PRASAD PAWAR
Pune
Summary
Highly motivated Insurance and Reinsurance Operations Professional with 8+ years of experience providing insurance and claims solutions to individuals and businesses. Proven expertise in evaluating customer needs and driving operational excellence across EXL Services, Capita Ltd, and Gallagher LLP, showcasing strong analytical thinking and problem-solving skills. Adept at reinsurance claims processing, underwriting coordination, policy lifecycle reviews, and risk management. Experienced in MIDAS fund processing, internal auditing, and regulatory compliance across HIPAA, ICD-10, ICD-9, CPT codes, and ODG guidelines, consistently delivering accurate, high-quality results.
Overview
4
4
Languages
9
9
years of professional experience
Work History
Seniot Executive
EXL SERVICES
Pune
09.2023 - Current
- Ensure timely end-to-end processing of reinsurance claims by coordinating
closely with underwriters for coverage and risk review. - Audit and review claims documentation for accuracy and completeness prior
to submission for payment processing. - Train and mentor new staff members on standard operating procedures and
quality benchmarks related to insurance processes.
Executive
CAPITA LTD
12.2021 - 02.2023
- Demonstrated strong stakeholder communication skills while interacting with
internal underwriting teams and external clients. - Performed periodic reviews of existing insurance policies to identify
opportunities for client cost savings or additional coverage as needed. - Analyzed recurring trends in customer feedback to streamline workflows
and improve service delivery processes.
Process Analyst
GALLAGHER LLP
04.2018 - 12.2021
- Managed compliance auditing, work allocation, and reporting for ODG
payments in strict adherence to HIPAA regulations and ICD-10, ICD-9, and
CPT coding standards. - Trained employees on pension claims workflows and fund processing on
the MIDAS system through structured knowledge sharing. - Performed detailed audit tests on accounting records to verify the accuracy
and completeness of financial and claims information. - Prepared clear, concise written reports outlining audit findings and
participated in staff training sessions on current auditing techniques.
Education
B.C.A. (Bachelor of Computer Applications) -
H.V. Desai College (Savitribai Phule Pune University)
PuneSkills
- Reinsurance Claims Processing
- Underwriting Coordination
- Risk Management & Policy Review
- MIDAS System Operations
- HIPAA & ODG Compliance
- ICD-10, ICD-9 & CPT Coding
- Claims & Financial Auditing
- Work Allocation & Staff Training
- Analytical Thinking
- Problem Solving
- Attention to Detail
- Active Listening
LANGUAGES
English
Fluent
Hindi
Fluent
PASSION
Photography, Drawing, Dancing
AWARDS
Star of the Month, Recognized for outstanding performance in claims processing and operational accuracy.
Timeline
Seniot Executive
EXL SERVICES
09.2023 - Current
Executive
CAPITA LTD
12.2021 - 02.2023
Process Analyst
GALLAGHER LLP
04.2018 - 12.2021
B.C.A. (Bachelor of Computer Applications) -
H.V. Desai College (Savitribai Phule Pune University)