Post Job Free

Resume

Sign in

Insurance Service

Location:
Coimbatore, TN, India
Posted:
November 17, 2016

Contact this candidate

Resume:

SENTHIL GANESH .R **, AUTO NAGAR

Email id : acxjri@r.postjobfree.com VADAVALLI ROAD

Contact No: +919********* EDAYARPALAYAM

COIMBATORE- 641025

CAREER OBJECTIVE:

Intend to build a career with leading corporate of hi-tech environment with committed & dedicated people, which will help me to explore myself fully and realize to work as a key player in challenging & creative environment

To learn about things which will be useful to serve with the best quality and sustain in the industry.

Which offers challenging and rewarding career with an opportunity for professional growth

Where I can become competent for global working environment

EDUCATION

Degree

School

Board

Percentage

Year

SSLC

M.S.S.D.HrSSSecSchool

Vadavalli,Cbe

State Board

61.0%

2001

HSC

M.S.S.D.HrSecSchool

Vadavalli,Cbe

State Board

77.0%

2003

B.COM

Govt. Arts college(Autonomous)Cbe

63.0%

2006

COMPUTER SKILLS:

Basic computer knowledge (MS office, Internet)

PROFESSIONAL EXPERIENCE:

Nov 2014 –June 2016:

Working as a Insurance Co-Ordinator in“Abhijay Hospital Pvt Ltd”Chennai.

NATURE OF RESPONSIBILITIES

Coordinating with patient and insurance company (from day one

Process to get initial approval from insurance to till final

Approval).

Verifying the referral letter, over stay letters, special approval for

Special procedure.

Preparing final bill with discharge summary for( TPA insurance,

Public sector insurance, Md India TN Govt (Online processing),

Chief Minister Health scheme insurance (Online processing)

Sending for Enhancement with enclosing the relevant documents

to get clearance approval.

Preparing bill break up for reimbursement process.

Dispatching the bills with proper documentation to relevant

Insurance companies to get payment.

New TPA’s Empanelment and Renewal of Exiting TPA’s in Time

Check and verify the pending payments are received in time. Take

Necessary steps to receive the pending payments with in the

Specified duration.

Pending Payment Statement should be prepared month wise and

Should be submitted to A.O & MD

April 2013 –Nov2014:

Working as a Insurance Co-Ordinator in“Sree Abirami Hospital Pvt Ltd”Coimbatore.

NATURE OF RESPONSIBILITIES

Coordinating with patient and insurance company (from day one

Process to get initial approval from insurance to till final

Approval).

Verifying the referral letter, over stay letters, special approval for

Special procedure.

Preparing final bill with discharge summary for( TPA insurance,

Public sector insurance, Md India TN Govt (Online processing),

Chief MinisterHealth scheme insurance (Online processing)

Sending for Enhancement with enclosing the relevant documents

to get clearance approval.

Preparing bill break up for reimbursement process.

Dispatching the bills with proper documentation to relevant

Insurance companies to get payment.

New TPA’s Empanelment and Renewal of Exiting TPA’s in Time

Check and verify the pending payments are received in time. Take

Necessary steps to receive the pending payments with in the

Specified duration.

Pending Payment Statement should be prepared month wise and

Should be submitted to Manage & MD

April 2009 –Feb2013:

Working as Adminand Insurance Co-Ordinator in“SENTHIILHOSPITAL”Coimbatore

NATURE OF RESPONSIBILITIES

Front office activities (patient registration, Op bill collecting

Prepare Discharge Summary and Final Bill.

Prepare Medical Certificates, other communication letter.

MLC Cases handling and Issuing Wound certificate to the Police.

Maintaining Good & Healthy Relationship with all Doctors.

Handling patient queries related to Billing, Insurance claimsand othersqueries.

Responsible for Maintaining Coordination between various internal departments to have a healthy environment in the organization which help our organization to active goals.

Getting all the documents like ID card, photo id proof, recent policy papers and Sending pre-auth request to the relevant insurance with proper documentation.

Coordinating with patient and insurance company (from day one process to get initial approval from insurance to till final approval).

Verifying the referral letter, over stay letters, special approval for special procedure.

Preparing final bill with discharge summary for( TPA insurance, Public sector insurance, Md India TN Govt ( Online processing), Chief minister health scheme insurance( Online processing)

Sending for Enhancement with enclosing the relevant documents to get clearance approval.

Preparing bill break up for reimbursement process.

Dispatching the bills with proper documentation to relevant

Insurance companies to get payment.

Tie-Up with New TPA’s.

Providing service utmost satisfaction to the patients for the growth

Of organization.

Take care of PF/Labour officers Issue.

Planning and Implementing New Innovative Ideas to Provide Value

Added services for qualitative patient.

Acted as an In-charge for Handling patient complaints/feedback forum and its immediate response to patient’s queries. Identify Training and facilitating training for my subordinates in the hospital.

Providing statistical reports to the senior management regarding the new patient flow, Review patient flow and Surgical statistics,AMA Statistics, with respect to various parameters such as based on time, age, sex, disease, location etc., at desired intervals or when demanded by the senior management.

August2006-Mar2009:

Working As Field Sales officer In Bharti Comtel limited (Airtel Broadband &Tele phone Service.)

NATURE OF RESPONSIBILITIES

To Make Cold Calls And Create the New Customers.

To Increase the sales

To Achive the Target.

Reporting to the A.M(Assistant Manager)

April 2005 – 31 July2006

Working as part time Customer Care Executive for Inbound/outbound for LG ELECTRONICS INDIA PVT.LTD & MARUTHI ON ROAD SERVICE in I2I ENTERPRISES LTD

NATURE OF RESPONSIBILITIES:

Attending inbound calls and making out bound calls like dealer calls,

Satisfactory call, etc.

Appointment of Customers Who Need Home Demo and Service

Coordination with Client and sending reports to HO

PERSONAL DETAILS

NAME : SENTHIL GANESH .R

FATHERS NAME : C.M. RANGASAMY

DATE OF BIRTH : 24.03.1982.

SEX : MALE

NATIONALITY : INDIAN

PASSPORT NO : M1677433

ADDRESS : 24, AUTO NAGAR,

VADAVALLI ROAD

EDAYARPALYAM,

COIMBATORE-641025.

CONTACT NO : +919*********

LANGUAGES KNOWN : TAMIL, ENGLISH.

STRENGTH

Sincere and Hardworking; Good Communication and Presentation Skills and adaptable to changes

DECLARATION

I hereby declare that all the above-furnished details are true to the best of my knowledge & Belief.

PLACE: COIMBATORE. Signature

DATE : (SENTHILGANESH)



Contact this candidate