Ramesh Kumar work email
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Ramesh Kumar personal email
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•FLMI Level 1 – The Associate, Life management institute and MS/MPhil from SZABIST + MBA with more than 15 years of experience of the Corporate Industry•Head of Media & Publications - Thinkers Tribune (NGO organizations)•Excellent grip on Individual Underwriting, Claims Handling, Customer Relations Management, Medical Terminologies •Acted as a mentor of Internees of different universities during the Summer Internship Program 2022•Rewarded / Nominated in SZABIST Chancellor Honor List – Convocation 2021•4 MS/MPhil research papers published in HEC journals and articles published in different magazines/ newspapers •Visiting faculty at FAST National University and Dadabhoy Institute of Higher Education –Teaching Management Science students (BBA & MBA)•Acted as a mentor for TCF Rahbar – Coaching a team of mentees and under privileged children of specific areas •Free Lancer Motivational Trainer - Trainings on Time Management & Team Management & Leadership Skills •Member of the Society of Pakistan English Language Teachers (SPELT) Pakistan Specialties: - Claims, Bancassurance & Individual Life Operations - Intense knowledge of educational researches - Financial Life Underwriting & Risk Assessment- Quality Assurance ISO Procedures - Client Relationship Management - Major Development at EFU Life and PQFT includes: Filenet Launch, System Generated Letters, Mail System, ORS, Quality Management, Non Conformance & Turnaround Service Reports, Complaints & Cancellation Management SystemCharactertics:To handle responsibilities involving challenges and innovations by aggressive and effective management techniques with strong commitment To pursue a professional career in a dynamic environment that provides an opportunity of growing with the organization by capitalizing upon my abilities and strengthsAchievements:•Author / writer of different articles published in magazines and local newspapers•Member of Thinker’s Tribune Magazine•Member of Internal Auditing team (QMS – ISO Procedures) at EFU Life Assurance Limited •Participated and reached in final of online Asian Management Game 2016•Worked as an Event Coordinator for Design and Advertising Company for WMO workshop •Appointed as Marketing Head in an event organized by SZABIST students at PACC•Represented Unilever Pakistan Limited as a Unilever Champ at Expo Center Karachi
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Visiting FacultyDha Suffa UniversityKarachi, Pk
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Visiting FacultyDha Suffa University Mar 2024 - Present
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Head Of Health, Life And Disability ClaimsPak Qatar Family Takaful Karachi Jan 2024 - PresentKarāchi, Sindh, Pakistano Develop the KPI framework for long-term and short terms goals with internal and external stakeholderso Take the lead role for new IT related projects sourced for the digitization and transformation o Oversees department workflow procedures, actively participates in cross-functional meetings, plans to implement changes, reviews system setup, and exceeds overall claims efficiency and service objectiveso Timely disbursement of claim reimbursement of health, life and disability claims paymentso Looking after Pre-autho and Case Management team for timely approval to hospitals for patients o Implement new strategies to ensure that targets are met for department Turnaround time, Quality and Productivityo Oversees and prepares Memorandum of Understanding (MOU) with third parties stakeholders (hospitals etc)o Coordinates with the Networking Panel hospitals to work with providers on appropriate rates, claim submission and payment resolution issueso Adhere to all company policies, procedures and guidelines in addition to health insurance regulationso Engage in continuing education and training opportunities of team members when possibleo Negotiate claim settlements and make recommendations for legal action when settlements are deemed non-negotiableo Develop, implement, and monitor ongoing reporting mechanisms to oversee department activitieso Ensures work is completed accurately and within required timeframes with continuous improvement mechanism -
Head - Life ClaimsPak Qatar Family Takaful Karachi Sep 2021 - Dec 2023Karāchi, Sindh, Pakistano Processing all valid and legitimate death, non-death individual, group, and credit life claimso Managing a team of claim examiners handling Life, Disability & Critical Illness claims of unit link policies and otherso Reviewing and approving intricate claim payments and Reinsurance matterso Maintaining excellent relationships with internal and external stakeholders of the companyo Reporting of Monthly claims MIS/registers for financial and auditing purposes and for Top Management & CEOo Strong command of medical terminologies to provide accurate decisions on life and disability claimso Discussions and negotiations of repudiated claims on legal forums like FIO, SECP and Insurance Tribunal etco Reviewing policies over a period of time for continuous improvements and making effective decisions o Working on different IT-related projects to make the processes efficiento Looking after process flow for digitalization of claim functions - launch of Filenet Project (Paperless Environment) o Initiated company’s strategy through modernization and automation of claims processes o Implemented new system changes to support products and enhance efficiency and effective support serviceso Believing in continuous improvement initiatives to increase overall business efficiencyo Interacting with various audits and regulatory stakeholders and with different business partners for SLAso Ensure teamwork to provide the best service, ensuring clients’ satisfactiono Accountable for implementing and managing claims-related compliance and law requirementso Meeting with third-party claim investigators/surveyors regarding payments and arrangement of reports o Forecasting the workload and monitoring the work output to ensure the performance remains higho Following ISO and Corporate Governance procedures to work as per assigned policies
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Visiting FacultyVertex School Of Languages Jan 2024 - PresentKarachi Division, Sindh, PakistanFrench Language Teacher
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Head - Media & PublicationsThinkers Tribe Jun 2022 - PresentKarāchi, Sindh, Pakistano Voluntarily working to develop innovative solutions for Sustainable Development Goals (SDGs)o Strategic alliances with different organizations to promote the SDGs and publishing those in mediao Conducting Young Leaders Internship Program on annual basis to involve our youth to create awareness of SDGso Develop capacity-building sessions by providing different trainings and skills development programs o Conducting panel discussions involving different experts of the industry to increase the futuristic skills of youth -
Manager - Individual & Group Claim OperationsEfu Life Assurance Ltd. Mar 2014 - 2021Karachi- Processing of all legitimate claims (death, non-death and hospitalization) - Handling of all Individual / Group claims including recently launched Microensure Schemes' claims- Implementation of claim system generated developments - Involvement in major decisions of departmental activities- Handling risk suspension policies- Accountable of payments for claim investigators- Association in sales consultants non-disclosure related discussion with National Sales Director- Looking after major developments of department- Training of all new employees/claim examiners- Handling ISO Procedures- Dealing with branches/banks and claimant’s queries and complaints- Active member of Departmental Committee -
Deputy Manager - Bancassurance OperationsEfu Life Assurance Mar 2010 - Feb 2014Karachi- Supervising a team of Underwriters- Training of new recruits- POS system implementation for all Banks- Responsible for underwriting life insurance applications- Issuance/signing of policies of Sum Assured of Rs 8 Million- Product testing and implementation of new Banca products- Strong coordination & communication with all departments - Assist Departmental Head in issues related to respective bank’s service- Manage and assist in reconciliation of monthly commission payments for banks- Daily MIS reports of respective banks- Responsible to reply client's complaints and queries - Continuous support to banca sales team to achieve sales targets- Making presentations for Managerial Representative Meetings- Active Member of Departmental Committee
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Assistant Manager - Bancassurance OperationsEfu Life Assurance Mar 2008 - Feb 2010Karachi- Handling 12 banks portfolio of Home Loan: Bank Al-Falah, SCB, Askari etc- Coordination of Home Loans Life cases with International Re-Insurers Swiss-re- Responsible for underwriting life insurance applications- Assisting clients in interpreting policy language - Looking after Quality Management System (ISO Procedures of Department)- Coordination with Banca coordinators for requirements and issuance- Drafting Service Level Agreements to be signed with bank partners- Active Member of EFU Life Newsletter
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Internee - Executive Development CenterSzabist (Shaheed Zulfiquar Ali Bhutto Institute Of Science And Technology) May 2007 - Jun 2007Karachi- Organizing seminars & workshops- Students’ counseling and training- Communication with companies and banks etc
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Internee - Human Resource DepartmentAli Gohar Pharmaceutical Private Limited May 2005 - Jul 2005Karachi- Organizing training sessions for employees- Maintaining salary comparison- Working on training booklet and final settlements
Ramesh Kumar Skills
Ramesh Kumar Education Details
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Business Administration And Management, General -
The Life Office Management Association (Loma) – UsaFlmi Level 1 Certified -
Marketing & Management
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Marketing & Management
Frequently Asked Questions about Ramesh Kumar
What company does Ramesh Kumar work for?
Ramesh Kumar works for Dha Suffa University
What is Ramesh Kumar's role at the current company?
Ramesh Kumar's current role is Visiting Faculty.
What is Ramesh Kumar's email address?
Ramesh Kumar's email address is ra****@****ail.com
What schools did Ramesh Kumar attend?
Ramesh Kumar attended Shaheed Zulfikar Ali Bhutto Institute Of Science And Technology, The Life Office Management Association (Loma) – Usa, Shaheed Zulfikar Ali Bhutto Institute Of Science And Technology, Shaheed Zulfikar Ali Bhutto Institute Of Science And Technology.
What skills is Ramesh Kumar known for?
Ramesh Kumar has skills like Bancassurance, Underwriting, Insurance, Risk Management, Banking, Crm, Management, Team Management, Customer Service, Term Life Insurance, Operations Management, General Insurance.
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