Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic
Sakshi  Walia

Sakshi Walia

Claim Case Manager
New Delhi

Summary

Dynamic Claim Manager with over 13 years of professional experience. Seeks to leverage top-notch managerial and organizational skills to boost efficiency at Mercer India Ltd. Awarded & Nominated for best work performance & managerial skills.

Overview

13
13
years of professional experience
5
5
years of post-secondary education

Work History

Claims Manager

Mercer India LTD
Gurgaon
07.2010 - Current

Ensure fund- specific processes exist and are documented, ensuring standard process applies whenever practical and if non-standard process must apply that, the appropriate business sign-off has been obtained.

Liaise with GSD colleagues on the delivery of transactions and communicate any changes/requirements. Collaborate with and train GSD colleagues on transactions and client specific information/processes.

Claims - Death

1. Inform the insurer of all new potential claims.

2. Request initial claim documents from the beneficiary.

3. Collect evidence in connection with potential beneficiaries.

4. Analyses beneficiary information to determine if sufficient investigation has been carried out to assist the trustee determine to whom to pay the benefit.

5. Provide guidance on the claim process to both the beneficiary(ies) and the client as required.


Claims- Total and Permanent Disablement

1. Inform the insurer of all new potential claims.

2. Request initial claim documents from the claimant and employer.

3. advise the claimant of any additional medical evidence required by the insurer (specialist appointments etc)

4. Provide guidance on the claim process to both the claimant and the client as required.

5. Provide assistance to the trustee in connection with complex or declined claims


Claims - Salary Continuance

1. Inform the insurer of all new potential claims.

2. Request initial claim documents from the claimant and employer.

3. Assist the claimant with any complaints or procedural issues they may have with the assessment of their claim.

4. Provide guidance on the claim process to both the claimant and the client as required.

Ad hoc duties as delegated by the Team Leader

Education

Schooling - Delhi CBSC Board -

Lawrence Public School
Janakpuri, New Delhi
04.2001 - 03.2003

B-Com -

Bharati Collage
Delhi University
04.2003 - 07.2006

Skills

    Positive Attitude

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Additional Information

Worked with Convergys (Gurgaon) in Operations from April 2006 to December 2009.


Timeline

Claims Manager

Mercer India LTD
07.2010 - Current

B-Com -

Bharati Collage
04.2003 - 07.2006

Schooling - Delhi CBSC Board -

Lawrence Public School
04.2001 - 03.2003
Sakshi WaliaClaim Case Manager