I am an experienced finance professional with strong analytical and problem-solving skills along with practical understanding of business needs. I have an extensive knowledge in insurance industry and claims processes. I can multi- task, perform under pressure and work well with others. Now I am looking better opportunity to move forward & enhance my skills
• Acknowledgment of claim requests & calculating claim payouts, carrying out thorough scrutiny of financial & medical documents provided at the time of policy underwriting, financial profile and sound understanding of policy wording and insurance laws.
• Identifying fraudulent claims and taking the necessary course of action, Liaison with the legal department on cases that requires litigation.
• Management of Portfolio consisting of Unnatural Death claims and the claims with payout under 50K.
• Resolving stakeholder queries through correspondence and/or meetings.
• Member of internal audit team (Process Audit For ISO)
• Negotiating cases with clients and stakeholders where
required.
Claims underwriting and compliance with the company's policies and regulations. Settlement of the claims in accordance with the company's practices.
Maintaining the MIS for the paid and unpaid claims.
Correspondence with the clients and the banks (bancassurance channel)
Achievements:
Financial Negotiation
Time Management
People Management
Business Communication
Underwriting of claims, Review settled, claims to determine that payments and settlements have been made in accordance with company practices
Achievements:
Corporate communication language
Customer Satisfaction (almost 70%)
Emotional Intelligence
Software knowledge