Tele and Medical Underwriting of New Business, Our Renewal and Portability Proposals.Identifying and scrutinizing risk selection at proposal inward stage.Using simplified processes and underwriting logic, maximizing the use of automation for faster policy issuance. Actively participated in the UAT process - Non Disclosure process to ensure that the solution provided by the system gives precisely what the exact requirement is to smoothen and fasten the process.Handling Customer, IMD, Sales, Operation, Pre Policy, CFO and CEO escalations along with queries upon proposal acceptance, rejection and reconsiderations.Handled Non Disclosure Process with Cancellations and Endorsement of the policy as per the noted non disclosure.Developed Paperless end to end non disclosure process flow for cancellation of policies and endorsement at Ops level and Dispatch of letters to customer through Dispatch team.Trend Analysis zone wise, identifying the leakages to make necessary changes in UW present guidelines time to time basis.Process and Product presentation with IMDs , Operations and With in and across teams.

Cashless, Reimbursement and Personal Accident Claims. Team Management, Work Allocation zone wise and Maintaining TAT.Handling IRDAI, GGRO , CEO escalations, TPA monitoring Audits and Regulatory compliance.Identifying fraud triggers and thorough detailed investigation of claims. Giving necessary inputs to investigation team for thorough investigation. Handling the IRDAI escalations and extending inputs to Legal team in vetting the draft/ SCN upon the customer grievance and court's notice.Identifying the steps for faster settlement of claims and policy issuance and giving suggestions for system enhancement and automation.Process and Product presentation with IMDs , Operations and With in and across teams.

● Dependable healthcare administration associate with3+ years of experience with patient records, medical billing, hospital work schedules, and healthcare policies. ● Setting up of TPA desk and smooth functioning of cashless approval. ● Periodic meetings with Hospital Staff and consultants upon the patient review and feedback for enhancing customer experience.

Placed through campus selection at KEM ( PGDHM)● Coordinated with all levels of hospital and medical staff, including doctors, specialists, and nurses, to ensure healthcare needs were being addressed. ● Assisted in reviewing and monitoring Out patient Department with Patient feedback ● Reviewing the patient healthcare record system, including medical billing and visit accounting and ensuring all clients and users were able to access necessary documents and records without trouble. ● Hassle free cashless approval by reverting raised by ICs and maintaining the Turnaround time.

Complete 1 year internship of PGDHM and worked completed my journal upon Quality management and Basic for NABH accreditation.The basic framework was for quality assurance and quality improvement of the hospital. The standards focus on patient safety and quality of care. This was done by continuous monitoring of sentinel events and comprehensive corrective action plan leading to building of quality culture at all levels and across all the functions.

● Patient examination and preparing reports, assistingsenior doctors for ward visits. ● Round o clock visit of IPD patients and updatingthe consultants about progress reports. ● Arrangement and Participation in free medical campsat Orphanage and Old age homes

Handled OPD, IPD, OT.Conducted health awareness programs for preventive cure & personal hygiene at the hospital.Communicated about various state govt health benefit programs for rural population to the visiting patients.Conducted free health checkup & health awareness camps at schools & orphanages.

As a medical officer I was handling an OPD of 100 patients.Conducted health awareness programs for preventive cure & personal hygiene.Visited primary schools & orphanages for free health checkup of children.