Dr PARICHITA MISHRA
Mumbai
Summary
Dynamic Manager with a proven track record at Aditya Birla Health Insurance, showcasing expertise in operations management and relationship building. Achieved a significant decrease in loss ratio by identifying fraud, leading to a double promotion within a year. Skilled in vendor and stakeholder management, adept at coaching teams for peak performance.
Overview
7
7
years of professional experience
Work History
Manager
Adiya Birla Health Insurance
Thane
06.2023 - Current
- Handling claims related to OPD of Group employee- employer
- Training the TPA’s and guiding them with correct adjudication guidelines
- Digitization of domestic travel claim processes
- Approving and handling end to end international travel claims
- Handed 10 legal and ombudsmen cases of International travel alongside with lawyers
- Decreased Loss Ratio by decreasing abuse and identifying fraud’s of around 1.5 cr’s
- Handling grievances and settling the issues within stipulated time period
- SPOC of ABHI for travel partners like Make my Trip, Asego & Ttrip Jack
- I was double promoted from Assistant manager to Manger in a tenure of 1 year
Medical Officer
Paramount Health care services
11.2021 - 06.2023
- Facilitate thorough validation of medical reports for claims processing as part of pre-authorization department
- Efficiently handling health claims of multiple private insurance companies like HDFC Life insurance, EGIL, TATA AIG, ABHI, GO Digit, HDFC ergo, CTTK along with communicating with respective Doctors of insurance companies for claim settlement within specified TAT
- Training new recruits as per required qualification and functional requirements
Dental Associate
IKS Healthcare
Mumbai
02.2020 - 05.2020
- Validation of transcribed medical reports from US and make the final Clinical Summary and case history of each medical report
- Maintain agreed SLA & TAT with quality parameters of all medical reports
Clinical Dentist
Care & Cure Dental Clinic
Durgapur
08.2018 - 08.2019
- Assist senior Dentist on all active and live medical cases
- Managing clinic in absence of senior Dentist
- Preparing final prescriptions basis recommendations and consultation with Senior Dentist
- Performing minor dental surgeries under guidance of senior Dentist
Education
Bachelor of Dental Surgery - Dentistry
Peoples College of Dental Science& Research Centre
Bhopal, M01.2017
HSC - Science (PCB)
Bodhichariya Senior Secondary School
Kolkata, WB01.2012
SSC -
Carmel Convent High School
Durgapur, WB01.2010
Skills
- Relationship building
- Operations management
- Verbal and written communication
- Vendor management
- Stakeholder management
- Coaching and mentoring
Accomplishments
- Employee of the year
Timeline
Manager
Adiya Birla Health Insurance
06.2023 - Current
Medical Officer
Paramount Health care services
11.2021 - 06.2023
Dental Associate
IKS Healthcare
02.2020 - 05.2020
Clinical Dentist
Care & Cure Dental Clinic
08.2018 - 08.2019
Bachelor of Dental Surgery - Dentistry
Peoples College of Dental Science& Research Centre
HSC - Science (PCB)
Bodhichariya Senior Secondary School
SSC -
Carmel Convent High School
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