Summary
Overview
Work History
Education
Skills
Personal Information
Interests
It Proficiency - Basic Knowledge
Timeline
Generic

Vishal Eknath Jadhav

Expert in Health insurance, Claims Management
Virar

Summary

Seeks an appropriate position for working with an organization having a strong vision and mission to enhance its growth and development providing simultaneous opportunities for strengthening the foundation of my own self and further enhance my knowledge. To put sincerity & hard work to fulfill all Organizational Objectives, to become an Asset to the Organization I work with.

A dynamic professional with total of over 10 years of experience. Currently associated with Star Health as an Deputy Manager in Claims department.

Overview

13
13
years of professional experience
2015
2015
years of post-secondary education
3
3
Languages

Work History

DMS Executive

Golden Enterprise
10.2012 - 10.2014
  • Data entry of medical documents.
  • Scanning and uploading of Queries & representations.
  • Co ordination with Other Branches to resolve the queries.
  • Maintaining Daily Productivity Report.

Executive (Claims- Cashless)

Star Health & Allied Insurance Co. Ltd.
10.2014 - Current
  • Company Overview: A dynamic professional with total of over 10 years of experience.
  • Handling Cashless escalations on call.
  • First Level process of cashless claims by scrutinizing all the documents received from hospital.
  • Receiving of deficient/query reply documents, updating in system & maintaining TAT by coordinating with hospital and corporate office.
  • Interaction with customers and hospital to resolve their queries on inbound calls.
  • Negotiating with hospital as per remarks given by Medical Team in case of exorbitant charges.
  • Coordination with corporate office regarding pending cases and providing effective resolution within TAT.
  • A dynamic professional with total of over 10 years of experience.

Deputy Manager

Star Health & Allied Insurance Co. Ltd.
10.2014 - Current
  • Company Overview: A dynamic professional with total of over 10 years of experience.
  • Updating of claim data excel with fields like query, rejections, settled etc.
  • Providing resolution to customers by following up with seniors and corporate office regarding grievances.
  • Interaction with customers to resolve their queries on inbound calls.
  • Calling customers, agents and sales manager to explain queries and rejections.
  • Handled cashless Customer Care department
  • Handling of emails & calls received from Sales Managers, Agent and customers regarding grievance in cashless claims.
  • Handling of grievance related cases received from corporate office medical team.
  • Coordination with Zonal Medical Team regarding customer grievances, medical deductions & queries.
  • Attending walking customer regarding grievances and taking follow up on the same.
  • Assisting Claims Managers in Escalated cases.
  • Monitoring productivity of cashless team & Medical team.
  • Administer & supervise work of Teammates & guide them for smooth functioning.
  • SPOC to Branch Service Claims Executives team for their queries.

Education

Bachelor of Commerce -

Mumbai University
06-2014

Skills

    Customer relations

    Team player

    Team leadership

    Administrative skills

Personal Information

  • Date of Birth: 24/04/1992
  • Gender: Male
  • Marital Status: Married

Interests

Watching movies
Web series

It Proficiency - Basic Knowledge

  • Computer hardware
  • Excel
  • Word

Timeline

Executive (Claims- Cashless)

Star Health & Allied Insurance Co. Ltd.
10.2014 - Current

Deputy Manager

Star Health & Allied Insurance Co. Ltd.
10.2014 - Current

DMS Executive

Golden Enterprise
10.2012 - 10.2014

Bachelor of Commerce -

Mumbai University

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Vishal Eknath JadhavExpert in Health insurance, Claims Management