Dr. Sudip Santra Email & Phone Number

• 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.
• 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.

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

Nerul, Navi Mumbai

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

Bachelor Of Medicine And Surgery, Student, Doctor

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

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.