcing

  • Preparing business case for outsourcing of contact center, evaluation and finalization of vendors, projection on savings and meticulously plan outsourcing activity in phased manner

Second Level Escalation

  • Launched second level team to manage escalations of customer's queries with regards to their policies, preparing SOP and case study for executives to handle critical case
  • Handled complaints of IRDA
  • Implemented and developed customer service training processes.
  • Cross-trained and provided back up for customer service managers.
  • Manage quality of second level team by 85%.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Met customer call guidelines for service levels, handle time and productivity.

Case Manager

Makewell Meditour
MUMBAI
04.2013 - 11.2014
  • Worked as Case Manager and help international customer with regards to their medical treatment
  • Worked on projects and develop training module for international customer to go through complete process of their treatment in India
  • Communicating with patients and gathering information on their experiences with client (hospital)
  • Maintaining quality of data
  • Capturing source of all events and maintaining records
  • Resolved client query via phone calls, email and chats.
  • Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems
  • Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs

Intern

Vertex Hospital
MUMBAI
06.2012 - 08.2012
  • Developing tools and methods for collecting data such as surveys, opinion polls or questionnaires
  • Creating graphic representations of data and translating complex research into easily readable content for stakeholders and other departments
  • Preparing marketing proposals and presentations based on company needs
  • Measuring consumer satisfaction with products or services
  • Collecting and analyzing data to identify consumer trends
  • Partnered with department managers to help intern gain competencies and confidence
  • Analyzed problems and worked with teams to develop solutions
  • Sorted and organized files, spreadsheets, and reports

Intern

Kohinoor Hospital
MUMBAI
11.2011 - 05.2012
  • Worked as intern and make project on supply chain management of linen department of hospital
  • Assist production with development of standard operating procedures
  • Develop presentations and training material related to lean manufacturing concepts
  • Participate in improvement activities using lean manufacturing tools

Education

MBA - Operations

Cranfield University London
United Kingdom London
09.2012

Associate of Applied Science - Medical Technology

Symbiosis International University
Pune, India
06.2010

H.S.C - undefined

St Paul Convent School
2007

S.S.C - undefined

Guru Gobind Singh Khalsa School
2004

Skills

  • Project Management
  • Microsoft PowerPoint
  • Microsoft Word
  • Health Insurance Knowledge
  • Customer Service
  • Grievance Management
  • Healthcare Industry Knowledge
  • Internal Stake Holder Co-ordination
  • Team Leadership
  • Customer Relationship Management
  • Inside Sales
  • Inside Sales Management
  • Sales Leadership

Accomplishments

  • Six Sigma Yellow Belt
  • Medical Emergency Personnel
  • Professional Dialysis Technologist
  • Certified Project management professional
  • Content Writer
  • Blogger – Own a website
  • Hobbies
  • Dancing (Trained Kathak Dancer)
  • Playing Cricket
  • Reading Books

Additional Information

  • CRM , Lean & Six Sigma Achievement Rewarded and promoted to Sr. Executive, during appraisal cycle year 2015-2016, for dedication towards work, problem solving attitude and delivering key projects Awarded as CignaTTk rising star for Q2 2016, for successfully delivering LVB project. Awarded as a CignaTTk Champ for the Month Oct & Dec 2016 Performer of month in Makewel Meditour for the month of July 2013 for successfully completed the target. Achiever for the month of March 2018 – DocTalk Solution

Languages

English
Bilingual or Proficient (C2)
Hindi
Bilingual or Proficient (C2)

Timeline

Project Co-Ordinates Inside Sales

DocTalk Solutions
04.2017 - 10.2018

Customer Service

Cigna Healthcare Insurance
12.2014 - 02.2017

Case Manager

Makewell Meditour
04.2013 - 11.2014

Intern

Vertex Hospital
06.2012 - 08.2012

Intern

Kohinoor Hospital
11.2011 - 05.2012

MBA - Operations

Cranfield University London

Associate of Applied Science - Medical Technology

Symbiosis International University

H.S.C - undefined

St Paul Convent School

S.S.C - undefined

Guru Gobind Singh Khalsa School
Pallavi Swapnil Pawar