Srinivasan Ponnurangam
Data Analyst & Underwriter - Life
Chennai
Summary
Results-driven professional with over 17 years of expertise in the life and health insurance industry, demonstrating a strong ability to navigate complex documentation phases and prioritize critical issues. Proven skills in life insurance underwriting, medical underwriting, health claims management, fraud investigation, and loss minimization reflect a comprehensive understanding of operational functionality. Adept at managing multiple assignments simultaneously while ensuring strategic alignment with organizational goals. Experience includes TPA management, banca channel management, and branch operations, contributing to enhanced efficiency and effectiveness across various functions.
Overview
21
21
years of professional experience
Work History
Data Analyst & Underwriter – Life
Dubai Insurance Company
11.2024 - 05.2026
- Managing group-life underwriting and claims - comprehensive operations
- Collaboration with reinsurance on referral cases
- Reinsurance reporting - monthly and quarterly as per MOU for medical and life
- Data analysis of premiums and claims for both medical and life
- Collaboration with support team
- Enhance business volume & strengthen production in life
Senior Manager – Underwriting
Canara HSBC Life Insurance Company Ltd
03.2024 - 09.2024
- Conducted thorough risk assessments and analyzed medical and financial data to make informed underwriting decisions
- Developed and implemented effective underwriting strategies to minimize losses and maximize revenue
- Deliberation calls and Meetings with Banca Channel - Canara Bank and HSBC sales teams to provide timely and accurate decisions on policy issuance
- Provided training and guidance to junior underwriters and support staff
- Handling Team Management, their trainings, audits and performance reviews periodically.
Senior Manager – Underwriting
IndiaFirst Life Insurance Company Ltd
09.2020 - 03.2024
- Executed comprehensive risk assessments and evaluated medical and financial data to inform underwriting decisions.
- Formulated and executed effective underwriting strategies to reduce losses and enhance revenue.
- Deliberation calls and meetings with banca channel - bob bank sales teams to deliver timely and accurate policy issuance decisions
- Delivered training and mentorship to junior underwriters and support staff.
- Overseeing team management, training sessions, audits, and performance evaluations periodically.
Manager – Medical Underwriting
Enet – Sehteq TPA LLC
07.2018 - 01.2020
- Provide quotes to brokers / customers based on risk price analyses
- Receive and review new business proposals, endorsements and renewals within authorized underwriting limits
- Assess, evaluate and price risk using risk modeling techniques and prescribed underwriting guidelines
- Review Loss ratio report/DHA report for pricing the renewals and new business proposals
- Ensure consistency in implementation of medical underwriting processes and guidelines
Executive – Accident G Health Claims
Royal Sundaram General Insurance Company
05.2013 - 06.2018
- Health Claim investigation (Fraud Control & Loss Minimization) and Cashless process, TPA Coordination and Provider Management
- Technical processing of claims (Reimbursement) in line with the terms and conditions of the policy
- Coordination with Internal and External stakeholders for claim status and escalations
- Adhering to Compliance by initial scrutiny of claims through various applications as per company policy
- Checking on leakage of claims processed by TPA
- Reconciliation of outstanding claims every month for effective process development
- Identify triggers for health claims (suspicious claims) for case investigation
- Appointment of suspicious and fraudulent claims to Service Providers (across the country) for Investigation and Loss minimization
- Handling Service Providers (Investigators) across the country enabling investigations
- Interacting with Other insurers for fraudulent claims across the country.
Sr. Associate-Medical Underwriting
R R Donnelley India Outsourcing Pvt Ltd
05.2010 - 09.2012
- To evaluate Life and Health Insurance risk based on past medical history of the client and to decide whether to agree or deny a quote request on life policies based on SOPs
- To assess the health and life insurance risk represented by the client by underwriting the health records, including EKG, Echocardiogram, Ultrasound, MRI, Cardiac catheterization, Colonoscopy/EGD, Pathology reports, Procedures, etc
- Given in APS (Attending Physician Statement) and estimate the risk / life expectancy of the patient based on Swiss Re life guide manual
- Defined work of accessing, medical summarizing & rating the client's medical history on behalf of the international TPA (Crump Risk Righter, USA) as authorized & amended
- Aid in rating the US client's profile for Life Insurance Policies (from preferred class to Decline)
- Providing Quality solutions for Crump Risk Righter in reviewing and interpreting medical history.
Asst. Manager – Client Relations
Family Health Plan TPA Ltd
05.2006 - 09.2009
- Manage Client Relationship Executives and helpdesk SPOC to ensure hassle free service to corporate clients
- Monitoring process Adherence and Team Management
- Presentation of Claims Utilization Reviews to client at regular intervals
- Develop and implement process and procedures to improve operational efficiency
- Execute network hospital investigation to recheck the patient availability & standards
- Handled as Key Account Manager for major clients in Chennai like Areva, Caterpillar, Ennore Foundries, Ashok Leyland, FLSmidth, R R Donnelley, FSS, Zoho Dev.
Pharmacy Technician
Santec Solutions Ltd.
03.2005 - 04.2006
- Worked as Pharmacy Technician and online dispensing of drugs from cheaper countries (Israel, Chile, UK and Canada) to US clients
- Validation of prescription and calculating the drug dosages as per RX
- Handled patient demographic and health profile information
- Data entry of all aspects of each RX as per patient request following company policies and procedures
- Record all information, by analyzing patient history, drug interaction and online dispensing of medications as per US-FDA norm
- Resolve tasks as indicated and forward files to pharmacist, validation, or outsourcing.
Education
Bachelor of Pharmacy - B Pharm
Vel's College of Pharmacy
01-2000
HSC - undefined
Board of Higher Secondary Examination's
Tamil Nadu01-1996
SSLC - undefined
Board of Secondary Examination
Tamil Nadu01-1994
Skills
Underwriting (Life & Health) - Risk Assessment
Reinsurer - RGA GUM, GIC, Hannover Re etc
Bancassurance - Banca Channel Management
Health Claims Management - Fraud Analytics
Risk Management and Team Management
TPA Management
Client Relationship Management
Timeline
Data Analyst & Underwriter – Life
Dubai Insurance Company
11.2024 - 05.2026
Senior Manager – Underwriting
Canara HSBC Life Insurance Company Ltd
03.2024 - 09.2024
Senior Manager – Underwriting
IndiaFirst Life Insurance Company Ltd
09.2020 - 03.2024
Manager – Medical Underwriting
Enet – Sehteq TPA LLC
07.2018 - 01.2020
Executive – Accident G Health Claims
Royal Sundaram General Insurance Company
05.2013 - 06.2018
Sr. Associate-Medical Underwriting
R R Donnelley India Outsourcing Pvt Ltd
05.2010 - 09.2012
Asst. Manager – Client Relations
Family Health Plan TPA Ltd
05.2006 - 09.2009
Pharmacy Technician
Santec Solutions Ltd.
03.2005 - 04.2006
SSLC - undefined
Board of Secondary Examination
HSC - undefined
Board of Higher Secondary Examination's
Bachelor of Pharmacy - B Pharm
Vel's College of Pharmacy