Tumma Saikishore
Fathenagar, Balanagar, Hyderabad
Summary
Highly organized and detail-oriented professional with experience in managing cashless, reimbursement, and GPA/GTL claims from initiation to settlement. Proven ability to maintain adherence to turnaround times (TATs) and ensure accurate claim processing. Skilled in client relationship management, data analysis, and communication with insurance providers and TPAs (Third Party Administrators) Reliable Manager demonstrating high level of ownership and initiative. Possessing exceptional work ethic and desire to go above and beyond to exceed company expectations. Offering knack for building productive working relationships. Successful in fast-paced, deadline-driven environments to manage goals and team development. History of thriving in team-oriented environments.
Overview
8
8
years of professional experience
Work History
Manager- Client Care
VISISTA INSURANCE BROKING SERVICES PVT LTD
2023.08 - Current
- Leveraged strong insurance knowledge to develop and execute RFQs, procuring a variety of quotes tailored to meet client needs
- Presenting QCR to clients, demonstrating a deep understanding of their specific risk profile and insurance needs and by procuring the best negotiation price from insurance vendors, resulting in significant cost savings
- Managing cashless, reimbursement, and GPA/GTL claims ensuring efficient processing from receipt to settlement
- Cultivated strong, long-term relationships with clients through regular meetings and effective communication & ensuring to understand client queries, concerns, and providing desired outcomes
- Skilled in identifying client needs and uncovering opportunities for additional products and increase chances in Cross Sell
- Developed and delivered monthly HR dashboards, providing key insights into workforce trends and the effectiveness of their policies
- Liaised with insurance companies and TPAs for data reconciliation and endorsement updates
- Following up with TPAs for E-cards
- Coordinating with TPAs regarding wellness programs for clients
- Maintained positive client relationships through regular visits and communication
- Providing renewal account reminders and follow-up with clients for data
- Updating client and policy information within the internal system, ensuring adherence to data quality standards.
- Developed and implemented strategies to increase customer satisfaction and loyalty.
- Created monthly reports for senior management summarizing operational performance metrics.
- Conducted regular meetings with staff to discuss progress and identify areas of improvement.
- Established processes to ensure efficient workflow throughout the organization.
- Analyzed customer feedback data to develop action plans for improving services offered.
- Enforced customer service standards and resolved customer problems to uphold quality service.
- Exercised good judgment and decision-making in escalating concerns and resolving issues.
Senior Executive- Corporate Solutions Group
ALLIANCE INSURANCE BROKERS PVT LTD
2021.02 - 2023.08
- Managing cashless, reimbursement, and GPA/GTL claims ensuring efficient processing from receipt to settlement
- Ensured adherence to agreed-upon TATs for claim processing
- Followed up with insurance companies to rectify errors and expedite claim settlements
- Preparing & analyzing monthly client data and MIS reports to identify trends and generate insights
- Liaised with insurance companies and TPAs for data reconciliation and endorsement updates
- Followed up with TPAs for E-cards
- Coordinating with TPAs regarding wellness programs for clients
- Maintained positive client relationships through regular visits and communication
- Collaborated directly with insurance companies to ensure accurate and efficient claim processing, minimizing errors and expediting settlements
- Providing renewal account reminders and follow-up with clients for data
- Leveraged strong insurance knowledge to develop and execute RFQs, procuring a variety of quotes tailored to meet client needs
- Negotiated quotes with insurance companies on behalf of clients, utilizing market research and competitor analysis to secure cost-effective policies with optimal coverage
- Utilized strong data entry skills to update client and policy information within the internal system, ensuring adherence to data quality standards.
Account Management - Executive
MEDI ASSIST INSURANCE TPA PVT LTD
2017.09 - 2021.02
- Ensuring Cashless & Reimbursement claims received are processing as per Terms & Conditions within Committed TAT
- Adhering to TAT following up with internal team on claim processing
- Sending E cards to clients/Brokers/Insurance companies
- Visiting & Coordinating with insurance companies on a weekly basis for delay/denied approvals
- Visiting brokers office for documents collection and data entry for the collected documents
- Sending MIS report to clients/Brokers/Insurance companies
- Helping reporting manager for renewal accounts.
Backend Service Executive
WIPRO BUSINESS SOLUTIONS
2016.08 - 2017.07
- By utilizing Street View in Google Maps to examine the building as Commercial, Domestic in the United Kingdom
- Preparing reports of locations identified under Commercial & Domestic
- Splitting the list of UK locations into manageable sections for each team member.
Education
B. Tech (ECE) -
QIS Institute of Technology, JNT University, Kakinada
01.2015
INTERMEDIATE -
Narayana Junior College, Board of Intermediate
01.2011
SSC -
HAL High School, State Board
01.2009
Skills
- Positive Attitude
- Managing Operations and Efficiency
- Negotiation and Conflict Resolution
- Policy Implementation
- Verbal and written communication
- Customer Service
- Task Prioritization
- Documentation And Reporting
Personal Information
- Father's Name: TUMMA VENKATESHWARLU
- Date of Birth: 02/22/1992
- Gender: Male
- Nationality: Indian
- Marital Status: Married
Languages
- English
- Telugu
- Hindi
Hobbies and Interests
Playing Cricket, Watching movies
Disclaimer
I hereby declare that the above furnished details are fully true to the best of my knowledge and belief.
Languages
Hindi
First Language
Timeline
Manager- Client Care
VISISTA INSURANCE BROKING SERVICES PVT LTD
2023.08 - Current
Senior Executive- Corporate Solutions Group
ALLIANCE INSURANCE BROKERS PVT LTD
2021.02 - 2023.08
Account Management - Executive
MEDI ASSIST INSURANCE TPA PVT LTD
2017.09 - 2021.02
Backend Service Executive
WIPRO BUSINESS SOLUTIONS
2016.08 - 2017.07
B. Tech (ECE) -
QIS Institute of Technology, JNT University, Kakinada
INTERMEDIATE -
Narayana Junior College, Board of Intermediate
SSC -
HAL High School, State Board
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