A multi-skilled personality with over 17+ years of corporate experience in Claims end to end payout process, proven abilities from end-to end management of project portfolios including demonstrating track record of delivering all Service Transition Projects/Programs with best practice methodology of managing risk, governance, quality assurance, issue resolution, reporting, handling of stakeholder’s requirements, business process improvement, customer service and people management functions and also possess interpersonal skills with a capability of problem solving, commitment to effectively interact with clients and business prospects within the industry.
Overview
18
18
years of professional experience
2
2
Certifications
Work History
Assistant Manager
Tata Consultancy Services
Bangalore
10.2018 - 11.2025
Key responsibilities and achievements:
Handled a team of 80 associates, plus 4 leads, based at two different locations.
Certified as a Contextual Master for providing value to clients.
Mentor in completing the Lean Six Sigma Green projects.
Managing financial and non-financial operations.
Results-oriented management professional with experience in high-volume environments.
Taking full responsibility for the day-to-day running of all operational areas.
Internal FPY maintenance involves reviewing the individual quality of the team members.
Ensuring day-to-day operations are completed in a timely manner to eliminate customer impact.
Doing volume projection, re-baselining, and upskilling manpower resources.
Identifying the areas of business expansion and working on transitions.
Preparation of data flow charts, P1 projects.
Worked on Robotic Process Automation (RPA) preparation on FDS, providing inputs to the BA and IT teams to develop robotic processing design, and conducting testing on the development.
Successfully implemented two RPA projects.
Successfully implemented an automation proposal, which resulted in the benefit of 2.5 FTEs.
Constantly monitoring the internal and external quality of the team.
To work on achieving the quarterly incentive by meeting the quality targets set by clients.
To effectively plan the shift rationalization and create a BCP plan to avoid discontinuity of operations.
Conducting root cause analysis and providing an action plan for the uncontained errors reported.
Part of the Customer Satisfaction Survey (CSS) discussion with different stakeholders to onshore.
To prepare decks for the Weekly Business Review (WBR) and the Monthly Business Review (MBR) to discuss with clients.
Transitioned more than 15 processes and 3 control reports.
Validation of control reports in order to mitigate the risk and avoid any fraudulent activity.
Peer Reviewer Lead and AML Analyst
Tata Consultancy Services
Bangalore
03.2010 - 10.2018
Roles and Responsibilities:
A dynamic, highly motivated, accomplished analyst with solid knowledge and experience in the field of AML and money-out processes.
Responsible for suspicious activity monitoring and performance due diligence for high-risk customers.
Involved in the successful implementation of the pilot to BAU process transitions.
Conducting a periodic review of KYC documents that are submitted by customers for completeness.
A structured training plan was enabled for a smooth BAU sign-off during the transition.
Working to provide a great client experience and customer satisfaction.
Involved in SOP creation, meeting with business leaders.
Review of monetary instruments such as checks and money orders used by customers to purchase insurance products.
Training new joiners on AML case investigation, liaising with the Compliance team and SIU (Special Investigation Unit) on closing recommended SAR cases.
To prepare an SOP/job aid with detailed methods and techniques to find fraudulent attempts by doing a GIACT review.
Claims Adjudicator
Perot Systems
Chennai
08.2009 - 02.2010
Reviewed and processed claims for accuracy and completeness.
Analyzed documentation to determine claim eligibility and coverage.
Coordinated with healthcare providers to obtain necessary information.
Maintained detailed records of claims transactions in proprietary systems.
Transaction Process Associate
Satyam BPO Ltd
Bangalore
08.2007 - 08.2009
Managed online transaction processing for life and medical insurance claims.
Processed claims efficiently, ensuring timely resolution and accuracy.
Maintained provider database to guarantee up-to-date information availability.
Streamlined workflow procedures to enhance processing speed and reliability.
Accountable for the daily and monthly production and quality targets of the team.
Member and provider verification.
Eligibility verification according to policy/guideline.