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Underwriting Manager Claims Specialist

Location:
Faridabad, Haryana, India
Posted:
August 05, 2021

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Resume:

SUNIL KUMAR

Mobile: +**931*******

E-mail: adn1zx@r.postjobfree.com, adn1zx@r.postjobfree.com

To be an excellent manager in financial sector with expertise in multiple specializations, upholding performance standards in the organisation that can be utilized for achieving organizational and professional goals.

Professional Abridgement

A result-oriented professional with more than 12 years of experience in Team Management, Sales, Customer Service, Underwriting and Claims

Worked with IndusInd Bank as Customer Service Manager

Demonstrated abilities in implementing strategies for augmenting business and identifying & penetrating new market segments through sales, underwriting, Claims and Customer Service

Proficient in cementing healthy relationship with the colleagues for achieving targets.

Strong hold on team Productivity Management.

Joined as Process Leader and promoted to Underwriting Manager/Customer Service Manager and now AVP Insurance.

CTC - 825000

Areas of Exposure

Company : Capital Trust Ltd.

Profile : AVP - Insurance and Internal Expense Claims

Duration : 12th July 16 to till date

Job Description:

Handling entire Insurance portfolio of the company - Life and General

Managing Insurance in 10 states MP, UP, UK, Delhi, Rajasthan, Punjab, Bihar, Orissa, Jharkhand and Chattisgarh

Claims of all Loan borrowers (15k clients monthly disbursements)

Taking care of Fire/Burglary/Cash in transit/Fedility/Group Personal Accident policy of all employees

Managing relationship with all Life and General Insurance Company for premium negotiation, quote, issuance and claims

Claim Administration: Keeping track on the pending claims and coordinating with Insurance Companies

Taking care of Internal claims / reimbursement of the company (10 states, 250 branches, 2100 employees) like rent, electricity, petty cash, branch expenses, travelling, fooding, lodging and salary advance

Administering and maintaining organization's insurance programs.

Analyze insurance needs and provides optimum coverage, cost terms, and claim settlements for all employee benefits and organization assets.

Liaise with insurance brokers to obtain information necessary to proceed with the purchasing of new insurance policies, renewing existing insurance policies, claiming from relevant parties, others as advised by Insurance Committee.

Coordinate internally with the management, projects & plants staff to obtain required documents, authorized approval and payment process necessary to complete insurance policies.

Negotiate with insurance brokers regarding insurance plans, premium and coverage to leverage the efficiency of the company's insurance policies.

Investigate, evaluate and settle claims with relevant parties ensuring reasonable reimbursement from insurance companies.

Verify, analyze and summarize data related to insurance policies for management review and proceed as advised by the management.

Company : IndusInd Bank Limited

Profile : Customer Service Manager

Job Description: Duration : From October 05, 2015 to 15 March 2016

Ensuring excellent customer service to internal and external customer

Handling wealth customers visit for services and cross sell different products

Sales of CASA, Mutual Fund, Life Insurance, General Insurance, Home Loan, Loan Against Property, Credit Cards, DEMAT Account, Gold Loan

Ensuring customer engagement through welcome calling to all new customers for activation of accounts, offer different services and products

To adhere all KYC & Compliance norms of different government bodies related to banking products and services

Company : ICICI Prudential Life Insurance

Profile : Customer Service Manager - Branch Operation

Job Description: Duration : From August 06, 2013 to October 2015

Ensuring high level of customer service and customer traffic mgt at the branch.

Handling & resolving customer queries/complaints within the stipulated TAT.

Audit compliance and verification; Internal reports verification and related resolution.

Handling & checking FSP/FOS forms and resolving queries.

Tracking Transfer of Funds/Issuance of policies and cross verifying with Central Operation Team (COPS).

Tracking EOD closing with cheque/cash in branch.

Responsible for managing the training and quality of a sales team of 10 members.

Coordination with Sales for resolving day-to-day discrepancies of new business cases.

Held training for Sales team on underwriting guidelines and processes every quarter.

Handling branch with 10 sales Manager.

Company : ICICI Prudential Life Insurance

Profile : Underwriting Specialist/Underwriting Manager in Central Underwriting

Job Description: Duration : From March 06,2010

Currently having a Medical Underwriting Limit of 50 Lacs. Non-medical Cases of 2 cr.

Underwriting Experience in complete understanding of legal, regulatory, economic, competitive and technological environments.

Experience in underwriting medically substandard, as well as financially complex life, disability and critical illness risks

Proven underwriting skills by being amongst excellent underwriters in Central Underwriting Audit reports.

Strong ability to gather report and act on tracking fraudulent cases and thus contributing to company’s cost factor.

Contributed tremendously towards clearance of cases on month-ends and contest closures.

Strong skills in underwriting and policy processing software applications.

Excellent communication, interpersonal and presentation skills.

Display a strong customer focus, both to internal and external customers.

Company : ICICI Prudential Life Insurance

Profile : Claims Specialist, Corporate Claims Cell

Job Description: Duration : From October 01,2008

Ensuring the validity of the intimated claim with high degree of precision and accuracy.

Processing of intimations and forwarding the requirements accordingly based on validity of claim along with the condolence letter.

On receipt of complete requirements analyzing and processing the claim within the agreed TAT.

In case of receipt of incomplete requirements regular follow-up with claimants via reminders, telephonic talk, branch ops officers, sales force etc. within the time frame as specified in the Claims process guidelines.

Seeking legal, medical under-writing and reinsurer’s opinion wherever necessary to arrive at a decision as to accept/reject the claim.

Coordinating with other departments viz ; ops,actuarials,underwriting, legal etc to expedite processing of claims.

Interact with other functions / departments and collate the final response to communicate back to the customers.

To ensure the quality & TAT as per desired level

Project Handled : CAPS (Claims automation process system), Single screen (Claims portal)

Cordys

Key active participant in CAPS, an application towards fast, accurate and paperless claims work. My role is

Part of core team for claims automation

Business requirement documentation

Requirement discussions with IT for finalizing functional specifications

Preparation of test cases

System testing (SIT & UAT)and resource management for timely closure

Training manual preparation

User training and process implementation

Monitoring system performance and errors

Contract creation / issuance and servicing for testing under policy admin system (Life Asia)

Major Accomplishments:

Pan India coordination for new business underwriting.

Joined as Process Leader and got 4 promotions

Played a vital role in new module of WORKFLOW of Underwriting.

Got 100% Hind sighting report for excellent Underwriting.

Got Claim excellence award

Got Howzzat for quick settlement of claims

Sep’04 to Jan 08 Centre Manager (Education)

Eloquent Communication Centre, Patna, Bihar

Key Responsibilities:

Acquiring Franchises and establishing smooth relationship with franchises

Organizing events for students development

Taking care of administration, admission and advertisement of ECC.

Academic Credentials

Executive Programme in Insurance and Risk Management from Institute of Insurance and Risk Management (AP Govt & IRDAI), Hyderabad. 2008

NISM-Series-V-A. Mutual Fund Distributors Certification Examination-Nov 2015

B. Com. Patna 2004

Licentiate from Insurance Institute of India, Mumbai.

Personal Dossier

Date of Birth : 15th January, 1984

Address : C-804, Pawittra Apt.,

Vasundhra Enclave,

Delhi-110096.



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