SEEMA KANOJIA
Insurance Operations
Pune
Summary
Results-driven Insurance and Operations Professional specializing in Claims Management, Policy Administration, and Risk & Compliance. Led end-to-end insurance operations, coordinated stakeholders, and improved reporting processes. Enhanced operational performance and customer satisfaction through strong analytical and problem-solving skills.
Overview
10
10
years of professional experience
Work History
Operation Lead
Loop Health
02.2023 - 10.2024
- Led a team of 8 professionals, ensuring operational excellence and fostering a high-performance culture.
- Managed end-to-end endorsement operations, ensuring accurate processing and timely delivery to clients.
- Partnered with insurers, internal stakeholders, and claims teams to streamline issue resolution and improve service efficiency.
- Administered the complete claims process, from document validation and coverage assessment to claim settlement.
- Collaborated with underwriters, adjusters, medical experts, vendors, and clients to facilitate seamless claims handling.
- Conducted stakeholder review meetings to address escalations, align priorities, and strengthen service outcomes.
- Monitored claim-related expenses and vendor invoices to ensure adherence to policy guidelines, and cost-control measures.
- Supported talent acquisition, onboarding, and team capability development to meet evolving business needs.
- Implemented workflow enhancements that improved efficiency, reduced processing delays, and elevated customer experience.
Senior Process Analyst
Marsh & McLennan
10.2021 - 10.2022
- Managed the issuance and processing of insurance certificates while ensuring accuracy and compliance with client requirements.
- Served as a key point of contact for client inquiries, providing timely resolution, and maintaining high service standards.
- Coordinated with internal teams and stakeholders to ensure seamless execution of client requests and operational activities.
- Analyzed service trends and client feedback to identify opportunities for process enhancement and operational efficiency.
- Monitored turnaround times and service quality metrics to ensure adherence to agreed service levels.
- Supported policy-related administrative activities, and documentation management.
- Assisted in implementing workflow improvements that enhanced productivity and reduced processing delays.
- Maintained strong client relationships through proactive communication, and effective issue resolution.
- Handled multiple priorities simultaneously while consistently meeting deadlines and quality expectations.
Mortgage Processor
Mphasis
06.2020 - 10.2021
- Processed loan modifications and servicing requests using LoanSphere applications, while adhering to regulatory and organizational guidelines.
- Reviewed borrower financial information, credit reports, income documents, and debt obligations to support loan servicing decisions.
- Performed quality checks to ensure accuracy, completeness, and compliance of loan documentation.
- Maintained and updated loan records, ensuring data integrity across systems and reports.
- Generated daily and monthly operational reports to track productivity, utilization, and process performance.
- Conducted Product Knowledge Test (PKT) evaluations, and monitored adherence to established procedures and quality standards.
- Collaborated with cross-functional teams to resolve discrepancies, and ensure timely completion of loan servicing activities.
- Assisted in streamlining workflows to improve turnaround times, and operational efficiency.
- Supported credit underwriting activities by evaluating borrower creditworthiness, financial stability, and debt-to-income ratios.
Process Analyst
Gallagher Service Centre
01.2015 - 01.2020
- Supported end-to-end claims processing activities by collaborating with claim adjusters, insurance carriers, and vendors.
- Monitored claim workflows to ensure adherence to service-level agreements (SLAs) and quality standards.
- Investigated and resolved claim-related queries, ensuring timely communication, and efficient issue resolution.
- Identified process improvement opportunities to reduce errors and enhance service delivery efficiency.
- Managed subrogation recovery activities by liaising with vendors, and monitoring recovery payments.
- Performed risk assessment reviews, and ensured compliance with established procedures and operational guidelines.
- Prepared and presented biweekly and monthly management reports, analyzing operational data and performance trends.
Education
PGDM - HR & IB
Suryadatta Institute of Management And Mass Communication
Pune, India 04.2001 -
Bachelor of Science - Biology
Lucknow University
Lucknow, India 04.2001 -
Skills
Insurance Operations & Policy Administration
Claims Management & Risk Compliance
Client & Stakeholder Relationship Management
Process Improvement & Service Delivery Excellence
Team Leadership & Performance Management
Data Analysis, Reporting & Operational Analytics
Accomplishments
- Awarded the Star Award for exceptional client appreciation, demonstrating strong customer relationship management.
- Received the Shining Star Award for outstanding quarterly performance, excelling in discipline, proactivity, productivity, and quality.
- Successfully completed a project ahead of schedule, earning client recognition for timely and efficient delivery.
- Led a successful transition to a new tool, launched the pilot batch, and achieved key performance targets, resulting in client appreciation.
Timeline
Operation Lead
Loop Health
02.2023 - 10.2024
Senior Process Analyst
Marsh & McLennan
10.2021 - 10.2022
Mortgage Processor
Mphasis
06.2020 - 10.2021
Process Analyst
Gallagher Service Centre
01.2015 - 01.2020
PGDM - HR & IB
Suryadatta Institute of Management And Mass Communication
04.2001 -
Bachelor of Science - Biology
Lucknow University
04.2001 -