Prerna Nayak
Pune
Summary
Results-driven professional effective in implementing positive change while overseeing multiple tasks. A team player with great time management and organizational skills. Also as a person, I am very jolly and easy to approach person. Always ready to learn and take feedbacks. Also a social worker, feeding more than 20 street animals on a daily basis.
Overview
8
8
years of professional experience
2
2
years of post-secondary education
1
1
Certification
Work History
Senior Associate
WNS global services
Pune
12.2024 - Current
- Working with claim administration team for end to end claim review and progress.
- End to end claim review.
- Liability negotiation and decision making.
- Third party recovery and settlements.
- Working on payments for vendor and other parties
- Auxiliary trainer and floor supervisor.
- Developed training materials for new associates to ensure consistent knowledge transfer.
ANALYST
Allstate India pvt limited
Pune
12.2021 - 11.2023
- Calling the Vendor and Third Party Insurance companies directly to handel the liability and recoveries.
- Developed strategies for resolving complex claims issues.
- Analyzed claim data to identify trends and recommend process improvements.
- Conducted investigations to gather evidence in support of claims resolution.
- Identified, evaluated and investigated insurance subrogation claims.
- Negotiated with third parties to settle outstanding debts and recover funds for clients.
- Researched relevant legal documents to identify recovery options.
- Analyzed financial data to determine potential liability of third-party entities.
- Developed strategies for successful resolution of subrogation claims.
SENIOR CLAIMS ADJUSTER
WNS Global Services Pvt, Ltd
Pune
12.2018 - 11.2021
- Calling the Motor bodyshop to follow up on the repairs from the claim start to end.
- Calling the claim holder for payments and refunds and also to resolve queries for there repairs related issues.
- Analyzed claim data to identify trends or patterns of abuse or fraud.
- Ensured timely resolution of customer inquiries related to their claims.
- Implemented quality control measures to improve overall claim processing efficiency.
- Monitored status of pending claims on a daily basis and followed up as needed.
- Identified potential areas of improvement within existing processes or procedures.
- Performed periodic audits on submitted claims for accuracy prior to approval and payment processing.
Education
Bachelor of Commerce -
Bir Tikendrajit University
Imphal 06.2021 - 05.2023
Diploma of Higher Education - Computer Technologies
NDMVP College RSM college of Diploma
Nashik, MHSSC -
St Francis High School
Nashik, MHSkills
- Excellent in Communication
- Good with Presentations
- Training abilities
- Claims Processing
- Relationship Building
- Decision-Making
- Payment Processing
Certification
Associate in Insurance Data Analytics (AIDA) level 1 and 2, Allstate Insurance Company
Hobbies and Interests
- Fitness enthusiast
- Working for animal welfare
- Pet groomer and dog trainer
- Making portrait and painting
- Swimming
Phone
mobile, 8551958464
Timeline
Senior Associate
WNS global services
12.2024 - Current
ANALYST
Allstate India pvt limited
12.2021 - 11.2023
Bachelor of Commerce -
Bir Tikendrajit University
06.2021 - 05.2023
SENIOR CLAIMS ADJUSTER
WNS Global Services Pvt, Ltd
12.2018 - 11.2021
Diploma of Higher Education - Computer Technologies
NDMVP College RSM college of Diploma
SSC -
St Francis High School