Insurance Life

A-***, Jai Bhavani Park, Mobile No: 734-***-****

Surya Nagar, Near Vaman ************@*****.**.**

Park,

KAtpadi, Karnataka India

Pradeep A. Poojari

Objective Seeking Higher & Responsible position, which will enable me to apply my overall skills.

Experience Current Working

Jan 2018 – Till Date

SM Exide Life Insurance co Ltd

Job Profile

» Dealing with recruiting Financial Advisor Team and making Business through them.

» Meeting new customers and selling policy.

» Reaching for the customer in the market and following them till close the call.

» Writing proposals and specifications.

» Explaining the product details to the customer.

Oct 2015 – Oct 2016

Senior Associate WNS Ltd

Job Profile

» One of the largest UK based GAS Company, Centrica Process.

» Understanding the customer query and routing to appropriate department to carry out the further process.

» Identifying the GAS emergency query and transfer the task to emergency team.

» Solving the customer query through drafting email and giving feedback.

» Communicating & liaising with the helpdesk & several other departments for different query related.

Dec 2011 – Dec 2014

Quality Specialist Auditor United Health Group

Job Profile

» Handling health and accident claim audits for U.S process.

»Determining of claim benefits based on Insured Health History & insurance plan.

»Selecting correct hospitals & physicians for appropriate payment.

»Communicating & liaising with the helpdesk & several other departments for different claim related queries.

»Referring medical dictionaries & certificate of coverage to determine the coverage of diagnosis submitted by claimant.

»Auditing overpayment/ underpayment adjustment, Medicare claims, Other insurance co-ordination, duplicate claims, accidental claims and manual adjustment.

Dec 2006 - Dec 2010

Senior Associate Wipro Ltd

Job Profile

» Health and Accident Claim process for United Health Group (One of the largest Insurance Company) of United States of America involved in Personal Health and Insurance company.

» Determination of Claim benefits based on Insured Health History & Insurance plan.

» Interaction & Co-ordination with Helpdesk & different Dept. for any kind of Claim related Queries.

» Refer Medical dictionaries & Certificate of coverage to determine the coverage of Diagnosis submitted by claimant.

» On the basis of Quality promoted to Closed & Denied Department and further to Complex department which is high end processing.

» Selected for Higher end processing from UNET Dept. to Closed & Denied Dept, From Closed & Denied to Complex Dept, From Complex Dept to Claim Review Team.

» High dollar authorization for payment of $40,000per claim due to payment accuracy.

Other Activities

» Creating Macros in System to gear up the production.

» Involving in Sport activities and programs to make the team moral high.

» Providing support to team in claim resolution to meet the site target. Jul 2006 - Dec 2006 GI Infotech Ltd

Office

Assistant

Job Profile

Accounts & Finance

»Managed quality audit of U.K based claims.

»Handled accounting activities like maintaining MIS and cash book etc.

Education » Cleared Bachelor of Commerce

in year 2005 - 2006 from University

of Mumbai securing Pass Class.

» Cleared HSC in year 2002 - 2003 from

Mumbai Board securing IInd Class.

» Cleared SSC in year 2000 - 2001 from

Mumbai Board securing IIndClass.

Computer Skills »Working knowledge of - Microsoft Word, Excel PowerPoint, Internet

» S A P R3 Operating System

» UNET System

Personal Details

» Date of Birth - 3rd September,

1984

» Nationality – Indian

» Languages Known - English, Hindi, Marathi & Tulu

» Marital Status – Single

» Interest - Reading, Listening Music &Cricket

Cricket is not just a game it’s a Passion for me

Played For Hyderabad Cricket Association.

DATE: (Pradeep A. Poojari)

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