Versatile and experienced professional with expertise in Insurance. Adept at strategizing, executing, and supervising crucial enhancements to propel business expansion and streamline operations. Known for fostering an inclusive environment that encourages the open exchange of ideas and information. Eagerly seeking fresh opportunities with a forward-thinking organization that values continuous growth and development.
Overview
6
6
years of professional experience
7
7
years of post-secondary education
Work History
Chief Manager
Kotak Life Insurance
03.2023 - Current
Managed a team of professionals to achieve organizational goals and maintain high productivity levels.
Implemented effective training programs to enhance employee skills and improve overall job satisfaction.
Evaluated employee performance and conveyed constructive feedback to improve skills.
Spearheaded major projects from inception through completion, consistently meeting deadlines while staying within budget constraints.
Evaluated departmental performance metrics regularly to identify areas for improvement and implement corrective actions as needed.
Enhanced company performance by streamlining processes and improving efficiency in daily operations.
Collaborated with cross-functional teams to optimize workflow processes, increasing overall productivity rates.
Held monthly meetings to create business plans and workshops to drive successful business.
Implemented and developed operational standards, policies and procedures.
Conducted performance evaluations, compensations, and hiring to maintain appropriate staffing requirements.
Provided strong leadership to enhance team productivity and morale.
Manager – Claims - Operations
Aditya Birla Health Insurance
9 2021 - 03.2023
Accomplished multiple tasks within established timeframes.
Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
Achieved departmental goals by developing and executing strategic plans and performance metrics.
Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
Mentored junior team members for career advancement, fostering a pipeline of future leaders within the organization.
Streamlined workflows by identifying bottlenecks in existing systems and implementing appropriate solutions.
Coordinated with IT department to upgrade technology infrastructure, enhancing operational efficiency and data security.
Enhanced team productivity by implementing agile methodologies, leading to more efficient project completion.
Spearheaded transition to remote work during global health crisis, ensuring business continuity and employee safety.
Established team priorities, maintained schedules and monitored performance.
Defined clear targets and objectives and communicated to other team members.
Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
Leveraged data and analytics to make informed decisions and drive business improvements.
Managed senior-level personnel working in marketing and sales capacities.
Deputy Manager - Health Management
Aditya Birla Health Insurance
06.2019 - 08.2021
Primary role was to provide health coaching to policyholders and manage their health.
Multiple pilot projects were done, and reports were submitted to higher authorities for analysis.
Vendor onboarding and vendor management were done to streamline in-house processes.
Identified areas for improvement within the department, implementing strategic initiatives to address gaps in performance or resources.
Developed strong relationships with stakeholders to facilitate smooth communication and project completion.
Liaised with team members, stakeholders, and vendors to coordinate activities, provisioning, environment setup, risk mitigation, and follow-up.
Assisted in organizing and overseeing assignments to drive operational excellence.
Medical Officer
Medi Assist Healthcare TPA
01.2019 - 06.2019
Claims Adjudication within TAT.
Reviewed complex cases alongside colleagues during peer consultations to develop consensus on appropriate courses of action for challenging scenarios.
Confirmed consistent and accurate medical recordkeeping practices.
Reviewed and updated patient medical records for accuracy and completeness, ensuring high-quality documentation.
Clinical Associate -Process Design and Development
IKS Health
1 2018 - 6 2019
Designed and developed a complete process for a leading US Healthcare provider.
Trained the new doctors joining at the Healthcare institution on how to write proper health notes.
Thorough knowledge of EPIC Healthcare software.
Exceeded quality assurance goals with diligent attention to accuracy in the completion of all documentation related to patient care activities.
Maintained accurate records of patient visits and treatments in patient medical files.
Education
M.D. - Medicine
Tver State Medical University
Russia
05.2008 - 05.2015
Skills
Strong Leadership and Management skills
Target and deadline oriented
Operations Management
Cross-Functional Collaboration
Troubleshooting and problem resolution
Data-driven decision-making
Operations Planning
Documentation And Reporting
Customer Service
Time Management
Customer Relationship Management
Skilled in planning, dealing with complex matters
Languages
English
Hindi
Marathi
Gujarati
Russian
Awards
Best People Manager of the Year 2022
Team of the Year 2022: Case Management
Team of the Quarter: Case Management: Q3 2021
Best Dil Se Performer of the Year- 2019
Affiliations
Appreciated by Legal team for providing Medical guidance in Legal matters that have helped the company to win the case in court.
Best People's Manager of the Year 2022
Team of the Year 2022: Case Management
Team of the Quarter: Case Management: Q3 2021
Best Dil Se Performer of the Year- 2019
Timeline
Chief Manager
Kotak Life Insurance
03.2023 - Current
Deputy Manager - Health Management
Aditya Birla Health Insurance
06.2019 - 08.2021
Medical Officer
Medi Assist Healthcare TPA
01.2019 - 06.2019
M.D. - Medicine
Tver State Medical University
05.2008 - 05.2015
Manager – Claims - Operations
Aditya Birla Health Insurance
9 2021 - 03.2023
Clinical Associate -Process Design and Development
IKS Health
1 2018 - 6 2019
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