Bengaluru, Karnataka, India
Results-driven Business Operations Associate & QA with 3.8+ years of experience in managing high-volume financial claims and settlements. Adept at handling multi-line insurance operations, compliance, and workflow optimization to enhance efficiency and accuracy. 💡 Key Expertise: ✔ Claims & Financial Investigations (Health, Property & Casualty, Auto, Marine, Warranty) ✔ Process Automation & Optimization ✔ Stakeholder & Client Communication | Cross-Functional Collaboration ✔ Compliance & Regulatory Operations | Risk Management ✔ Data-Driven Decision Making | Reporting & Analytics 🚀 Business & Product Interests: Passionate about building scalable and efficient operational frameworks, driving automation, and optimizing workflows. Deeply interested in business strategy, product development, and innovative tech-driven solutions that enhance financial operations and client experiences. 📩 Open to networking and discussions on process automation, product innovation, business strategy, and operational excellence.
-Processed 28,000+ claims across Aerospace, Marine, Auto GL, P&C, and Workers’ Compensation, ensuring end-to-end compliance and accuracy -Managed high-volume claim lifecycles, navigating complex coverage types and regulatory requirements Led PLC reconciliation across North America, aligning intercompany cash flows for global insurance entities -Collaborated with Finance & Business Transformation teams to monitor payments (ACH, EFT, checks) and drive automation initiatives (BOT), reducing manual effort and improving accuracy -Strengthened documentation practices across claims, significantly reducing audit risks and improving compliance readiness -Optimized SAP Concur workflows, enhancing expense classification and processing efficiency -Mentored new associates, improving onboarding speed, capacity planning, and team productivity -Reduced backlog by 88% through workflow restructuring, while maintaining 100% quality and SLA adherence
-Adjudicated 5,000+ extended warranty claims for Best Buy (via AIG), ensuring accurate and compliant end-to-end processing -Conducted fraud investigations and eligibility validations, mitigating risk and preventing incorrect payouts -Reviewed complex/system-flagged claims, analyzing coverage terms, OEM classifications, and benefit entitlements -Prevented erroneous payouts by identifying fraudulent or ineligible claims, demonstrating strong risk awareness -Managed automated validation outputs, resolving exceptions and ensuring data accuracy -Acted as a client-facing representative, resolving queries and delivering a seamless customer experience -Prioritized tasks via live queues, maintaining SLA compliance and operational efficiency -Achieved full productivity within 60 days, quickly mastering tools, workflows, and quality standards