Oman
Results-oriented and deadline-driven Senior Provider Network Officer with over all 18+ years of impressive career in Life and Health Insurance industry including managerial post. Demonstrated excellent skills in Life insurance Branch Operations and Customer Relations and Team management. Last 7 years in Health insurance TPA Provider network Management. Having excellent track record in major multinational companies in India and Gulf by exceeding client’s expectations and meeting agreed deadlines. Hands-on proficiency with in-house business intelligence tool.
Senior Provider Network Officer, MedNet Global Healthcare Solutions LLC (Munich Re group). Geography handled: Muscat and Entire Oman Work Profiles handled: Reconciliation, Training, Auditing, Analysis, Business Negotiations, Projects.. Management of Provider Network Hospitals, Clinics and Pharmacies in whole Oman Finalize and close all Provider reconciliation Network Stratification Train Providers on MedNet protocol Provider visit and conduct Audit to find out fraud and insurance misuse New Provider Network empanelment Tariff and discount negotiations Large client group management Relationship management with Participating Insurance companies Case management and second opinion Group utilization and Provider utilization data analysis Monitor preapproval TAT and grievance management Client visit and presentations Monitor Claims submissions and process adherence Provider contract maintenance Assist ongoing Project’s Data Analysis
Deputy Manager Customer Relations and Operations, HDFC Life Insurance Geography handled: Kochin, Kerala, India Work Profiles handled: Team Building and Management, Branch Operations, Training, Auditing, Data Analysis, Revival persistency, Customer service and grievance management, Surrender Aversion, Cash and Banking, Branch administration, Process adherence and Quality. Development of customer sensitivity in reporting operations officers. Attend customer queries and complaints and resolve the same within the TAT. Escalations Management Conducting monthly branch audit in the reporting branches. .(Managing 7 main branches and 3 spoke branches with a team Strength of 15 direct reportees) Conduct online Audit and submit report for other regions. Ensuring adherence of laid out process rules and laid down controls and ensure exemplary audit scores. Ensure and check on Anti Money Laundering compliance in all the transactions in the branches under supervision. Reconciliation of Banking records at reporting branches. Ensure Productivity and overall performance of branch operations staff. Reduce cost incurred to run operations at branch level. Ensure implementation of any new process at reporting branches. Act as customer retention manager. Give special attention to avert Surrender of HNI clients. Ensuring quality of proposal forms accepted at reporting branches.(zero error) Ensuring accuracy of cashier entries passed at reporting branches.(zero error) Ensuring quality of policy servicing requests processed at reporting branches. Carry out pre-confirmation appraisal and annual CMS appraisals of all reporting team members and Leave sanctioning for direct reportees. Additionally designated as Principal Support Officer of the branch.
Company Name : Bajaj Auto Finance Limited. Designation : Trainee Accounts Department : Accounts Period of Experience : 14 months (August 2005 to October 2006) Territory exposed to : Cochin Work profile: Cash handling : Worked as a cashier responsible for receipting of EMI received from customers and collection agents, Banking and reconciliation of the same. Banking : Responsible for banking of Post dated cheques on a daily basis. Reconciliation: Reconciliation of accounts of various banks.(8 accounts) Customer Service: Attending customer queries and complaints, follow-ups with HO for resolving the same. NOC issuance: followups with HO for issuance of No Objection Certificates for all loan settled cases. MIS: Responsible for generation of various MIS from the system on a periodical basis. Data generation and followup for renewal of vehicle insurance under hypothecation.