KAPIL ARORA
NAVI MUMBAI
Summary
Talented Manager with expert team leadership, planning and organizational skills built during successful career. Smoothly equip employees to independently handle daily functions and meet customer needs. Diligent trainer and mentor with exceptional management abilities and results-driven approach.
Overview
10
10
years of professional experience
Work History
Manager
ALLIANCE INSURANCE BROKERS PVT LTD
Mumbai
02.2024 - Current
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Maintained professional, organized, and safe environment for employees and patrons.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Monitoring, controlling, aligning, Simplification, Digitization, Savings to ensure comprehensive coverage during the year for all policies with the help of 3 team members reporting to me
- Health Insurance Orientation & Training on Virtual Basis (GTL, GPA, GHI, EDLI, Marine Insurance & other international Health insurance policies as well.)
- Online Mediclaim claim submission through Medi buddy portal
- Weekly claims review with TPA on claims & also reviewing all other pending claims (health,death, accident etc)
- Monthly updated claim MIS & Analysis is shared with HR
- Prepared Template, SOP, RFQ & NDA for smooth & easy transition for all the policies
- Arranging Health Check-up for Client's (getting three quotes from different vendor, negotiation the rates, making sure everything is as per compliance etc.) All monthly declaration is sent on and before 10th of every month to pass necessary endorsement
- Renewal Process - Listing of existing insurance companies with whom the company has placed various insurance policies, made comparison and tried to find out whether any changes i.e
- Enhancement of coverages is required on the basis of claims MIS study, regulatory changes or any other HR requirement if any) Preparation of complete in detail RFQ
- Get three quotes from the market & standard premium and coverage comparison is made for finalization.
Assistant Manager
CIPLA
04.2021 - 02.2024
- Monitoring, controlling, aligning, Simplification, Digitization, Savings to ensure comprehensive coverage during the year for all policies with the help of 3 team members reporting to me
- Health Insurance Orientation & Training on Virtual Basis to Cipla & Subsidiaries both
- (GTL, GPA, GHI, EDLI, Marine Insurance & other international Health insurance policies as well.) Virtual Risk Inspection at Depo & other Cipla sites
- Online Mediclaim claim submission through Medi buddy portal
- (Also, respective HR login to all HR)
- Weekly claims review with Medi Assist on claims & also reviewing all other pending claims (death, travel etc
- All) and getting follow done with HR for pending documents & for settlement with insurer
- Monthly updated claim MIS & Analysis is shared with HR
- Prepared Template, SOP, RFQ & NDA for smooth & easy transition for all the policies
- Arranging Health Check-up for Cipla & Subsidiaries (getting three quotes from different vendor, negotiation the rates, making sure everything is as per compliance etc.) All monthly declaration is sent on and before 10th of every month to pass necessary endorsement
- Renewal Process - Listing of existing insurance companies with whom the company has placed various insurance policies, made comparison and tried to find out whether any changes i.e
- Enhancement of coverages is required on the basis of claims MIS study, regulatory changes or any other HR requirement if any) Preparation of complete in detail RFQ
- Get three quotes from the market & standard premium and coverage comparison is made for finalization.
Assistant Manager
MEDIASSIST TPA
08.2020 - 03.2021
- Manage employee benefits administration, assisting current and new clients with benefits questions, claims, and billing issues to a successful resolution
- Escalate issues to the appropriate level if necessary
- Manage and coordinate the pre-renewal and renewal process
- Assess and determine client needs for opportunities to increase sales of agency services
- Organize and participate as needed with client presentations, to include employee enrolment meetings
- Lead the process for plan enrolment including employee communication, case submission and plan implementation and follow up to a successful conclusion
- Serve as resource to clients for current market conditions and ongoing benefit regulation changes
- Serve as a resource on current markets, industry information, and underwriting
- Work closely with Account Executives on ongoing issues
- Technology: Maintain documentation and system updates necessary for ongoing record keeping and client management
- Licensing: Perform other duties as requested about operation of an independent insurance agency.
Sr Team Leader
United Healthcare Insurance India PVT. Ltd
08.2018 - 08.2020
- Independently manages accounts on a day-to-day basis
- Includes coordinating all services, answering all questions, and resolving problems which may arise
- Maintains timeliness and completeness when interacting with Employees, Client, and company personnel
- Coordinating with different departments like Claims Cashless, Account Management, Customer care, Networks etc
- Responsible for the MIS processing and delivery of reports with timeliness & Accuracy in reports delivery as per scheduled deadlines
- Coordinating with Insurance co
Escalation Manager
ICICI LOMBARD
08.2014 - 07.2018
- To be an effective communicator and ensure all complaints are acknowledged in a timely manner and customers are kept information throughout the complaint process
- To manage the resolution of customer complaints, within given timescales
- To be the first point of contact for all customer related issues
- To liaise with the client on a weekly basis and report on the level of customer complaint resolutions
- To provide complaint trends and communicate lessons learnt to the Branch manager and Business Partner, so service levels can be improved
- To be responsible for investigation, resolution, and reporting of all customer related complaints
- Escalate all unresolved issues/complaints to your line manager whilst keeping the Branch Manager and Business Partner informed at Branch level.
Education
PGDHI In Risk Management and Insurance -
Insurance Institute of India
06.2023
B.COM In Commerce -
Mumbai University
03.2011
H.S.C -
MAHARASHTRA BOARD FIRST
03.2005
S.S.C -
MAHARASHTRA BOARD SECOND
03.2003
Skills
- Team Leadership
- Time Management
- Verbal and written communication
- Complex Problem-Solving
Timeline
Manager
ALLIANCE INSURANCE BROKERS PVT LTD
02.2024 - Current
Assistant Manager
CIPLA
04.2021 - 02.2024
Assistant Manager
MEDIASSIST TPA
08.2020 - 03.2021
Sr Team Leader
United Healthcare Insurance India PVT. Ltd
08.2018 - 08.2020
Escalation Manager
ICICI LOMBARD
08.2014 - 07.2018
PGDHI In Risk Management and Insurance -
Insurance Institute of India
B.COM In Commerce -
Mumbai University
H.S.C -
MAHARASHTRA BOARD FIRST
S.S.C -
MAHARASHTRA BOARD SECOND