Nitin Mandge Email & Phone Number

India

Maharashtra, India

Hyderabad, Telangana, India

• Heading Process transformation, Data Analytics, Innovation, System development & Business Operations for IIB and ensure that the business perform on the defined SLA, Revenue, Matrix and compliance guidelineKey.
• Conceptualized & Developed the Insurance Fraud Analytics Engine “BIMA STARK” which is helping industry on Controlling Fraud and leakages which has generated a saving of more than 2 crores for the industry in 2 months
• Handling Real time API Based data collection of Health Insurance on daily basis to ease real time analytics
• Creating solution on health claim cost optimization by bringing insight on Service provider like – Hospital, TPA, Broker
• Developing Business matrix data driven dashboard on Tableau & integrate it with web applicationsRevenue, Budgets & Pricing: -
• Generated the revenue of 50 Lakh + by providing custom-based reports to insurers based on Logic & Requirements

Mumbai, Maharashtra, India

• Handling Projects of Risk management (ORM & ERM), Business Continuity Plans, Process automation & Risk based Analytics for suspected & Fraud claims in all line of General insuranceKey Responsibilities Undertaken: -Risk.
• Risk management at company level which includes - Risk register, KPIs & Control matrix with proper scoring
• Ensure Business Continuity program components (Business Impact Analysis, Risk Assessments, strategies, are in place)
• Reporting to Risk Committee, Audit Committee, Management Committee with controls and challenges
• Evaluation of Vendors, Processes, Outsourcing, Customer Grievances as per defined complianceAutomation & Digitization Projects:
• Conceptualized end to end Claim management platform for claim Investigation & Risk Management

Mumbai, Maharashtra, India

• Handling System development Projects, Operations, Analytics for Motor & Health Insurance claim and ensure that the business perform on the defined SLA, Matrix and compliance guidelineKey Responsibilities Undertaken.
• Implemented end to end Claim management platform for Health, Motor OD & Motor TP business which includes Intimation, Claim process, Closure, Payment, Vendor allocation, Investigation report, MIS Reporting and dashboard
• Business Translator for big data analytics project and implemented Predictive & Scoring model in GIC
• Migrated Motor TP open cases from legacy to new system with 300+ variables which has enriched the quality and decisionAudit & Compliance:
• Handling regulatory reporting, Compliance & Audit inspection for Motor & Health Portfolio
• Grading of Vendor based on their performance based on (TAT, Quality & Success) to improve quality & productivity

Pune Area, India

• Heading central operation for Claims Risk management & Investigation for all line of business like (Motor OD, TP, Theft, Non-Motor, Health, agriculture, Vigilance, Pay & recovery etc.)Key Responsibilities Undertaken.
• Delivered end to end Risk & Investigation software development projects with External & Internal IT Team & integrated with core system through Web services, Server configuration, VAPT, UAT etc. Likeo Claim Management –.
• Analysis of Cost & benefit analysis & ROI of delivered product & data models in regular intervals on specific parameter
• Created fraud analytics rule with Predictive Modeling & Machine Learning on Claim data (Motor, Non-Motor & Health)
• Handled Government Projects with IIB & GIC to create rule-based Fraud repository for all GIC Companies
• Created automated business dashboard to analyze performance and evaluation on BI tools like SAP BO & Qlik Sense

Pune

Automation & Analytics

Pune

• Leading Operations, Quality & delivery for US based Life & Annuities (Financial & Non-financial process) and managing process of Life & annuities with team of 60+ team for various LOBs asper SLA & business metrics
• Signoff authority for Bank reconciliation, Cash management, policy servicing, Surrender, Withdrawal, Suspense, billing
• Regular conference calls with clients for resolving critical issues & Training & mentoring new joiners on domain
• Assessing the customer feedback, doing RCA, evaluating areas of improvements & providing critical feedback to the team members on improvements and achieving higher customer satisfaction matrix
• Automated various process improvement ideas in to functional system flow
• Quality Control by sample data audit & Preparing Metrics Reports for project on their Quality, SLA, and feedback

Noida Area, India

Set the process of verification & Accounting of cheques, debit credit memo and financial documents.Worked on different software like Oracle (People Soft), Siebel, etc.Reconciliation of general ledger between different departments of Bank.Validation & Processing entries received or paid in to client accounts.Preparing reports in Excel using Pivot table /.

Gurugram, Haryana, India

• Handling the operation for SwissRe Reinsurance for accounting of premium, claims, brokerage as per SLA
• Reconciliation of Statement of Accounts sent by brokers and Cedants for US legal entities
• Allocation of money received or paid to proper accounts & their rectification
• Recording entries in the sub ledger and reviewed & passed Journals for cash allocated in the sub-ledger
• Prepared wire transfers and check requisitions for paying creditors affecting inter-company transfers
• Training new joiner, Conference calls with clients, Management Reporting, resolving team issues

Prince2 Agile, Project Management

Certified PRINCE2 Agile Project Management Expertise

Scrum Master, Project Management, A

Activities and Societies: Project management, implementation & controlCertified Scrum master with knowledge on project management

Master Of Business Administration - Mba, Finance And Marketing

Mba In Finance & Marketing, Accounting And Finance

Bachelor Of Commerce (Bcom), Business/Commerce, General