STRATEGIC ROLE•Started health vertical from Scratch.•Drawing the software / hardware requirements for the system , human resources , hospitals and other wellness centres .•Defining budgetary requirements and monitoring the implementation. •In Underwriting , drawn a system for release of timely quotes , bringing down TATs of various activities. •Analysing the portfolios and burning cost for GMCs.•Meeting clients and explaining them the basis of pricing •Defining… Show more STRATEGIC ROLE•Started health vertical from Scratch.•Drawing the software / hardware requirements for the system , human resources , hospitals and other wellness centres .•Defining budgetary requirements and monitoring the implementation. •In Underwriting , drawn a system for release of timely quotes , bringing down TATs of various activities. •Analysing the portfolios and burning cost for GMCs.•Meeting clients and explaining them the basis of pricing •Defining strategies to add new value adds in our services•Defining business development strategy – portfolio balancing.MARKETING ROLE-•Defining goals and targets on Pan India basis •Achieving retail growth , there by balancing the portfolio.NEW PRODUCTS DESIGNING•Designed 5 new health products launched.(Complete Health Insurance, hospital daily cash , senior citizen , critical illness , policy for bank customers)•Revising old products for our bank customers.INTERNAL OPERATIONS•Defining plan / strategy for inhouse claims processing unit.•Designing the architecture of software/systems for inhouse claims management•Planning of manpower , recruiting team for startup of operations•Designing new provider network strategy development.•Engineering the development of new software for end to end claims management Successfully started inhouse claim settlement systemNETWORK HOSPITAL MANAGEMENT•Defining SOPs/creating MOUs for networking department •In short span of 6 months we have empaneled 3.5k + hospitals for our cashless network•The rates of most prevalent procedures are negotiated based on the grading structure of the hospitals .(which are one of the lowest best in the industry)•Empaneled more than 500 diagnostic centres for pre policy health check ups and value added services•Empanelment of wellness centers for our clients•Extension of network to Diagnostic centres , wellness centres , Pharmacy outlets , physicians and dentists•Arranging wellness regimes/ health check camps for out customers. Show less

Cross cultural experience in Claims Administration, Investigation & Evaluation, Risk Assessment, Client Servicing, Medical Advisory Services and Team Management. Strong understanding of the insurance industry particularly the area Claim Adjudication end to end claims administration. Managing the life cycle of a process migration in a growing business scenario, starting from process identification, implementation, monitoring, and stabilization of a Profit Centre. dentify the… Show more Cross cultural experience in Claims Administration, Investigation & Evaluation, Risk Assessment, Client Servicing, Medical Advisory Services and Team Management. Strong understanding of the insurance industry particularly the area Claim Adjudication end to end claims administration. Managing the life cycle of a process migration in a growing business scenario, starting from process identification, implementation, monitoring, and stabilization of a Profit Centre. dentify the business and revenue models for the company and areas to diversify.Health Data Analysis, Product designing, Strategizing the sales of product and pricing. Manpower Planning, Budgeting of Key expenditures and areas of Investment Show less

Managed operations including network operations and delivery for all health insurance products in the Indian market,across 41 delivery centers in India. • Established companywide metrics structure • Liasioning with specialty hospitals/ specialists for better patient care.• Defining package rates for different surgical procedures being negotiated with hospitals.• Defining concept of preferred network on basis of volumes of business and quality of services provided

- initial scrutiny of claims - extension of cashless