I am to make my career with sound technical knowledge. Would like to acquire a position in an esteemed organization that will make me a valuable member of a team and prove my professional skills and thus make a value-added contribution.
Overview
14
14
years of professional experience
Work History
Deputy Manager (Customer Service Department)
ManipalCigna Health Insurance Company Ltd.
12.2022 - Current
Managed team and escalated cases to senior leadership team, facilitating effective communication and resolution strategies.
Handled escalated claims and non-claims cases to ensure timely resolutions.
Handling the Escalation cases of Top Distributors and sales.
Communicated with stakeholders to address concerns and align on service delivery expectations.
Monitor productivity of the team
Coordinate with Advisor and resolve their issue
Attending the meeting with Top Distributor and discussing their concerns
Reviewing the RCAs and working on the resolution
Conducted system training for the team.
Customer Service Manager (Health Claims Department)
ICICI Lombard General Insurance Company Ltd. (Bharti Axa General Insurance Company Ltd.)
02.2020 - 11.2022
Processed legal and litigation payments accurately and efficiently.
Processing Group claims payment for cashless & reimbursement on daily basis (TAT within 2 working days).
Claim processing of Reimbursement/Cashless claims (Tabulation/calculation).
Coordinated updates on reimbursement claim status for new cases and followed up to resolve pending claims with TPA.
Responded daily to emails from brokers, sales personnel, insured clients, and TPAs regarding claim status updates.
Coordinated resolution of TPA and sales calls by collaborating with underwriting and operations teams.
Resolved grievances and escalations by coordinating with legal, underwriting, and compliance teams.
Sr. Operations Executive (CRM Department)
Paramount Health Services And Insurance TPA Pvt. Ltd.
Thane
12.2017 - 02.2020
Close coordination with Brokers and Insurance Companies for successful management of Corporate Clients.
Ensured effective communication between insurer, broker, corporate, and employee for seamless cashless transactions.
Facilitated reimbursement claim processing to ensure efficient handling.
Respond to queries from the Insurer/ Broker / Corporate / Employee through e-mails & phone.
Monthly Policy Performance and Feedback meet with corporate HR, Broker & Insurance Company.
Checked claim documents for accuracy and completeness, providing guidance to employees on missing items.
Coordinated with all internal departments to facilitate claim processing.
Tracked and controlled documents to ensure timely processing of claims per SLA.
Maintained weekly reports on claims and queries, highlighting turnaround times.
Preparing weekly MIS and reviewing the same for smooth processing of claims.
Operations Executive
S N Insurance
C B D Belapur
01.2015 - 09.2017
Maintained daily transactions data in MS Excel to ensure accurate record-keeping.
Created daily and weekly reports for various departments to facilitate informed decision-making.
Answered daily customer queries and complaints via email, ensuring adherence to established SOP.
Facilitated communication among area offices to improve operational coordination.
Updated the report formats as per the instructions from higher management.
Tele-sales Officer
ICICI Lombard General Insurance Company
Thane
12.2013 - 08.2014
Facilitated sales of general insurance products, enhancing client security and trust.
Provide product training to new joins and help them to close their leads.
Resolved customer inquiries through email and phone communication.
Prepared weekly sales data for health and PA policy, supporting informed decision-making.
MIS Executive
Trawelltag Cover-More
Worli
07.2012 - 11.2013
Completed proposal forms, renewed customer policies, updated online office portal, and generated MIS reports.
Daily Sales Report Generated & mailed to Sales Manager.
Resolved customer queries through emails and phone calls.
Maintained policy renewal data and provided monthly updates to sales personnel.
Education
B.Com -
Mumbai University
HSC -
Maharashtra Board
SSC -
Maharashtra Board
Skills
Customer issue resolution
Performance tracking
Customer feedback analysis
Team leadership
Employee development
Team development
Clear communication
Critical thinking
Task prioritization
Collaborative
Self-driven
Reliable performance
Other Qualifications
Basic Knowledge of Computer
Advanced Excel
MS-CIT
Tally ERP 9.0
Hobbies & Interests
Travelling
Sports
Gaming
Personal Information
Father's Name: Mahipati Shripati Desai
Date of Birth: 09/17/90
Gender: Male
Nationality: Indian
Marital Status: Married
Languages
English
Hindi
Marathi
Timeline
Deputy Manager (Customer Service Department)
ManipalCigna Health Insurance Company Ltd.
12.2022 - Current
Customer Service Manager (Health Claims Department)
ICICI Lombard General Insurance Company Ltd. (Bharti Axa General Insurance Company Ltd.)
02.2020 - 11.2022
Sr. Operations Executive (CRM Department)
Paramount Health Services And Insurance TPA Pvt. Ltd.