Reading & OutdoorSports
Rahul Tripathi
Insurance Professional
Summary
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
7
7
years of professional experience
4
4
years of post-secondary education
1
1
Certification
1
1
Language
Work History
State Manager
Go Digit General Insurance
Lucknow, Uttar Pradesh
02.2019 - Current
- Evaluated and settled complex insurance claims in strict timeframes.
- Followed up with customers on unresolved issues.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Conducted full claim investigations and reported updates and legal actions.
- Utilized appropriate cost containment techniques to reduce overall claim costs.
- Conducted risk evaluations on claims settlement proposals to encourage sound decision-making regarding settlement offers.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Drafted and reviewed legal documents utilizing knowledge of relevant clauses to minimize incurred liability.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
Senior Executive
Bharti AXA General Insurance Co
Lucknow, Uttar Pradesh
07.2016 - 12.2019
- Verified insurance claims and determined fair amount for settlement.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Answered customer questions regarding deductibles.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Examined claims forms and other records to determine insurance coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Maintained suspicious claims database and prepared reports for supervisors.
- Documented all investigation activity and presented reports to management.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Visited customer locations to evaluate damage and provided cost estimates for remediation.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
- Identified suspicious losses and contacted manager for investigative assistance.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
Education
Associates - Insurance Professional
Insurance Institute of Undia
Mumbai 06.2014 - 01.2015
Diploma - Mechanical Engineering
Government Polytechnic Lucknow
Lucknow 07.2009 - 07.2012
Licentiate - Insurance Professional
Insurance Institute of India
Mumbai 03.2014 - 06.2014
Skills
Team Management
undefinedAccomplishments
1. Won Top Gun Award for 2 consecutive years in 2020 & 2021. The award being given basis pan india voting for the best employee in particular department.
2. 6 Back to back Spot Awards for Fraud savings and prevention.
3. Promoted as Regional Manager for Managing 2 States in just less than 1 years of service
4. Supervised team of 26 staff members keeping the territory on top.
Certification
Associate Diploma in Insurance
Interests
Converting innovative ideas into success
Timeline
State Manager
Go Digit General Insurance
02.2019 - Current
Senior Executive
Bharti AXA General Insurance Co
07.2016 - 12.2019
Associate Diploma in Insurance
01-2015
Associates - Insurance Professional
Insurance Institute of Undia
06.2014 - 01.2015
Licentiate - Insurance Professional
Insurance Institute of India
03.2014 - 06.2014
Diploma - Mechanical Engineering
Government Polytechnic Lucknow
07.2009 - 07.2012
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