Seasoned insurance expert with a strong background in general insurance and adept in handling commercial claims. Proven success in claim management, with enhanced software proficiency. Performance-focused with keen analytical abilities, eager to contribute to team with a commitment to continuous learning and meticulous attention to detail.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Senior Claims Specialist
Sukoon Insurance (Previously Oman Insurance Company)
04.2017 - Current
Self-reliant in managing of large and complex Property & Casualty including Consumer Lines Claims
Evaluate potential exposure levels associated with high-value complex claims to ensure adequate and timely reserves in accordance with established guidelines and industry best practices
Review, analysis, evaluation of complex claims, authorizing claim payments with no leakage and settlement in accordance with policy terms and conditions
Facilitate cross-functional collaboration between departments such as underwriters, marketing and reinsurance teams to ensure effective handling of claims
Coordination with Insured, Brokers, Claims Adjusters, Experts, Lawyers, Recovery Agents for seamless claim management
Single point contact for all IT related matters concerning the application and new changes if any and ensure that expected results are achieved
Analysis and Reporting of claims data to top management
Collaborate closely with internal / external auditors / Complaint and Compliance Teams
Maintained up-to-date knowledge of industry trends and regulations to ensure compliance within the department
Business Analyst
Oman Insurance Company
12.2013 - 03.2017
Well-versed in all phases of Software Development Life Cycle including Requirement gathering, Design, Development, Testing & Deployment
Collaborated in requirement gathering and documentation of in-house portal application for Individual Medical Products, Policy Servicing & Commercial Products
Contributed in documenting requirements, change management, post-production and UAT support in claims systems implementation
Formulated user manuals and training of users
Senior Business Analyst
HCL Technologies Ltd.,
11.2011 - 11.2013
Collaborated in end-to-end application development for leading APAC Insurer
SPOC for GS Module right from requirement analysis till development & delivery of solution for all products for the requirement provided by customer
Analyzed product and process gaps involved in functional requirements and providing necessary solutions to development team in fixing gaps
Facilitated business teams on IT systems in client/business-facing role
Contributed in annual budget planning activity and is responsible for business case creation
Conceptualize Online Business Model (OBM) and solution design for Direct-to-Consumer Portal Enhancement
Fostered in proactive propositions on Global Distribution and Multinational Knowledge Exchange programs for Leading Multinational Global General Insurer.
Assistant Manager
Royal Sundaram Alliance Insurance Company
08.2006 - 11.2011
Managed all commercial claims (Fire, Marine, Engineering and Liability Claims) beyond authority of Regional Offices from notification to settlement
Facilitated and guided Regional Offices on technical issues leading to smooth processing of claims
Collaborated with other verticals like Underwriting and Marketing at Corporate Office, Structure process meeting with them on various issues
Industry-wise, Client-wise Analysis leading to Portfolio Improvement, Monitoring of various MIS Information, Presentations on monthly Claims Data and on performance of Commercial Claims Vertical to Top Management
Managed marine cargo export claims and Bordereaux reconciliation with Overseas Settling Agents.
Assistant
The Oriental Insurance Company Limited
02.1993 - 08.2006
Underwriting of various products in Motor, Miscellaneous & Rural Insurances Dept., at Branch level
Coordinated Customer Grievances Dept., and Third-Party Claims Dept., at Regional Office.
Education
Master of Arts - Public Administration
ANNAMALAI UNIVERSITY
CHENNAI
MBA - Human Resources Management
UNIVERSITY OF MADRAS
CHENNAI
Bachelor of Commerce - COMMERCE
UNIVERSITY OF MADRAS
CHENNAI
Skills
Adaptability
Analytical Thinking
Claims Analysis & Processing
Claims Management
Claims Negotiation
Collaboration & Team Leadership
Critical Thinking
Decision-Making
Interpersonal Communication
Legal & Compliance
MS Office
Organizational Skills
Policy Interpretation
Problem-Solving
Regulatory Awareness
Time Management
Projects
Individual Medical Products online using CRM.
Online Medical Policy Servicing Portal Projects for Commercial Lines of Insurance.
Document Management (ECMS) for GI Claims Legacy system transformation project - exclusively responsible for Claims Module of both Consumer and Commercial Lines including interface and data migration.
Risk Aggregation Tool for Energy Insurance.
EASI - GS module (an integrated application providing end to end solution from underwriting, claims, CRM, MDM, Oracle Financials and other such independent modules)
Certification
· Fellowship Member “The Insurance Institute of India” with specialization in Marine, Miscellaneous and General Branch.
· GEM Award Winner for efficient handling of claims
· Beaver Award Winner for consistent performance
· Awarded for top performance in the team.
Timeline
Senior Claims Specialist
Sukoon Insurance (Previously Oman Insurance Company)
04.2017 - Current
Business Analyst
Oman Insurance Company
12.2013 - 03.2017
Senior Business Analyst
HCL Technologies Ltd.,
11.2011 - 11.2013
Assistant Manager
Royal Sundaram Alliance Insurance Company
08.2006 - 11.2011
Assistant
The Oriental Insurance Company Limited
02.1993 - 08.2006
Master of Arts - Public Administration
ANNAMALAI UNIVERSITY
MBA - Human Resources Management
UNIVERSITY OF MADRAS
Bachelor of Commerce - COMMERCE
UNIVERSITY OF MADRAS
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