Deepali Mahajan
E-mail: actbuw@r.postjobfree.com
Contact#:965-***-****
Techno Functional consultant with 7+ Year extensive experience in the area of Insurance and technology, expertise includes implementing and handling end to end business process. My past experience includes domain knowledge of Insurance and recently working with insurance firm & ''Re-insurance firm.
TECHNICAL SKILLS
ªIT Products
ªSICSNT
ªNEXTGEN
ªACS
ªORDERPOINT
ªCREW
ªSAS Base
ªMS-OFFICE
OTHER & CERTIFICATIONS
ªInsurance Institute of America(IIA) Certified
ªLean Certified
WORK EXPERIENCE
oCurrently Working in Genpact India (DEC 2007 - Till Date)
PROJECT EXPERIENCE
Project / Client Name / Location - Swiss-Re / Gurgaon
Duration: Dec 2007 to 2008
Technologies - Citrix & Sicsnt
Project Profile:
Reinsurance is insurance that is purchased by an insurance company from one or more other insurance companies (the "reinsurer") directly or through a broker as a means of risk management, sometimes in practice including tax mitigation and other reasons described below. The ceding company and the reinsurer enter into a reinsurance agreement which details the conditions upon which the reinsurer would pay a share of the claims incurred by the ceding company. The reinsurer is paid a "reinsurance premium" by the ceding company, which issues insurance policies to its own policyholders.
Role and Contributions
Triage: Claim documents are initially received by the triager in the process inbox of CREW system. Upon receipt the triager opens the documents he is responsible for and assigns basic index attributes to the claim document in CREW
Non-Financials: In which we prepare a claim as per the Line of Business (Casualty & Property).Performed on asbestos (APH) cases
Financials: In this, calculate reserves portion & payment and finally update into the SICSnt.Search treaty in SICSnt and then update the payments in the existing claim.
Approval: Send the claims to the claim handler & once it is approved by claim handler send the payment to customer through cheque
Claim Closure: claim is closed once all the steps are done
Highlights:
ØUpdating all the information in CREW as like triarge
ØHandled P & C Americas,Europe & Asia
ØDoing Analysis on Reserves
ØSearch Treaty in Sicsnt
ØCalculate Reserves portion & update in the Sicsnt
ØCalculate payments
ØRecording data on the claim worksheet in Sicsnt
ØHandle proportional & facultative treaty
Project / Client Name / Location - Allstate Auto Insurance
Duration: 2009 to till now
Technologies - Next Gen, ACS & Order Point
Project Profile:
Auto insurance is a contract between you and the insurance company. You agree to pay the premium and the insurance company agrees to pay your losses. It provides coverage to Property Damage Liability, Uninsured motorist coverage, Bodily Injury coverage, Collision & Comprehensive Coverage
Role and Contribution
oWhen policyholder purchases insurance, they are buying protection for the potential financial consequences of covered losses .when evaluating a claim, the adjuster typically applies a claim handling process.
oAcknowledging a claim
oIdentifying the policy
oContacting the insured
oInvestigating & documenting a claim
oDetermine a cause of loss & loss amount
oConcluding the claim
Highlights:
oOpen Police report & update all the relevant information in next gen
oDoing analysis on the deductibles for the insured
oHandle all the Third party carrier letter
oHandle all the liability analysis
oHandle Subro Salvage Letters as per the liability. If the claimant is 100% liable then send the subro notice to the claimant's TPC
oSearch a claim number in order point and attach the police report in the claim and then send it to the next team
oCheck Deductibles in the subro advise letters it there is no deductible generate a letter and send the letter to the insured
oUpdate all the information in ACS website which is used for poor driving records of drivers
Roles & Responsibilities:
oDoing analysis on Productive Hours and report to the client
oDoing accuracy analysis for the team and prepare the charts in excel
oDoing survey on insurance companies and gather different information for clients and prepare reports
oCalculating Numbers and compiling data or facts
oGathering different information and sending the daily hand-offs report to the client
oHandle a team of 18FTEs
oHandling the Data for the process to prepare monthly incentive calculation
oHandling Work Allocation for the team to ensure seamless delivery of SLAs
oPart of Auditing Team to reduce the error percentage and increase the
oHandling Customer Dashboards for the whole process
oPrepare the chart in paretos for total volume analysis
oMaintaining and developing the different Trackers on MS Excel to meet the performance standards
oManaging the EOD reports
oPreparing Operational Review
oMaintaining the Process quality Dashboard for the whole process in which we discuss the total Tasks & Processed tasks in a month with client
oTo prepare the production data and quality data at the end of every month
oPrepare the RCA report & discuss with managers and team
oUpdate FMEA for all the work type
ocalculate the mean,average and standard deviation by using minitab
Trainings
oWorking as a process trainer & SME
oConduct trainings for new hires & trained them on all the work types
oArrange various refresher sessions for whole team to improve the quality of the process
oMaintaining training documents and client escalation tracker
oMaintaining Error RCA Report
o"Train the Trainer" Certified & Certification is approved by the Senior Manager & AVP's
oHandling the Update Tracker & SOP
oPrepare the Training Dashboard on every month and share all the training updates with managers/AVP's as well as the status of new hires
oManage the data in which we show the performance of our team like: accuracy, KAT scores, highlights etc.
Transition
oRecently led the remote transitions for the process
oTrained on four new work types by client through Web-Ex
oScored 100% in Pilot Phase
oPrepare a Update Tracker & Query Tracker
oPrepared FMEA for all new work types
oTrained the whole team on all these four work types
ACADEMIC BACKGROUND
Course
SAS (Base & Advance )
M.A(EDU)
Institution
Koenig Institute
Moti Nagar,New Delhi
IGNOU,New Delhi
Graduation
Computer Course
Humanities (Mathematics),Delhi University
Oxford Institute,New Delhi
12th G.G.SR.Sec. School, New Delhi
CBSE Board
10th G.G.SR.Sec. School, New Delhi
CBSE Board