Dr.Pawan Kumar Email & Phone Number

Noida

Claim Analyst for Mass Policies: Utilize AI-driven tools to assess and analyze large volumes of insurance claims. Review and validate policyholder submissions, leveraging advanced algorithms to expedite processing and enhance accuracy. Collaborate with cross-functional teams to identify trends, improve fraud detection, and streamline claims workflows. Ensure adherence to company policies and regulatory requirements while optimizing the efficiency of the claims settlement process.

Noida, Uttar Pradesh, India

· Managed the claims processing operations of the insurance company, ensuring that claims were processed efficiently and accurately· Evaluated claims submitted by policyholders, verified policy coverage and determined whether claims were valid· Ensured that claims processing operations complied with relevant laws, regulations, and policies· Communicated with policyholders to gather information, explain claim decisions, and address any concerns or questions·… Show more · Managed the claims processing operations of the insurance company, ensuring that claims were processed efficiently and accurately· Evaluated claims submitted by policyholders, verified policy coverage and determined whether claims were valid· Ensured that claims processing operations complied with relevant laws, regulations, and policies· Communicated with policyholders to gather information, explain claim decisions, and address any concerns or questions· Analyzed claims data to identify trends and patterns, and developed strategies to improve claims processing efficiency and accuracy· Investigated claims that required further review, including reviewing medical records, conducting interviews, and collecting other relevant information· Assigned tasks, provided guidance and support, and ensured that team members had the necessary training and resources to perform their duties Show less

Greater Noida

· Developed treatment plans for dental problems based on the patient's individual needs, which included procedures such as fillings, extractions, root canals, and dental implants· Performing dental procedures to address dental issues, including fillings, crowns, bridges, and dental implant surgery· Managing patient care, including maintaining patient records, scheduling appointments, and providing follow-up care· Collaborating with other healthcare professionals, such as… Show more · Developed treatment plans for dental problems based on the patient's individual needs, which included procedures such as fillings, extractions, root canals, and dental implants· Performing dental procedures to address dental issues, including fillings, crowns, bridges, and dental implant surgery· Managing patient care, including maintaining patient records, scheduling appointments, and providing follow-up care· Collaborating with other healthcare professionals, such as general practitioners, orthodontists, and periodontists, to provide comprehensive patient care· Diagnosing dental issues, such as cavities, gum disease, and oral cancer, using X-rays, examinations, and other diagnostic tools· Educated patients on good oral hygiene practices, including brushing, flossing, and regular dental check-ups, to help prevent dental problems· Maintaining dental equipment and supplies, including sterilized instruments, ensured equipment was in good working order, and ordered new supplies as needed Show less

Noida, Uttar Pradesh, India

· Responsible for setting clear and measurable goals and objectives that align with the overall mission and vision of the organization· Delegating responsibilities and assigning tasks to team members based on their skills, strengths, and interests· Monitoring team progress and ensuring that tasks are completed on time and within budget· Identifying and resolving conflicts that may arise within the team or between team members and other departments or… Show more · Responsible for setting clear and measurable goals and objectives that align with the overall mission and vision of the organization· Delegating responsibilities and assigning tasks to team members based on their skills, strengths, and interests· Monitoring team progress and ensuring that tasks are completed on time and within budget· Identifying and resolving conflicts that may arise within the team or between team members and other departments or stakeholders· Managing the resources, such as budgets, equipment, and supplies, needed for the team to perform their duties effectively· Providing regular feedback to team members to help them improve their performance and achieve their goals· Communicating regularly with stakeholders, such as clients, partners, or senior management, to keep them informed of the team's progress and address any concerns Show less

Noida Area, India

Assistant Medical Officer under Ayushman Bharat Project

Gurgaon, India

· Managed the claims processing operations of the insurance company, ensuring that claims were processed efficiently and accurately· Evaluated claims submitted by policyholders, verified policy coverage and determined whether claims were valid· Ensured that claims processing operations complied with relevant laws, regulations, and policies· Communicated with policyholders to gather information, explain claim decisions, and address any concerns or questions·… Show more · Managed the claims processing operations of the insurance company, ensuring that claims were processed efficiently and accurately· Evaluated claims submitted by policyholders, verified policy coverage and determined whether claims were valid· Ensured that claims processing operations complied with relevant laws, regulations, and policies· Communicated with policyholders to gather information, explain claim decisions, and address any concerns or questions· Analyzed claims data to identify trends and patterns, and developed strategies to improve claims processing efficiency and accuracy· Investigated claims that required further review, including reviewing medical records, conducting interviews, and collecting other relevant information· Assigned tasks, provided guidance and support, and ensured that team members had the necessary training and resources to perform their duties Show less

South Delhi, Delhi, India

· Developed and implemented quality assurance processes to ensure that dental services provided met the highest standards of quality· Monitored and evaluated the quality of dental services provided, including reviewing patient charts, analyzing patient feedback, and conducting quality assurance audits· Identified areas for improvement in the quality of dental services provided and developed strategies to address those areas· Ensured that dental services provided complied… Show more · Developed and implemented quality assurance processes to ensure that dental services provided met the highest standards of quality· Monitored and evaluated the quality of dental services provided, including reviewing patient charts, analyzing patient feedback, and conducting quality assurance audits· Identified areas for improvement in the quality of dental services provided and developed strategies to address those areas· Ensured that dental services provided complied with relevant laws, regulations, and industry standards· Collaborated with other departments, such as dental operations, patient services, and finance, to ensure that quality assurance processes were aligned with overall company goals and objectives· Led quality improvement initiatives, including implementing new quality assurance processes, developing training programs, and identifying new tools and technologies to improve the quality of dental services provided Show less

New Delhi Area, India

consultant dental surgeon

Master Of Business Administration (Mba), Health/Health Care Administration/Management

Bachlor Of Dental Surgery, Bds