Summary
Overview
Work History
Education
Skills
Work Availability
Timeline
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Ram Kumar

Sr Claims Acissocates
Bengaluru

Summary

Highly skilled and detail-oriented Claims Associate with 3 years 10 months of experience in the insurance industry. Proven record of managing complex claims processes, ensuring accuracy, and delivering exceptional customer service. Seeking a challenging position to utilize my expertise and contribute to the success of the company, Overall 5.1 year experience.

Overview

5
5
years of professional experience
5
5
years of post-secondary education
5
5
Languages

Work History

Sr Associate

Carelon Global solutions
Bengaluru
05.2022 - 09.2023
  • Claim - Mentor and train junior claim associates, providing guidance and support in claims handling procedure - Maintain detailed and organized claim files, ensuring all documentation is accurate, complete, and accessible for audits and legal requirements
  • Actively participate in team meetings, contribute insights, and collaborate with cross-functional teams to enhance customer experience and achieve department goals
  • Received multiple commendations for consistently meeting or exceeding team performance targets, including high customer satisfaction ratings
  • Internal Audit to ensure quality of service and payment made is accurate and as per the policy
  • Providing end to end support on escalation claims and payment related queries.
  • Escalated files with significant indemnity exposure to supervisor for further investigation.
  • Conducted full claim investigations and reported updates and legal actions.
  • Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
  • Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
  • Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.

Claims Associate

Carelone Global Solutions
Bengaluru
11.2019 - 05.2022
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Examined reports, accounts, and evidence to determine integrity and accuracy of information
  • Followed up with provider on unresolved issues.
  • Meeting Production Numbers and Played a key role in IRP (Inventory Reduction Plan
  • Maintaining the Quality at my best, on IRP.
  • Always being in a front row, for taking the work and working or make the team to work on it
  • Assigning Inventory for the juniors if needed, on regular Basis
  • Internal Auditing .
  • Cross Training Associates And training New Joiners.
  • Participating in cultural Events, like Cheer Up souls, and Town Halls.
  • Consolidation Production Tracker,Working on Escalation Files, and processing the claim and making it Finalized.
  • Educating the Associates on the error.
  • Bringing all my work experience together for solving any type of problem, with in short time.
  • providing end to end support on escalation claims and payment related queries.

Customer Service Representative

Capita
Bengaluru
08.2018 - 11.2019
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Responded to customer requests for products, services, and company information.
  • Provided primary customer support to internal and external customers.Worked for "Water Plus" utility process (Uk ) invoicing.
  • Analyzing and providing end to end customer support via mail, invoice generating , rework and payment related queries etc

Education

BCOM - Accounting And Business Management

RBANM's FGC College
Bangalore
06.2015 - 05.2018

Intermidate - Commerce

RBANM'S Pre University
Bangalore
06.2013 - 05.2015

SSLC - Basic

Sri Ramakrishna Education Society
Bangalore

Skills

Training and Development

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Work Availability

monday
tuesday
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morning
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Timeline

Sr Associate

Carelon Global solutions
05.2022 - 09.2023

Claims Associate

Carelone Global Solutions
11.2019 - 05.2022

Customer Service Representative

Capita
08.2018 - 11.2019

BCOM - Accounting And Business Management

RBANM's FGC College
06.2015 - 05.2018

Intermidate - Commerce

RBANM'S Pre University
06.2013 - 05.2015

SSLC - Basic

Sri Ramakrishna Education Society

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Ram KumarSr Claims Acissocates