Swapnali Shengale
Mumbai
Summary
Resourceful Supervisor known for high productivity and efficient task completion. Specialize in team leadership, conflict resolution, and operational oversight. Excel in problem-solving, and adaptability to ensure smooth operations and workplace harmony. Committed to positive work environments and achieving goals through effective work.
Overview
9
9
years of professional experience
Work History
Supervisor of Claim Processing Senior Executive
Humanifi AgileAI Private Limited
Bangalore
10.2023 - Current
Profile: Processing Claims.
- New Joinee Training.
- Handling High TAT Cases – Action Plan for Team Leads.
- Grievance Handling – Non-Medical Cases, and Balance Amount Calculation.
- Claims auditing.
Claims Processing Senior Executive
Medi Assist India TPA PVT LTD
Mumbai
11.2017 - 10.2023
Profile: Processing Claims.
- Processing claims of group and retail health policies.
- Coordinating with the internal doctors for deduction and tabulation purposes, processing cashless claims of group and retail health policies according to TAT.
- Verifying all bills as per the claim file submitted by the insured, i.e., final bill, medical bill, etc.
- Maintaining daily basis MIS
Councillor
Keerti Computer Institute
Mumbai
06.2016 - 11.2017
Profile: Admission Inquiry.
- Handling newcomers' inquiries.
- Presenting details of computer courses for new admissions.
- Taking follow-up for new admissions and pending fees.
Education
Bachelor of Arts -
Shreemati Nathibai Damodar Thackersey College
R.A. Kidwai Marg, Antop Hill, Mumbai, Maharashtra 03-2016
Higher Secondary Certificate -
Shreemati Nathibai Damodar Thackersey College
R.A. Kidwai Marg, Antop Hill, Mumbai, Maharashtra 02-2013
Secondary School Certificate -
Shishuvihar Madhyamik Vidhyala
Matunga Central Railway Workshop, Hindu Colony, Da03-2011
Skills
- Claims auditing
- Claim processing
- Grievance handling
- Training development
- Data analysis
- Team coordination
- Problem solving
Languages
Marathi
Native
Native
English
Upper Intermediate (B2)
B2
Hindi
Proficient (C2)
C2
Declaration
I solemnly declare that all the above information is correct to the best of my knowledge
SWAPNALI SHENGALE.
Timeline
Supervisor of Claim Processing Senior Executive
Humanifi AgileAI Private Limited
10.2023 - Current
Claims Processing Senior Executive
Medi Assist India TPA PVT LTD
11.2017 - 10.2023
Councillor
Keerti Computer Institute
06.2016 - 11.2017
Bachelor of Arts -
Shreemati Nathibai Damodar Thackersey College
Higher Secondary Certificate -
Shreemati Nathibai Damodar Thackersey College
Secondary School Certificate -
Shishuvihar Madhyamik Vidhyala
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