Summary
Overview
Work History
Education
Skills
Certification
Awards
Timeline
Generic
Surendra Godi

Surendra Godi

Chief Manager - International Business Group
Hyderabad

Summary

Experienced medical professional with over 14 years of specialized expertise in healthcare insurance sectors across India and international markets. Proven track record in claims management and policy development demonstrates the ability to effectively bridge clinical knowledge with insurance protocols. Recognized for excellence in team leadership and process optimization, consistently achieving 99% quality standards in fast-paced environments. Committed to driving operational efficiency and enhancing patient outcomes through strategic initiatives and collaborative efforts.

Overview

14
14
years of professional experience
5
5
Certifications
3
3
Languages

Work History

Chief Manager- International Business Group

ICICI Lombard General Insurance Company Ltd.
07.2023 - Current
  • Conduct comprehensive claim data audits and policy performance analysis
  • Manage regular communication with cedents regarding audit findings and recommendations
  • Review high-value reinsurance claims above threshold for cost optimization
  • Evaluate medical admissibility and coverage for international reinsurance partners
  • Medical adjudication of direct billing and high-value reinsurance claims for international operations
  • Train and mentor new employees during onboarding processes

Medical Board Executive

AXA- GIG Gulf
10.2020 - 02.2023
  • Achieved 98% TAT compliance for Privilege policy pre-approvals (15-minute target)
  • Maintained 99% TAT compliance for Signature product pre-approvals (30-minute target)
  • Delivered overall process quality of 99% across all adjudication activities
  • Supported case allocation, new joiner training, and pre-approval audit processes
  • Resolved customer care queries and managed grievance procedures

Senior Medical Officer

Health 360 Ancillary Services W.L.L.
07.2018 - 09.2020
  • Led pre-approval and call center departments managing a team of 12 members
  • Processed Guarantee of Payment (GOP) for international healthcare providers
  • Coordinated with brokers, insurance companies, and customers to resolve grievances
  • Updated process guidelines and policy amendments for team reference
  • Negotiated hospital tariffs and reviewed claim utilization through MIS reports

Assistant Manager- Claims adjudicator

Apollo Munich Health Insurance
08.2017 - 06.2018
  • Conducted medical adjudication of reimbursement claims
  • Managed pre-approval adjudication for cashless claim processing

Medical Officer- Approvals and Help-desk

Gulf Electronic Management Systems Co. W.L.L.
05.2015 - 05.2017
  • Handled pre-approval adjudication and hospital tariff negotiations
  • Coordinated with insurance companies for customer complaints and grievances
  • Supported help-desk and call-center operations
  • Performed medical audits of direct billing claims

Medical Officer

Satmed Claims Services Pvt. Ltd.
03.2014 - 03.2015
  • Conducted pre-approval adjudication for out-patient, daycare, and in-patient cases
  • Performed comprehensive medical audits of direct billing claims

Medical Officer

Good Health Plan Ltd. TPA.
02.2013 - 03.2014
  • Managed pre and re-authorization of cashless claims for retail and corporate policies
  • Handled queries from non-medical staff and audit team members

Medical Officer

Dedicated Healthcare TPA (India) Pvt. Ltd.
03.2012 - 02.2013
  • Conducted medical audits of cashless and reimbursement claims
  • Performed hospital visits to investigate suspicious and fraudulent claims

Education

Bachelor of Homeopathic Medicine and Surgery -

Nehru Homeopathic Medical College And Hospital, Delhi University
New Delhi, India
01.2011

Skills

  • Claims Adjudication

  • Medical Coding & Billing

  • Policy Development

  • Risk Assessment

  • Stakeholder Management

  • Technical Proficiency

  • Microsoft Office Suite

  • Windows 10/11

  • Healthcare Management Systems

  • Leadership & Management

  • Team Management

  • Training & Mentoring

  • Process Optimization

  • Quality Assurance

Certification

Generative AI Mastermind

Awards

Outstanding Performance Award for pre-approvals excellence (2014) - Satmed Private Limited, Outstanding Performance and Organizational Commitment Award (2024) - ICICI Lombard General Insurance, Topper Award in IC AIU 01 - Legal and Regulatory Aspects for Life Underwriters - Insurance Institute of India

Timeline

Generative AI Mastermind

08-2025

Revenue Cycle (Medical Billing and Coding

06-2025

Comprehensive Medical Coding and Billing

08-2023

Chief Manager- International Business Group

ICICI Lombard General Insurance Company Ltd.
07.2023 - Current

Medical Board Executive

AXA- GIG Gulf
10.2020 - 02.2023

Senior Medical Officer

Health 360 Ancillary Services W.L.L.
07.2018 - 09.2020

Assistant Manager- Claims adjudicator

Apollo Munich Health Insurance
08.2017 - 06.2018

Licentiate Certificate

04-2017

Specialized Diploma in Health Insurance

08-2015

Medical Officer- Approvals and Help-desk

Gulf Electronic Management Systems Co. W.L.L.
05.2015 - 05.2017

Medical Officer

Satmed Claims Services Pvt. Ltd.
03.2014 - 03.2015

Medical Officer

Good Health Plan Ltd. TPA.
02.2013 - 03.2014

Medical Officer

Dedicated Healthcare TPA (India) Pvt. Ltd.
03.2012 - 02.2013

Bachelor of Homeopathic Medicine and Surgery -

Nehru Homeopathic Medical College And Hospital, Delhi University

Similar Profiles

CREATE PROFILE
Surendra GodiChief Manager - International Business Group