Sushant Kumar P

Address: - Room no** Bancholi Society Landmark Holiday inn, Satyanagar Nr Muni chawl Ganesh Mandir Pipeline, Sakinaka Andheri (East), Mumbai-400059,

Address: - Flat C Wing -203 Sagar Platenium Karvaii naka Jovelli village Badlapur East 421503.

Mob. No: - 835-***-**** / 959-***-**** / 902-***-****.

Email ID: - adixd1@r.postjobfree.com

Emergency no: - 913-***-****

Carrier Objective:

• Looking for a challenging position in Organization where my skills and knowledge can be best utilized and where I can turn my knowledge and skills into value in becoming an asset for the company.

Experience:

• Handling Helpdesk of Claims for Big corporates with Alliance insurer broker, Howden Insurer Broker and Mediassist Insurance TPA.

Professional Summary:

• Having Exposure in Computer Operating.

• Having good communication skills, dedication, hard-working and leading multi-tasking Activities.

• Good typing speed, Knowledge of English typing.

• Having knowledge of basic MS-PowerPoint, MS-Word, MS-Excel (V-Lookup and Pivot table).

Insurance certificate Achievement:

• Attended Insurer brokers 50 Hours training program and got certificate for Direct Life & General Insurance Broker. (As per Insurance Brokers Examination as per Regulation 8 –Schedule II – Section 1 and Section 2 of Insurance Regulatory and Development Authority (Insurance Brokers) Regulations, 2013) From (NIA) National Insurance academy Pune.

• Passed exam of Principal officer and A Qualified Broker person for Direct life and General Insurance from National Insurance Academy (NIA).

• Given Exam of (IC-01) Principles of insurance from INSURANCE INSTITUTE OF INDIA

Work Experience:

Alliance Insurance broker:

• (From 20th Aug 2019 to till date) Job designation –Assistant Manager – Client Advisory Group corporate solutions group. Division – Employee benefits Location – Mumbai Regional Operations Team. (EB Claims, Monthly Mis, weekly Mis, Master Data, CD Statement, Review on Data, Reconciliation, Working on Renewals Data).

R eporting to Bharat Singh Sr Vice President– Mumbai Region.

• Full Time Mediclaim Help Desk experience at the client location ‘’ Big Mumbai Industries ‘’ corporates.

• To ensure best Services to the client handled, attending introduction meeting once policy is renewed or newly placed with us. Leveraging on the relationship with corporate and focusing on renewals.

• Handling queries via mail and phone for the respective corporate. Replying to queries in the defined TAT i.e., within 24 hrs form receipt of the query.

• To forward reimbursement claims of the corporates to the respective TPA for processing.

• Maintaining Claim Tracker for claim and Endorsement Tracker for endorsements data received and sent for processing.

• Generating weekly MIS and pushing the pending claim and sending it to clients in the format defined. MIS-Accurate & timely presentation of data as per business needs.

• Visit to insurer and TPA if required or in some case of pendency’s. Policy performance tracking and client updation.

• Enrollment data (addition deletion data) received from client to be sent to insurer for endorsement or to the Enrollment Team a monthly activity. Addition / Deletion data sent to the insurer for GMC, GPA, and GTL policy twice in monthly.

• Report of pending claims, endorsement pending, MIS sent (clubbed together for all your corporates) should be shared with respective reporting manager.

• Updating SAIBA on policy renewed, endorsement retrieve, and endorsement awaited in the respective month.

• Interactions with Client, processing in order of their claim, confirming work status on regular basis, in case of any critical queries, coordinating with the DO person of that policy.

• Reviewing the claim document through claim portal on request for IR documents or Deductions.

• Proper labelling along with Cover pages for identification of files.

• Analysis on the data which client required as comparison.

• Follow-up with the TPA for claim approval, cashless etc.

• Reconciliation of the date as per requirement.

• Marine claims documentations.

• Asking for the renewal notice from the insurance company toward Motor Policy.

• Data cross checking such as Master data, Reconciliation during renewals.

Howden Insurance broker:

• (From 20th Sep 2017 to 14 August 2019). Job designation – Senior Executive (To be recruited under Manager-CRIS) Division – Employee benefits Location – Mumbai Regional Operations Team. (EB Claims, Monthly Mis, weekly Mis, Master Data, CD Statement, Review on Data, Reconciliation, Working on Renewals Data).

R eporting to Chetan Sudra Vice President & Regional Head – Mumbai Region.

• Full Time Help Desk at the client location ’Deloitte ‘’ corporates.

• Handling corporates customers and maintaining excellent relationship with them.

• Claim management which involves quick resolution of claims to clients, based on relationship with insurers and TPA.

• Clubbing and compiling the Data received from client, supervisor, and field Executive, organizing the data as per section (Daily progress report and tomorrow program / schedule) sending to the respective e-mail address.

• Work with the team consisting of Customer Facing Front End, Claim and Back End operations Team, to achieve Process orientation.

• Fulfil KRAs and achieve superior Customer retention ratios & efficiencies in a rapidly developing, changing and highly competitive environment.

• To ensure best Services to the client handled, attending introduction meeting once policy is renewed or newly placed with us.

Handling queries via mail and phone for the respective corporate. Replying to queries in the defined TAT i.e., within 24 hrs form receipt of the query.

• To forward reimbursement claims of the corporates to the respective TPA for processing.

• Maintaining Claim Tracker for claim and Endorsement Tracker for endorsements data received and sent for processing.

• Generating weekly MIS about the pending claim and sending it to clients in the format defined.

• Visit to insurer and TPA whenever required or in case of pendency’s.

• Enrollment data (addition deletion data) received from client to be sent to insurer for endorsement and Enrollment a monthly activity. Addition / Deletion data sent to the insurer for GMC, GPA, and GTL policy twice in monthly.

• Report of pending claims, endorsement pending, MIS sent (clubbed together for all your corporates) should be shared with respective reporting manager.

• Updating SAIBA on policy renewed, endorsement retrieved, and endorsement awaited in the respective month.

• Interactions with Client, processing in order of their claim, confirming work status on regular basis, In case of any critical queries, coordinating with the DO person of that policy.

• Reviewing the claim document through claim portal on request for IR documents or Deductions.

• Proper labelling along with Cover pages for identification of files.

• Follow-up with the TPA for claim approval, cashless etc.

Medi Assist India insurance TPA PVT. LTD:

• Sakinaka, Andheri (E), Mumbai-72 (As an CRM Executive department from 30th June 2016 to 18th Sep 2017).

Reporting to Senior Management.

• Reviewing the claim document through claim portal on request for IR documents or Deductions.

• Solving claimant query through call and help them on priority basis.

• Removing folders reviewing the query in claim.

• Cashless coordination, mails of the corporate employee.

• Review meeting with My reporting about the pendency and to avoid escalations.

Hobbies & Interest, Extra-Curricular Activates Achievement:

• Listening Music / Playing cricket (Achieved cricket certificate from college)

• Achieve certificate in school for best handwriting.

• Travelling.

Additional Qualification

• Diploma in Supply chain management, Export - Import.

• Typing speed above 30WPM

Strengths: Core Capabilities (Knowledge, Skills, Additional Behaviors)

• Strongly Process and Goal Focused.

• Good communication skill.

• Strategic understanding of Client Servicing and Operations domain.

• Understanding of TPA Process and Claims Management.

• Networking & Relationship building within Insurers and TPA.

• Ability to be an effective team player.

• Business Communication and Technology tools understanding.

• Able to handle stress, understanding of human behavior.

• Hard working, friendly nature.

• Proactive

• Time Punctuality.

• Commitment toward the responsibility.

Personal Details:

Name Sushant Kumar Panigrahi

Date of Birth 02-Jan-93

Marital Status Married

Religion Hindu

Languages Known Hindi, English, Marathi, Orrisa.

Father’s Name Naba Krishna Panigrahi

Mother’s Name Jhunu Kumari Panigrahi

Hobby Playing Cricket, achieved certificates, Travelling intermittently and Reading.

Blood Group B +Ve

Academic Qualifications:

Examination

s University/Board Passing Year Percentage/Grade

T.Y.B. Com

(Finance & Account)

Mumbai University

2014-15

61%

H. S. C Mumbai University 2012-13 51.40%

S. S .C Mumbai University 2009-10 63%

Declaration:

• I hereby declare that all the information provided by me in this resume is true, complete & correct to the best of my knowledge and belief.

Date: Today.

Place: Mumbai

(Sushant Kumar P)

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