Sagar Avlani

Managed group claims setup and eClaims for Sunlife products across US and Canada, ensuring compliance and accuracy.

• Adjudicated life insurance claims accurately and timely, aligning with company policies and regulatory guidelines.
• Reviewed and approved claims decisions, maintaining consistency and fairness across adjudications.
• Led a team of claims adjudicators, offering guidance and support during operations.
• Oversaw investigation and analysis of complex claims, ensuring thorough review of policy terms and relevant documents.
• Ensure accurate and timely adjudication of life insurance claims in accordance with company policies and regulatory guidelines.
• Strong knowledge of life insurance policies, claims adjudication processes, and regulatory requirements.

• Company Overview: Managed Life Claims under the project, a leading US-based insurance and investment firm.
• Filed and registered claims, ensuring compliance with project guidelines to facilitate timely processing.
• Reviewed and validated basic information provided in F&D to ensure accuracy.
• Analyzed applications to verify all requirements were met, maintaining high standards of precision.
• Followed best practices to meet SLA targets while ensuring exceptional quality and accuracy.
• Confirmed insured individuals or beneficiaries using resources like Obituary and TLO.
• Compiled and updated daily and weekly reports to monitor progress and performance metrics.
• Participated in daily team meetings and communicated effectively with onshore stakeholders.
• Monitored queue status twice daily to ensure tasks were completed by the end of the day (EOD).
• Encouraged team collaboration and built strong professional relationships to foster a cohesive work environment.