Responsible for accurately entering policy data into the policy administration system. This includes entering policyholder information, policy coverage details, policy endorsements, and other policy-related data.▪ Assist in the creation and issuance of policy documents, such as policy certificates, identification cards, and other relevant documents. They ensure that policy documents are generated accurately and in a timely manner, and that policyholders receive complete and up-to-date policy information.▪ Processing policy changes requested by policyholders or authorized agents. This may include updating policy coverage, personal information, or other policy details. They ensure that policy changes are accurately processed and documented in compliance with company policies and regulatory requirements.▪ Responsible for managing policy renewals and cancellations. Assist in reviewing policy renewal information, assessing policyholder eligibility for renewal, and processing policy renewals or cancellations according to established policies and procedures.▪ Provide policyholder services, including responding to policy inquiries, resolving policy-related issues or disputes, and providing policy information to policyholders or authorized agents. Maintain good customer relationships by providing timely and accurate policyholder services.▪ Ensure administrative support to policy administrators and other team members, such as maintaining files, organizing documents, scheduling appointments, and performing other administrative tasks as needed.

Assisted senior underwriters in data collection, risk assessment, and analysis for health insurance applications.▪ Reviewing all the insurance applications and documents for compliance with underwriting guidelines, policies, and regulations.▪ Give the estimate to ensure that customers have competitive quotes according to their requirements during renewals.▪ Coordinated with insurance agents, brokers, and other stakeholders to obtain additional information and clarify details as needed.▪ Carry out proper documentation of record and enter all related information in CRM and followed up in timely manner.▪ Work with seniors and provide additional support in preparing reports and summaries of underwriting findings, trends, and metrics.▪ Connecting with the Insurance company to ensure compliance, eligibility, approval requirement and payments.▪ Maintains appropriate departmental relations & documentation. Resolve potential issues with customer regarding services.▪ Ensure all emails and calls are acknowledged and replied to internal and external clients.▪ Assisted with policy screening, including evaluating medical conditions, lifestyle factors, and financial information▪ Maintained organized records of underwriting activities and performed other administrative tasks as necessary.

Skillfully providing first call resolution to walk-in patients in hospital, actively assisting patients in reducing their waiting time, while ensuring smooth admission process, and ensuring in overall satisfaction related to services availed.▪ Taking approval for any preplanned admission of patient from insurance company. Assist in cashless preauthorization /claimsubmission, re-submission, and denial management.▪ Visiting the patient room for feedback about the services, behavior of staff, and quality of food being provided, apart from that always ensure to maintain hygiene on the floor to avoid any hospital acquired infection.▪ Handling patients’ complaints efficiently and providing solutions with hospital policies and procedures.▪ Act as a liaison between the patient and various clinical areas and ancillary services to coordinated activities and participate improving quality of services focusing on patient satisfaction.▪ Educate the patients and their family members about the health condition, medications, hospital services and protocol.▪ Collecting and facilitate the flow of document between patient, provider and payer for record maintenance & inquire about payable or paid claims.