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Life Insurance Medical

Location:
Colombo, Sri Lanka
Salary:
AED 7500
Posted:
October 04, 2018

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Resume:

ISHARA UPUL WICKRAMAGE No. ***/*,

School Lane,

Mulleriyawa North,

Angoda.

Mobile phone: +94 8805910/011*******

E-mail: ac697d@r.postjobfree.com

PROFILE

An Associate member of Indian Insurance Institute and also following

charted professionalism of Charted Insurance Institute in UK.

Carrier experience of almost 12 years related to all technical activities of life insurance business in terms of life proposal underwriting (medical,non-medical), policy servicing activities and claim settlements. This includes of handling medical claims pertaining to health insurance of general insurance business.

JOB RESPONSIBILITIES

ASIAN ALLIANCE INSURANCE PLC (From 2015 - Up to date)

(Softlogic Life Insurance PLC)

Senior Executive (Life Claims Department- Health Insurance)

o Claims settlements (Health care indemnification benefit ) of

Health and Life insurance policies

o Processing E-claim settlements (Health care) and claims coding of

cashless insurance scheme by working as a member of the insurance

specific medical panel of the company.

o Customer handling - Pre-approving on medical prescriptions for

planned hospitalizations

o Customer dispute solving- contacting customers directly during e-

claim process and explain them the reasons of rejection of the

claims with a view to avoid disputes

o Approving fund transfers from claims fund to customer account

o Authorizing vouchers to reimburse hospitalization cost in cash

o Attending to various claims studies in terms of claims ratio

analysis, innovations on dispute solving, sample auditing, claims

automation.

o Identifying fraudulent claims and presenting reports to the

management to take actions on the grounds of misrepresentation or

fraudulent attempt

o IT system development for e-claim settlements process and claim

automation

JANASHAKTHI INSURANCE PLC (2008-2015)

Senior Underwriter - Life Insurance

o Medical and non-medical proposal underwriting - specifying terms,

conditions, exclusions and dealing with reinsurer for the

applications beyond the quota share treaty limits.

o Bank assurance process - issuing and comparing quotations,

underwriting proposals, offering letters of acceptance, attending

to all activities of facultative reinsurance proposals

o Policy holders servicing process - loans,surrenders,paid-up and

part payment settlements, special revivals, and normal revivals,

endorsements, alterations, premium adjustments, deposit clearance

and policy cancellations.

o Preparing MI reports to be forwarded to insurance board of Sri

Lanka and insurance association of Sri Lanka and reports to the

re-insurer

o Stock controlling of Stationary - controlled and maintained stock

of the Life Insurance Department

o Customer caring - Performed the duties as a member of the call

center and counter service center.

o Attended to various underwriting process development studies in

term of auto underwriting, tab-proposals, e-policy document, as a

member of implementation of paperless process panel.

SRILANKA INSURANCE CO. LTD

Worked as an insurance assistant from 2005-2008 by involving in decision making as an underwriter & all the associated activities of life underwriting.

PROFESSIONAL QUALIFICATIONS

. Affiliate Member in Insurance Institute of India (AIII)

Licentiate Examination

Associate-ship Examination

Financial Aspect of Life Assurance

Life Assurance Underwriting

Actuarial Aspect Of Product Development

Application In Life Assurance

Health Insurance

Risk Management

. Charted Insurance Institute - Takaful Insurance (Advanced Diploma

Unit)

SECONDARY & PRIMARY EDUCATION

D S SENANAYAKA COLLEGE- COLOMBO 7

. G.C.E Advance Level Examination in 2002.

Economics A

Business studies A

Accountancy B

. G.C.E Ordinary Level Examination in 1999 - 4 D's & 6 C's

EXTRA CURRICULAR ACTIVITIES

. Represented School Cadet Platoon from 2000-2002 & held senior corporal Rank in 2002

. Member of the school Rugby Team & participated 10 A- side Rugby

tournament in 2001 . Honored by School Senior Colours for 3 consecutive years for Cadetting from 2000-2003

ACADEMIC TRAINING & ACHIEVEMENTS

. Participated O.B.T training conducted by "Academy Of Adventure" at

Belihuloya

. Three months "Advanced Excel Diploma" conducted by E-soft Metro

Campus in 2015

. Leader of winning team of the department of inter-department quiz

competition held by Janashakthi Insurance PLC in 2011

IT SKILLS

. Microsoft Suite : Office - Word, Advanced Excel, Power Point, Access

SOFT SKILLS

. Strong interpersonal skills with a good command of English

. Excellent team player and a team leader

. Hard working, willing to accept responsibilities and drive to take

initiative actions.

PERSONAL DETAILS

. Date of Birth : 3 rd August 1983

. Sex : Male

. Marital Status : Single

. Linguistic Proficiency : English and Sinhala

NON RELATED REFEREES

Mr.S.S.R.N.Chandrajith (ACA)

(A.G.M.) Finance

Citizen Develop Business Finance PLC

No. 18, Sri Sangaraja Mawatha, Co.- 10

Tel. - +94-112****** /+94-773******

e mail - ruwan.nishantha@cdb .lk e mail -

Dr. Suranga Ranasinghe-

MD.Tbilisi (Georgia/Msc (S.B.U.)UK /Pgd. Dip. (University of Kelaniya)

Head of Life Claims

Softlogic Life Insurance PLC, Colombo - 03.

Tel.office +94-115******

Mob (+94)7682390

suranga.ranasinghe@softlogic .lk

I hereby declare that the above particulars are correct and complete to the

best of my knowledge and belief.

Thank you

ISHARA UPUL WICKRAMAGE



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