Poonam Singh
Senior Claim Associate
Rasayani
Summary
Professional with comprehensive background in processing, prepared to bring high standards to new role. Known for improving operational efficiency and ensuring accuracy in documentation. Team-oriented with strong focus on achieving results and adapting to changing needs. Proficient in data management and regulatory compliance.
Overview
7
7
years of professional experience
2
2
Languages
Work History
Claim Processes
Wellcove By CHCS
07.2023 - Current
- Claims Processing: Review, investigate, and process claims in accordance with company policies and procedures. Documentation Management: Gather, analyze, and maintain accurate documentation related to claims.
- Communication: Communicate with policyholders, claimants, and internal stakeholders to resolve claims-related issues.
- Investigation: Conduct investigations to determine claim validity and extent of liability.
- Claim Approval/Denial: Decide on claim approvals, partial payments, or denials based on policy guidelines and prepare and send claim decision letters with proper explanations.
- Policy Verification: Review the insured's policy to confirm coverage, exclusions, waiting periods, and benefit limits.
Senior Executive
Exl India Pvt. Ltd.
12.2018 - 05.2023
- Mainly responsible for all types of report, Dashboard and updating data.
- Maintaining the quality and doing the maximum production.
- Handling utilities part in BG process.
- Receiving emails of client in ERMS and giving response to the client.
- Amending information of client like reads, address and reversing the bills in SAP.
- Working on Agent Workbench for providing resolution to the client.
- Maintaining tracker of client queries.
Education
B.Sc - Chemistry & Zoology
Deen Dayal Upavadhya University Gorakhpur
01-2016
Intermediate - Biology
U.P. Board
Barhaj Deoria U.P.01-2013
High School - Science
U.P. Board
Barhaj Deoria U.P.01-2011
Skills
Proficiency in claims software
Problem Solving
Claim Investigation
Expert in Software claim process Such as PEGA, CBP, Claim central research ,CPS under VM Ware Server
Process auditing
Employee training
Reports analysis
Microsoft Office(Word, Power Point,Excel)
Time Management
Quality control
Teamwork and collaboration
Document review
Process control
OSHA compliance
Team collaboration
Visual inspection
Production line work
Summary
- Currently working with Wellcove by CHCS as a Senior Claim Specialist since 12th July 2023 to the present.
- Previously worked with EXL Service Pvt. Ltd. from 20th December 2018 to 30th May 2023 as a Process Executive, A highly effective management professional with 4.5 years of experience working in a world-class environment, demonstrating strong expertise in process management and operational excellence.
Professional Achievements
Awarded Star Performer in Quarter 1, 2025 for exceeding quality and production targets.
Interests
Browsing internet, Listening Song and Reading Books
DECLARATION
I hereby declare that the above given information is true and best of my knowledge.
Timeline
Claim Processes
Wellcove By CHCS
07.2023 - Current
Senior Executive
Exl India Pvt. Ltd.
12.2018 - 05.2023
B.Sc - Chemistry & Zoology
Deen Dayal Upavadhya University Gorakhpur
Intermediate - Biology
U.P. Board
High School - Science
U.P. Board