Rohan Chawan Email & Phone Number

Experienced Health Insurance Claims Process Manager with a strong background in cashless and reimbursement claims. Passionate about optimizing claims operations to deliver efficient, transparent, and customer-centered service. Skilled at building and maintaining relationships with healthcare providers, TPAs, and internal stakeholders to ensure smooth claim processing and prompt settlements. With a proven track record of managing end-to-end claims operations, I focus on optimizing workflows, reducing turnaround times, and maintaining compliance with regulatory standards.With expertise in regulatory compliance, process improvement, and data analysis, I focus on minimizing turnaround time and enhancing customer satisfaction. Known for leading teams effectively and implementing streamlined workflows that drive operational excellence. Committed to creating a seamless experience for policyholders and supporting organizational growth through continuous improvement.

• 

  Health Insurance Specialist

  Paramount Healthcare Management Pvt.Ltd

  Feb 2012 - Present - Mumbai, Maharashtra, India

  Dynamic Health Insurance Professional with extensive experience in managing cashless facilities for international and NRI members globally, while also handling complex reimbursement claims. Skilled in liaising with insurance companies and TPAs, particularly in the UAE, to ensure comprehensive member coverage. Adept at planning, scheduling, and delivering projects on time by setting clear milestones and completion dates.Known for fostering a positive and professional environment that enhances both staff performance and customer satisfaction. I uphold strict quality standards across channels and have successfully led recruitment, onboarding, and performance review processes, ensuring that new team members are trained effectively and equipped to excel.With a strategic approach to KPI setting and achievement, I consistently motivate my team to exceed expectations. My expertise in problem-solving and swift issue resolution helps maintain smooth operations and high client satisfaction. I am also experienced in generating new business through creative marketing strategies and providing insightful analysis reports for insurance companies on a monthly and quarterly basis. Continuously incorporating feedback, I strive to elevate service delivery to meet and exceed organizational goals.