Sumit Kumar Singh
Mumbai
Summary
To become associated with an organization where I can utilize my analytical skills, gain practical exposure in the field of insurance and gain further exposure while enhancing the organization's productivity and reputation.
Overview
8
8
years of professional experience
Work History
Senior Manager(Accident & Travel Claims)
Tata AIG General Insurance Company Ltd
Mumbai
09.2023 - Current
- Lead and supervise a team of claims professionals in managing personal accident claims (Death, Permanent Total Disability, Permanent Partial Disability, Temporary Total Disability, Coma, Accidental Medical Expenses claims,etc.) ensuring accurate, timely, and empathetic claim assessments and settlements.
- Oversee the full lifecycle of personal accident claims from initial notification and investigation to final settlement and closure.
- Review complex and high-value cases, provide technical expertise, and make final decisions on contentious or escalated claims.
- Ensure claims are handled in line with internal policies, regulatory requirements, and customer service standards.
- Coordinate with legal, Underwriter, compliance, forensic experts, and external investigators to resolve suspicious or disputed claims.
- Monitor team performance through KPIs and regular audits, driving continuous improvement and operational efficiency.
- Deliver ongoing training and coaching to team members to maintain high standards of professionalism, accuracy, and customer empathy.
- Prepare regular claims reports and analytics for senior leadership, highlighting trends, risk exposure, and improvement areas.
- Led the transformation of claims handling processes, including digitization of documentation and automation of status updates.
- Identify to reduce the average claims processing time through workflow optimization and digital tool implementation.
- Conduct regular meeting with stakeholders, brokers and agents to review policy claims performance, discuss documentation requirements and ensure the accuracy and clarity of submitted materials.
- Provide claims overviews during the bidding and placement process of policy to support Underwriter and the sales team with informed decision-making.
Assist Manager
Kenko Health
Banglore
07.2022 - Current
- Company Overview: R1 under process with IRDAI
- Handling Death, PTD, PPD, TTD, Health reimbursement & cashless claims.
- Analyses and manages complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim, manages claims through well-developed action plans to an appropriate and timely resolution.
- Reviewed and analyzed suspicious and potentially fraudulent claims.
- Evaluate progress for all claims and coordinate with team leaders for all issues and effective resolution and develop new methods to handle all claims.
- Managing settlement TAT of cashless/ reimbursement claim from in house & TPA.
- Weekly review of outstanding claims and patient ADR, review relevant documents of ADR.
- Motivate team members to come with the new ideas & Process improvements.
- Do regular individual performance evaluation.
- To conduct regular meetings with each team member and resolve issues or conflicts.
- Monitor team performance and report on metrics.
Claims Specialist
Acko General Insurance Co. Ltd.
Banglore
09.2021 - 06.2022
- Handled Domestic Travel Claims & Assets Protector policy claims in Bangalore Corporate office.
- Properly scrutinizing and processing the partnership claims (Cred, Swiggy, Zomato, Shadow fax, Goibibo, Easytrip, MakeMyTrip, Lending kart, HDB Financial services, etc.) as per policy terms and conditions & internal company guidelines.
- Handled customer queries on telephonic conversation & E-mails.
- Handled Death, Permanent disability, Permanent partial disability, Total temporary disability claims.
Claims Executive
Iffco-Tokio General Insurance Co. Ltd.
New Delhi
07.2020 - 08.2021
- Processed health reimbursement claim region Delhi & Delhi NCR, Uttarakhand in Delhi Regional office.
- Handled customer queries on telephonic conversation & front-facing conversation.
Claims Executive
Iffco-Tokio General Insurance Co. Ltd.
New Delhi
04.2017 - 06.2020
- Handled Motor Theft Claim region Delhi & Delhi NCR, Rajasthan, Uttarakhand in Delhi Regional office.
- Properly scrutinizing and processing the claim as per policy terms and conditions, Motor vehicle Act & internal company guidelines.
- Handled customer queries on telephonic conversation & front facing conversation.
Education
Fellow of Insurance -
Insurance Institute of India
05.2025
Associate of Insurance -
Insurance Institute of India
09.2021
Licenciate of General Insurance -
Insurance Institute of India
12.2018
Master of Commerce - Accounts
R.D.S. College
Muzaffarpur03.2016
Bachelor of Commerce -
Dr. Jagannath Mishra
Muzaffarpur03.2013
Intermediate of Commerce -
Bihar school Examination Board
Patna03.2010
Skills
- Microsoft Office
- Communication Skills
- Leadership
- Fast Learner
- Ability to Work Under Pressure
- Management Skills
- Claims management
- Regulatory compliance
- Customer service
- Team building
- Process improvement
- Problem solving
Hobbies and Interests
Reading
Languages
- Hindi
- English
Personal Information
- Father's Name: Raj Kumar Singh
- Date of Birth: 06/12/93
- Gender: Male
- Nationality: Indian
- Marital Status: Unmarried
- Home Town: Muzaffarpur, Bihar
Languages
Hindi
First Language
English
Proficient
C2
Timeline
Senior Manager(Accident & Travel Claims)
Tata AIG General Insurance Company Ltd
09.2023 - Current
Assist Manager
Kenko Health
07.2022 - Current
Claims Specialist
Acko General Insurance Co. Ltd.
09.2021 - 06.2022
Claims Executive
Iffco-Tokio General Insurance Co. Ltd.
07.2020 - 08.2021
Claims Executive
Iffco-Tokio General Insurance Co. Ltd.
04.2017 - 06.2020
Fellow of Insurance -
Insurance Institute of India
Associate of Insurance -
Insurance Institute of India
Licenciate of General Insurance -
Insurance Institute of India
Master of Commerce - Accounts
R.D.S. College
Bachelor of Commerce -
Dr. Jagannath Mishra
Intermediate of Commerce -
Bihar school Examination Board