Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Intern

Priya Desai

Insurance Operations & Claims Specialist
Electronic City, Bengaluru

Summary

Dynamic and results-driven Process Specialist with over 7 years of extensive experience in insurance operations, claims processing, and process optimization. Expertise in identifying discrepancies and streamlining workflows, while effectively collaborating with cross-functional teams to ensure accurate and timely claim settlements. Proficient in industry-standard tools, recognized for strong analytical skills, meticulous attention to detail, and a proactive approach to problem-solving and continuous improvement. Committed to driving operational excellence and enhancing overall efficiency within the organization.

Overview

7
7
years of professional experience

Work History

Process Specialist

Allstate India Pvt. Ltd
02.2022 - Current
  • Coordinated with clients to compile and verify required documentation for policy submission.
  • Contributed to property premium rating processes by participating in policy rating.
  • Highlighted discrepancies in Auto and Property LOB during FNOL processing within TAT.
  • Reviewed and analyzed claim histories to support adjusters in expediting the claim process.
  • Created detailed sketches using Xactimate to develop cost estimates for property damage.
  • Coordinated with claims team to expedite settlements.
  • Processed payments for dwelling and ALE coverages.
  • Tracked team progress on payment tasks to meet deadlines.
  • Recovered funds from vendors due to payment leakages.
  • Conducting the sessions for the process and quality improvement. Job shadowing, Conducting Sit along and providing feedback accordingly.
  • Managed escalation issues from Onshore adjusters.
  • Work allocation for the team, Sending the pending reports to make sure there is no TAT misses. Conducting Sanity check for WFT.

Process Analyst

Gallagher Service Center LLP
06.2018 - 02.2022
  • Reviewed and resolved inaccuracies in policies across multiple business lines.
  • Utilized email communication to resolve discrepancies with process managers.
  • Maintaining all policies details and reconciling with the application.
  • Reporting and dispatching the Checklists and Proposals to the clients by adhering the SLA.
  • Maintaining Daily, Weekly and Monthly (Internal and external) reports.
  • Handled urgent requests efficiently within specified turnaround time.

Education

Master Of Business Administration -

Bengalore University
05.2018

Skills

Software/Tools: Xactimate, EPIC, CPT, NextGen, DCF, MICA, ClaimX, Prism,

Accomplishments

  • Recognized as Managerial choice from the divisional level.

Timeline

Process Specialist

Allstate India Pvt. Ltd
02.2022 - Current

Process Analyst

Gallagher Service Center LLP
06.2018 - 02.2022

Master Of Business Administration -

Bengalore University

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Priya DesaiInsurance Operations & Claims Specialist