Ajay Jaydeep
Insurance Broker
Pune
Summary
Dynamic and results-oriented Senior Manager with a proven track record in leading high-performing teams and driving operational efficiency. Expertise in implementing strategic initiatives that enhance productivity and foster sustainable growth within the organization. Recognized for leveraging strong leadership and communication skills to facilitate collaboration, inspire team engagement, and achieve ambitious organizational goals. Seeking a challenging position to apply technical knowledge and contribute to the overall success of the organization.
Overview
18
18
years of professional experience
1
1
Certification
3
3
Languages
Work History
Senior Manager -Claims
First Policy Insurance Brokers Pvt. Ltd.
07.2014 - Current
- Understand the client's requirement, design calendar and analyze the claims. Plan and execute the employee engagement program for the corporate.
- Identify the clients need, negotiate with the insurers, service the client, maintain the TAT
- Implement best systems for wellbeing of the employee's while building up strong relationship with the HR's and insurers.
- Build up strong relationship with corporate, TPA'S, Insurance companies for development of new business, renewals, resolving grievances, assisting insurer in all aspects.
- Ensure that hospital and medical fees are in line with market practices and within agreed price schedule.
- Ensure that the payment related queries; MIS pertaining to the Clients are provided and claims processing TAT is maintained.
- Conducting corporate trainings on Technical updates and Benefits to Employees.
- Organizing wellness activities for the employees.
- Competitive analysis and acquisition, team management.
- Frequent Meetings with Insurers, TPA's & Corporate Officials for claim analysis
- Established strong relationships with clients and stakeholders, ensuring long-term partnerships and repeat business.
Executive Claims Assessment
Bajaj Allianz Co ltd
03.2013 - 01.2014
- Process the claims as per terms & conditions of Insurance Company.
- If necessary, grievances of claimants are addressed.
- Ensure that TAT (turnaround time) of claim files is maintained.
Claims Executive
Raksha TPA Pvt Ltd
10.2010 - 03.2013
- Process the claims as per terms & conditions of Insurance Company.
- Audit of claim files as per Insurance company norms.
- If necessary, grievances of claimants are addressed.
- Ensure that TAT (turnaround time) of claim files is maintained.
Executive Billing
Family Health Plan TPA Pvt Ltd
02.2009 - 09.2010
- Billing and Auditing
- Claims department- Scrutinizing claims.
- Managing walk in clients, solving queries.
Tabulator
Mediassist TPA Pvt Ltd
11.2007 - 02.2009
- Claims tabulations
Education
M.Sc - Microbiology
01.2004
B.Sc - Microbiology
Shivaji
01.2002
H.S.C -
Kolhapur Board
01.1999
S.S.C -
Kolhapur Board
01.1997
Skills
- Project management
- Planning
- Operations management
- Resource allocation
- Talent development
- Cross-functional collaboration
- Strategic planning
Other Qualifications
- Computer proficiency
- Certificate program in Clinical research and clinical data Management (Pune University) in 06/01/08.
Personal Information
- Date of Birth: 09/14/82
- Gender: Male
- Marital Status: Married
Certification
BQP:Composite Broker Qualified Person
Timeline
BQP:Composite Broker Qualified Person
04-2023
Senior Manager -Claims
First Policy Insurance Brokers Pvt. Ltd.
07.2014 - Current
Executive Claims Assessment
Bajaj Allianz Co ltd
03.2013 - 01.2014
Claims Executive
Raksha TPA Pvt Ltd
10.2010 - 03.2013
Executive Billing
Family Health Plan TPA Pvt Ltd
02.2009 - 09.2010
Tabulator
Mediassist TPA Pvt Ltd
11.2007 - 02.2009
M.Sc - Microbiology
B.Sc - Microbiology
Shivaji
H.S.C -
Kolhapur Board
S.S.C -
Kolhapur Board
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