Summary
Overview
Work History
Education
Skills
Timeline
Generic

Raviprasad Ranganath Aluruchenna

Pune

Summary

Results-oriented Claims Adjuster bringing hands-on law enforcement experience and exceptional leadership and communication skills. Background includes criminal investigation, insurance fraud and surveillance. Detailed Adjuster with Number years of experience in corporate insurance claims. Strong command of claimant information intake processes, records documentation and fraudulent investigation protocols. Impactful skills preparing operational reports, presenting Type information to audiences and approving claim payouts. Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through Number years of experience interviewing specialists, witnesses and claimants to compile information. Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems. Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Motivated Job Title specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable. Claims Examiner with deep knowledge of Type claims industry. Solid abilities in developing objectives and strategies to settle Type claims. Excellent skills compiling, coding, categorizing and auditing information to process claims. Resourceful Type professional promoting Number years of expertise assessing coverage and overseeing claims review. Leverages well-developed communication skills to deliver information to policyholders. Detail-oriented Examiner with Number years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and Area of expertise. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Job Title position. Ready to help team achieve company goals.

Overview

12
12
years of professional experience
9
9
years of post-secondary education

Work History

Insurance

Allstate Solutions Private Limited
Pune
03.2022 - Current
  • Examined claims forms and other records to determine insurance coverage.
  • Verified insurance claims and determined fair amount for settlement.
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Established relationships with clients and insurance companies to foster timely claims resolution.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Prepared summaries of damage, payments, and policy coverage.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Answered customer questions regarding deductibles.
  • Organized, planned and documented materials for Type claims.
  • Substantiated legitimate claims and denied unjustified claims.
  • Maintained suspicious claims database and prepared reports for supervisors.
  • Documented all investigation activity and presented reports to management.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Researched and analyzed policy contracts to verify proper payment of claims.
  • Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
  • Trained other claims staff members on proper handling and evaluation of injury claims.
  • Corrected Type codes to properly classify Type claims.
  • Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Investigated and assessed damage to property and reviewed property damage estimates.
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Estimated quantifiable characteristics of Type products.
  • Analyzed information gathered by investigation and reported findings and recommendations.
  • Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
  • Negotiated Type settlement agreements to resolve disputes.
  • Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
  • Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
  • Collected Type information from customers to complete claims and legal files.
  • Documented information gathered in field and uploaded data to company database for efficient processing using Software.
  • Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
  • Prepared Type documents for managers or legal personnel.
  • Directed claims negotiations within allowable limit of $Amount and supported successful litigations for advanced issues.
  • Synthesized data into comprehensive quarterly written reports for management.
  • Verified accuracy of Type records to maintain accuracy of records database.
  • Followed up on potentially fraudulent claims initiated by claims representatives.
  • Maintained claims data in Type systems.
  • Established productive working relationships with public officials and law enforcement officers.
  • Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Identified suspicious losses and contacted manager for investigative assistance.
  • Ordered Type information to complete Type files.
  • Incorporated Type objectives to achieve action plans and strategies.
  • Followed up with insured individuals regarding premium and deductibles payments.
  • Directed and coordinated various investigations conducted by field investigation team.
  • Analyzed information gathered by investigation and report findings and recommendations.
  • Handled Type calls from customers and other stakeholders about Type processes.
  • Reviewed new files to determine current status of injury claim and to develop plan of action.

Telecom

Techmahindra Ltd
Pune
10.2020 - 03.2022
  • Assessed facilities to determine capacity and needs for telecommunications systems.
  • Communicated effectively with vendors to determine pricing and technical specifications for available hardware, software and services.
  • Reviewed and interpreted facility orders, network design orders and circuit layout orders.
  • Worked with users to diagnose and resolve network and device problems and implemented established technical or procedural solutions.
  • Installed and maintained systems and analyzed users' needs.
  • Accurately documented user support activities, such as system problems, corrective actions, resolution status and completed equipment installations.
  • Accurately read, understood and carried out written instructions.
  • Consulted with clients to identify business and technical requirements for proposed system modifications and technology purchases.
  • Developed and implemented procedures for preventive maintenance, backup and data recovery.
  • Followed standards and procedures to maintain safe work environment.
  • Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
  • Developed and maintained courteous and effective working relationships.
  • Exercised leadership capabilities by successfully motivating and inspiring others.
  • Ran errands and provided general office support in a professional environment.

Telecom

Wipro BPO Ltd
Pune
04.2018 - 02.2019
  • Assessed facilities to determine capacity and needs for telecommunications systems.
  • Evaluated hardware and software to determine efficiency, reliability and compatibility with existing systems.
  • Worked with users to diagnose and resolve network and device problems and implemented established technical or procedural solutions.
  • Installed and maintained systems and analyzed users' needs.
  • Accurately documented user support activities, such as system problems, corrective actions, resolution status and completed equipment installations.
  • Accurately read, understood and carried out written instructions.
  • Consulted with clients to identify business and technical requirements for proposed system modifications and technology purchases.
  • Followed standards and procedures to maintain safe work environment.
  • Repaired cut cable of various sizes and worked with color-coded wires and cables.
  • Developed cost estimates for system and component implementation and operation.
  • Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
  • Developed and maintained courteous and effective working relationships.
  • Exercised leadership capabilities by successfully motivating and inspiring others.
  • Ran errands and provided general office support in a professional environment.

Telecom

Techmahindra Ltd
Pune
08.2016 - 07.2017
  • Assessed facilities to determine capacity and needs for telecommunications systems.
  • Monitored and analyzed system performance, such as network traffic, security and capacity.
  • Worked with users to diagnose and resolve network and device problems and implemented established technical or procedural solutions.
  • Accurately documented user support activities, such as system problems, corrective actions, resolution status and completed equipment installations.
  • Accurately read, understood and carried out written instructions.
  • Consulted with clients to identify business and technical requirements for proposed system modifications and technology purchases.
  • Exercised leadership capabilities by successfully motivating and inspiring others.

Telecom

Magna Infotech On Contract With Amdocs
Pune
04.2015 - 03.2016
  • Assessed facilities to determine capacity and needs for telecommunications systems.
  • Installed and maintained systems and analyzed users' needs.
  • Followed standards and procedures to maintain safe work environment.
  • Accurately documented user support activities, such as system problems, corrective actions, resolution status and completed equipment installations.
  • Resolved problems, improved operations and provided exceptional service.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Accurately read, understood and carried out written instructions.
  • Communicated effectively with vendors to determine pricing and technical specifications for available hardware, software and services.
  • Developed cost estimates for system and component implementation and operation.

Insurance Healthcare

Wns Global Services Pvt Ltd
Pune
03.2011 - 06.2013
  • Delivered services to customer locations within specific timeframes.
  • Worked flexible hours across night, weekend and holiday shifts.
  • Proved successful working within tight deadlines and a fast-paced environment.
  • Identified issues, analyzed information and provided solutions to problems.
  • Resolved problems, improved operations and provided exceptional service.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Demonstrated a high level of initiative and creativity while tackling difficult tasks.
  • Paid attention to detail while completing assignments.
  • Proven ability to develop and implement creative solutions to complex problems.
  • Exercised leadership capabilities by successfully motivating and inspiring others.
  • Demonstrated creativity and resourcefulness through the development of innovative solutions.
  • Strengthened communication skills through regular interactions with others.
  • Cultivated interpersonal skills by building positive relationships with others.
  • Demonstrated respect, friendliness and willingness to help wherever needed.

Education

Bachelor Of Commerce - Open

Sri Krishnadevaraya University
Anantapur
08.2009 - 09.2012

Bachelor Of Commerce - Regular

Monad University
Sai Saraswati Degree College
07.2014 - 07.2017

10th SSC - Open University

Nios
Sai Saraswati School
03.2011 - 10.2012

12th HSC - Open University

Good Shepherd Sr Secondary School Hsc
Bellary
10.2012 - 05.2014

Skills

Health insurance

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Timeline

Insurance

Allstate Solutions Private Limited
03.2022 - Current

Telecom

Techmahindra Ltd
10.2020 - 03.2022

Telecom

Wipro BPO Ltd
04.2018 - 02.2019

Telecom

Techmahindra Ltd
08.2016 - 07.2017

Telecom

Magna Infotech On Contract With Amdocs
04.2015 - 03.2016

Bachelor Of Commerce - Regular

Monad University
07.2014 - 07.2017

12th HSC - Open University

Good Shepherd Sr Secondary School Hsc
10.2012 - 05.2014

Insurance Healthcare

Wns Global Services Pvt Ltd
03.2011 - 06.2013

10th SSC - Open University

Nios
03.2011 - 10.2012

Bachelor Of Commerce - Open

Sri Krishnadevaraya University
08.2009 - 09.2012
Raviprasad Ranganath Aluruchenna