SAIRAM MANGALAPALLY
DOCTOR
Hyderabad
Summary
Dynamic and detail-oriented Senior Manager with over four years of experience in the health insurance industry, specializing in claims processing, operations, and auditing. Proven ability to streamline processes and enhance operational efficiency while ensuring compliance with industry regulations. Skilled in leading cross-functional teams and driving initiatives that improve service delivery and customer satisfaction. Committed to leveraging expertise to contribute to organizational success and foster a culture of continuous improvement.
Overview
7
7
years of professional experience
Work History
Sr. Manager
RELIANCE GENERAL INSURANCE
05.2025 - Current
- TPA CORDINATOR
- AUDITING FILES
- OVERLOOKING THE ACS & OS
- HANDLES MA TPA with portfolio of 150CR & FHPL TPA with 25 CR portfolio
- Established strong relationships with clients and stakeholders, ensuring long-term partnerships and repeat business.
- Implemented and developed operational standards, policies and procedures.
Deputy Manager
Aditya Birla Health Insurance
12.2023 - 05.2025
- I worked for multiple TPA'S as a Quality checker. and Undertook the escalations from the Medi Assist.
- Worked for Inhouse GMC Cashless and RI cases within TAT
- Overlooked cases from the SME to keep a check on LR
- Handled OTC policies claims(GMC)
- Improved team efficiency by streamlining processes and implementing innovative management strategies.
Sr. Medical officer
Family Health Plan TPA Ltd.
01.2022 - 12.2023
- Handling mails, processing claims and coordinating with audit to payment.
- Coordinating with insurer for approval and handling grievances.
- Self-motivated, with a strong sense of personal responsibility.
- Excellent communication skills, both verbal and written.
DMO
Sunrays hospital (Bandlaguda)
07.2019 - 12.2021
- I have been working as DMO in Sunrays hospital (Bandlaguda) for 1.5 years (July 2019 - Dec 2021) and worked in Delta hospital (BN reddy) for almost 3 years (3/10/2019 to 30/12/2021) and had been working in night duties as DMO since 3rd academic year of my graduation!
Education
BHMS - Homoeopathic Medicine and Surgery
Devs homoeopathic medical college
Ankireddypalli, Keesara dist01.2020
Advanced Certificate in Health Insurance – Virtual - Insurance
INSURANCE INSTITUTE OF INDIA
MUMBAI 04.2001 -
Skills
Cross-functional communication
Internship
- Completed rotations across Medicine, Surgery, ICU, HMAT, and PHC with diverse clinical exposure. Managed infectious diseases, critical care cases, and assisted in major surgical procedures including LSCS and amputations. Gained experience in specialties like dermatology, gastroenterology, paediatrics, and male infertility. Actively participated in public health initiatives, antenatal care, and COVID-19 preventive camps.
Timeline
Sr. Manager
RELIANCE GENERAL INSURANCE
05.2025 - Current
Deputy Manager
Aditya Birla Health Insurance
12.2023 - 05.2025
Sr. Medical officer
Family Health Plan TPA Ltd.
01.2022 - 12.2023
DMO
Sunrays hospital (Bandlaguda)
07.2019 - 12.2021
Advanced Certificate in Health Insurance – Virtual - Insurance
INSURANCE INSTITUTE OF INDIA
04.2001 -
BHMS - Homoeopathic Medicine and Surgery
Devs homoeopathic medical college