RaviKanth Buramadoddi
Senior Manager
Hyderabad
Overview
6
6
years of professional experience
3
3
Languages
Work History
Senior Manager -Provider Auditor-health Claims
Tata Aig General Insurance
02.2024 - Current
- Analyzed data and findings to prepare reports detailing financial information.
- Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
- Performed observations and evaluated supporting documents to supplement audit findings.
- Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
- Mentored junior auditors, sharing knowledge and best practices to foster their professional growth within the team.
- Conducted risk assessments to determine areas requiring increased focus during subsequent audits.
- Managed multiple concurrent audit engagements, prioritizing tasks to meet deadlines without compromising quality.
- Streamlined audit processes, improving efficiency and reducing time spent on each audit engagement.
- Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
- Reduced the risk of fraud by implementing effective internal controls and monitoring systems.
Senior Manager - Health claims
Tata AIG GIC Ltd.
10.2022 - 02.2024
- Adjudication of Claims
- Highest quality service delivery related to Claims management
- Liaising with Underwriters and Reinsurers for re-underwriting of claims and seeking opinion
- Investigator/Vendor management
- Handling grievance management and ombudsman claims with appropriate decision
- Established strong relationships with clients and stakeholders, ensuring long-term partnerships and repeat business.
Health Claims Manager
Reliance general insurance
05.2019 - 10.2022
- Adjudication of Claims
- Highest quality service delivery related to Claims management
- Responsible for scrutiny of claim documents and adjudication of corporate group medical health insurance claims
- Liaising with Underwriters and Reinsurers for re-underwriting of claims and seeking opinion
- Investigator/Vendor management
- Understand Claims System and its core functionalities, track defects and reporting, assist IT in development of new tools
- Quality Auditor for PMJAY
- Worked as In-Charge at Grievance for KASP-PMJAY Kerala 2019-2020
- Team managing, Assignment and Quality Check
- Processing & Reopening of Rejected Claims
- Grievance team TAT management
Education
MBBS - Medicine
GovernmentMedical College Anantapur NTR UNIVERSITY
Vijayawada01.2016
Intermediate - undefined
Sri Chaitanya Junior College
Vijayawada10th Class - undefined
Keshav Reddy Residential High School
NandyalaSkills
Troubleshooting and problem resolution
Cross-functional collaboration
Documentation and reporting
Negotiation
Kids
1 Baby Girl
Awards
- Best learners award, Reliance General Insurance, 10/01/20
- Best employee award for Q3,Q4, TATA General Insurance
Personal Information
- Willing To Relocate: Hyderabad
- Father's Name: B Lakshman Rao
- Mother's Name: R Visranthamma
- Spouse's Name: CH Supraja
- Date of Birth: 04/27/92
- Marital Status: Married
Timeline
Senior Manager -Provider Auditor-health Claims
Tata Aig General Insurance
02.2024 - Current
Senior Manager - Health claims
Tata AIG GIC Ltd.
10.2022 - 02.2024
Health Claims Manager
Reliance general insurance
05.2019 - 10.2022
Intermediate - undefined
Sri Chaitanya Junior College
10th Class - undefined
Keshav Reddy Residential High School
MBBS - Medicine
GovernmentMedical College Anantapur NTR UNIVERSITY