Sana
Hyderabad
Summary
Medical Underwriter at ICICI Lombard, skilled in risk assessment and claims evaluation. Proven ability to analyze complex medical data and collaborate effectively with teams. Passionate about ensuring compliance and enhancing patient care through meticulous documentation and patient counseling. Committed to delivering exceptional results in the insurance sector.
Overview
7
7
years of professional experience
Work History
SENIOR MANAGER / MEDICAL UNDERWRITER
ICICI LOMBARD
Hyderabad
09.2023 - 02.2025
- Evaluated applicants’ medical history and test results to identify potential health risks.
- Determined likelihood of illness or disability impacting insurance claims.
- Utilized medical knowledge and underwriting guidelines to assess coverage acceptance or modifications.
- Analyzed medical data with non-medical factors, including age and lifestyle habits.
- Established premium rates or coverage limits based on thorough risk classification.
- Approved or rejected applications in compliance with company policies and regulations.
- Consulted with medical professionals for clarification on complex cases and reports.
- Maintained accurate records of assessments and justifications for compliance purposes.
Medical officer / Claims adjudication
FHPL TPA
Hyderabad
01.2022 - 08.2023
- Evaluated medical claims and treatment records from hospitals and insured members.
- Verified appropriateness, necessity, and cost-effectiveness of medical treatments.
- Compared claims against policy terms, exclusions, and coverage limits.
- Assessed pre-authorization and reimbursement requests for accuracy.
- Approved, partially approved, or rejected claims based on clinical evaluation.
- Identified fraudulent or exaggerated claims through thorough scrutiny.
- Ensured compliance with IRDAI regulations and internal audit standards.
- Maintained strict confidentiality of patient information and medical data.
duty medical officer
Cyrus hospital
Hyderabad
01.2021 - 08.2022
- Conducted patient assessments and developed treatment plans.
- Monitored patient progress and adjusted treatments as necessary.
- Managed medical records and ensured compliance with regulations.
- Developed treatment plans for patients based on diagnosis and individual needs.
- Assisted in emergency situations by providing life-saving measures when necessary.
- Prescribed medications as needed for the treatment of various illnesses or diseases.
- Provided medical advice and support to patients, families, and healthcare personnel.
- Provided follow-up care for previously discharged patients.
- Maintained accurate records of patient data including test results, diagnoses, treatments, allergies.
ICU and emergency department medical officer
Medisys hospital
Hyderabad
01.2020 - 01.2021
- Conducted patient examinations and assessed medical histories at Medisys hospital.
- Provided emergency care and stabilized patients before further treatment.
- Assisted in emergency situations by providing life-saving measures when necessary.
- Ordered laboratory tests or imaging studies as needed for diagnosis or treatment planning.
- Performed minor surgical procedures such as suturing wounds or removing cysts or tumors.
- Adhered to all safety protocols while performing medical procedures.
medical officer
Sudha childrens hospital
01.2018 - 01.2020
- Conducted patient examinations and assessed medical conditions in pediatric care.
- Collaborated with nursing staff to develop and implement treatment plans.
- Administered vaccinations and monitored patients for adverse reactions.
- Educated families on health management and preventive care for children.
- Provided emergency care and stabilized patients before further treatment.
- Documented patient histories and maintained accurate medical records.
Pharm.D 5th year Project
Rohini Super Specialty Hospital
Hyderabad
- Completed day-to-day duties accurately and efficiently.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Education
Doctor of Pharmacy (Pharm.D) (PB) -
St. Peters Institute of Pharmaceutical Sciences
Hanamkonda01.2021
B.Pharmacy -
Vivekananda Group of Institutions
R R Dist.01.2018
Intermediate (Bi.P.C) -
Sarojini Naidu Vanita Maha Vidyalaya
Hyderabad01.2014
Secondary School -
Siddhartha High School
R R Dist.01.2012
Skills
- Pharmacology
- Data collection
- Data analysis
- Reporting
- Interpretation skills
- Patient counselling
- Risk assessment
- Claims evaluation
- Medication history interviews
- Identifying drug-drug interactions
- Clinical documentation
- Team collaboration
- Identifying drug-food interactions
- Reporting adverse drug reactions
- Documenting adverse drug reactions
- Medical underwriting
Place
Hyderabad
Personal Information
- Date of Birth: 03/15/97
- Gender: Female
- Nationality: Indian
Languages
- English
- Hindi
- Telugu
Timeline
SENIOR MANAGER / MEDICAL UNDERWRITER
ICICI LOMBARD
09.2023 - 02.2025
Medical officer / Claims adjudication
FHPL TPA
01.2022 - 08.2023
duty medical officer
Cyrus hospital
01.2021 - 08.2022
ICU and emergency department medical officer
Medisys hospital
01.2020 - 01.2021
medical officer
Sudha childrens hospital
01.2018 - 01.2020
Pharm.D 5th year Project
Rohini Super Specialty Hospital
Doctor of Pharmacy (Pharm.D) (PB) -
St. Peters Institute of Pharmaceutical Sciences
B.Pharmacy -
Vivekananda Group of Institutions
Intermediate (Bi.P.C) -
Sarojini Naidu Vanita Maha Vidyalaya
Secondary School -
Siddhartha High School
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