Arjun Sasidharan Nair

• Streamlined insurance processes across Marine, Motor, and General insurance lines to enhance operational efficiency.
• Designed and structured comprehensive insurance workflows and conducted training sessions for multiple departments to ensure smooth adoption.
• Provided expert advice on insurance processes and coverage for diverse projects, ensuring risk mitigation and compliance.
• Reviewed various contracts, offering legal and operational support to commercial and operational teams to safeguard company interests.
• Collaborated with Alliad offices, brokers, and the Insurance & Claims departments to consolidate and manage insurance policies effectively.
• Reduced company risk exposure by leveraging all available contractual and legal protections, ensuring robust defense mechanisms.

Projects-System Migration from ILAS to UPSURE

• Spock for the design and structuring of the UPSURE software interface to align with operational needs.
• Conducted User Acceptance Testing (UAT) and performed thorough retesting to ensure system functionality.
• Provided critical input based on operations requirements to enhance software performance.
• Executed comprehensive system testing, including fund switching and evaluation of new fund performance.
• Facilitated direct meetings and discussions with the UPSURE software development team to resolve issues and clarify requirements.
• Managed end-to-end term policy life cycle testing, covering login, underwriting, fund switching, endorsements, claims, cancellations, and surrender processes.
• Performed maturity policy testing to validate system accuracy and processing.
• Monitored and documented system behavior, identifying errors and recommending corrective actions.
• Coordinated closely with the IT team for management and maintenance of the testing platform.
• Acted as the single point of contact (SPOC) between IT and business teams to streamline communication and issue resolution

Operations

• Performing end to end back end process for all individual life insurance policies
• Policy Administration
• Customer Servicing, Resolving customer complaints and queries.
• Increased Customer Retention, Operation Persistency & Renewals collection management.
• Financial Payout processing(Surrender, Partial withdrawal, Claims)
• Performing Financial & Non Financial Alterations / Endorsements processing.
• Perform Fund switching and follow ups with All funds
• Manage STP underwriting and referring to Reinsures
• AML compliance adherences accordance to CBUAE regulations.
• Worked with large volumes of data, completed accurate calculations, and presented results in required formats.
• Completed accurate transactions following internal standards, industry best practices, and applicable regulations.
• Identified and help to correct errors in financial data, system migration and accounting practices.
• Wrote reports detailing actions for internal use, client review, or official recordkeeping.
• Investigate claims, compiling data, researching issues, and preparing well-founded solutions.

• Policy Administration
• Customer Servicing, Resolving customer complaints and queries.
• Increased Customer Retention , Operation Persistency & Renewals collection management.
• Building positive relationships with customers and business associates.
• Performing policy servicing request , reinstatements of policies
• Convincing customers to renew contracts on time.
• Meeting with sales team to propose customer retention solutions
• Reporting and mange MIS
• Financial Payout processing(Surrender, Partial withdrawal, Claims)
• Financial & Non Financial Alterations / Endorsements processing.
• AML compliance adherences accordance to CBUAE regulations.
• Writing reports detailing actions for internal use, client review, or official recordkeeping.

• Point of Contact of Insurance Companies for Empanelment, with NSH for all types of queries & Issues
• Submission of Claims & Follow up payments various insurance companies
• Organizing Quarterly meetings with insurance companies for Loss Ratio Analysis, Various discussions
• Renewal & New Business processing of Automobile & Commercial policies

• To perform Inpatient& Outpatient bills with Current Procedure Terminologies CPT & ICD codes.
• Obtaining prior authorization and pre-certification for outpatient procedures.
• Checking eligibility of insurance card holders for different benefits like dental, optical, maternity, Lab tests, Radiology Procedures

• Handling Customer queries through email, phone, and walk-in customers
• Login and Issuance of Life insurance Policies
• Preliminary underwriter at branch
• Resolved complaints with proactive problem-solving and analysis.

• Working as preliminary underwriter for life insurance policies at branch level
• Preparing and distributing reports to various managers and advisors
• Handled and Resolved customer queries & complaints through E-mail, Phone, and Walk-in customers