Allahabad Reporting Manager

Rohit Kumar

Mob: +91-964******* E-mail: *********@*****.***

PROFESSIONAL OVERVIEW

A competent, Insurance-oriented professional with more than 5.5 years of experience in the field of Operation / Quality check / Data maintenance / Client servicing operation with Marsh India Insurance Brokers Pvt Ltd (A Marsh & McLennan Group of Companies) Gurgaon .To utilize my knowledge and Skills towards a challenging career in a growth oriented and leading edge organizations with committed & Dedicated people, which will help me to explore myself fully and realize my potential. Willing to work as a Key player in challenging & creative environment. Adhere and follow New System and learning Methodologies introduced by organization from time to time. Building good repo with Insurance Company, HR for good resolution of issues raised if any. Follow adhere to compliances laid by Marsh & McLennan group Companies. Resolution of queries amicably and with due Diligence. Work Experience - : Marsh India Insurance Broker Pvt. Ltd. 5th Dec-2016 to till Date Senior Executive _ Employee Health & Benefit

· Take caring the EB portfolio (GMC, GPA, GTL, WC.) & Flex plan policies.

· Interact with insurance companies for Endorsement underwriting and etc.

· Conduct the Helpdesk to resolve the discrepancies of employees.

· Maintain the claim documents records with us for existing clients.

· Communicate with insurance companies for claim process related issues as well as other necessity reasons.

· Follow-ups with TPA companies and Insurer's for claims processing, Payment and other reasons.

· Share the ICR report and MIS to existing client to aware claims ICR and get resolve the Pending issues on monthly basis.

· Preparation of various analysis/presentations as per the client’s requirement.

· Maintaining client’s data base of the client along with the premium calculation of addition/deletion of the employees/dependents for all the policies.

· Monthly reconciliation of portal data with TPA Data.

· Cross verification of T & C of quotation with policy wordings and tailor made policies of corporates.

· Presentation to client on various claims analysis and suggestions for changes in policy T & C accordingly.

· Managing claims within TAT and Maintaining TAT for reverts as well as registering daily entries for grievances/inquires received from Insurance co/brokers/corporate.

· Coordination with the TPA’s as well as Insurance Company for timely settlement of claims and endorsement respectively.

· Providing the various reports (Weekly, Monthly, Quarterly reports) for enrolment as well as claims to clients.

· Maintaining the healthy relations with clients, insurance companies and TPA’s.

· Providing Weekly reports to concerned HR, CE and reporting Manager.

· Managing related task with reference to all above mentioned work area.

· Preparation of various analysis/presentations as per the client’s requirement.

· Maintaining Master Data of rejected claims & Doctor’s revert within TAT

· Taking follow-up with multiple TPA’s and insurance company on recommended claims by the Doctors & arranging to process within TAT.

· Providing weekly Dashboard of Review and rejection claim to respective CE’s on Pan India Level basis

· Providing Monthly Dashboard Client wise, TPA wise, Insurer wise and rejection classification wise to Higher Management on Pan India Level.

WORK EXPERIENCE: S.K facility Management Pvt. Ltd. 1st Sep-2015 to 30th Nov -2016 PROFESSIONAL & ACADEMIC QUALIFICATIONS

· MBA Pursing

· M.A. Pass from Dr. Bheem Rao Ambedkar University

· 12th from Allahabad Board.

· 10th from Allahabad Board.

IT SKILLS

· Working Knowledge in MS Office

· Working Knowledge in Benefit Me Portal

· Working Knowledge of ICICI Lombard Portal

· Working on Darwin portal to manage flex benefits PERSONAL DETAIL

· Date of Birth : 06th August, 1995.

· Address : Faridabad ( Haryana )

· Marital Status : Unmarried.

· Father ‘s Name : Rajpal Singh

· Gender : Male

· Nationality : Indian

· Blood Group : B+ve

DECLARATION

I hereby declare that the above information is to the best of my knowledge and beliefs. I want to work for an organization with a sound vision and able leadership that provides its employees with challenging opportunities to progress and grow; thus making their vision a reality. Place - Yours Faithfully,

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