Dr. Sudip Santra Email & Phone Number

Mumbai, Mh, In

• Recovery of more than 30 lakhs done in financial year 2022-2023.• Single headedly gave decisions of 37 OPD claims to either process/ deny within 6 hours out of 44 OPD claims which was pending with TPA due to non-submission of documents and corporate no longer wanted SBIG as insurance company.• Primary Cashless approval for TPA’s and handling specific corporates. • Claim payment approvals.• Daily review of Rejection referred cases by TPA’s.• Quarterly TPA Audits as per allocation of cases.• Outstanding revies of claims as per allocation post reviews Outstanding revies of claims as per allocation post reviews.• Contribution and implementation of new ideas on process improvement.• Approval of cashless denial post discussion.• Gave valuable feedbacks to reduce TAT – just after entering ICD, system can deny claims falling under waiting period.

Global governance initiative is a social impact organisation with a mission to provide quality education in the space of Management Consulting, Product Management and Policy Making.

Mumbai, Maharashtra, India

• Single handed led to improvement of more than 90% in non-medical team after providing a detailed internal audit report, daily use to find more than 15000 INR error just from non-medical expenses not being deducted.• Do quality checks, defend the external audit recovery, assist during insurance company audit and improving the quality of claims team by doing internal audit.• Providing valuable feedbacks to improve the system process – insured took policy in Borivali branch got admitted in Ulhasnagar (could be a fraud) automating this in system, UI and identify potential frauds.• Saved more than 10 lakhs rupees detecting fraud and saved over 24 lakhs rupees by defending the recovery. • Provide expert opinions on cashless and reimbursement team.

Thane, Maharashtra, India

• Received a recommendation for promotion from the AVP just three months after joining the organization.• Processing the case as per policy terms & condition of various insurance companies. (PSUs & Private)• Coordinating & communicating with the subordinate for processing the claim.• Coordinating with CRM for details of the corporate employee & individual insured.• Coordinating with insurance company for specific approvals.• Handling the grievance related to the rejection/ denial of the Cashless request • Providing the Quality services by keeping the minimum TAT.• Updating the new terms & condition of new product of the insurance company.

Nerul, Navi Mumbai

• OPD• Routine Check-ups of patients• Suturing and suture removal• Cardio – Pulmonary Resuscitation• Tapping• Intubation• Venepuncture

Bachelor Of Medicine And Surgery, Student, Doctor

Activities and Societies: - Visited six rural medical camps. - Performed Street Play on Depression - WHO theme 2017 - Distinction.

Hsc, Science, 12Th

Ssc, 10Th

Activities and Societies: - Was appointed as The Head Boy of the School. - Participated in various Science exhibition in many Inter School.