Dr. Mano
Chennai
Summary
Dedicated Senior Manager specializing in Health insurance claims operations and skilled at planning, implementing and overseeing key improvements to drive business growth and efficiency. Innovative and goal-oriented Management professional with successful 9 years of experience in Health insurance Domain ,accomplished with progressive industry background and decisive leadership style. Offers strategic planning abilities, background in change management and forward-thinking mindset. Ready for challenges and focused on meeting future demands. Currently looking for a suitable employment in reputable organization so that I can further my career and sharpen my skills.
Overview
10
10
years of professional experience
Work History
Senior Manager
ICICI Lombard
04.2023 - Current
- External Vendor /TPA management, Investigation claims allocation, Closure Follow up, Field officer QC audit, Hospital audit and document verification, Fraud analysis, Medical document Verification, IRDAI Clauses - Misrepresentation and non-Disclosure, Retail and Group Claims, Loss prevention, Fraud control, Denial management
Assistant Manager
Medi assist TPA
07.2021 - 03.2023
- Training and Development, New Hire Orientation, Course Content Creation, Workplace Training, Learning Management System Creation, Learning Path Management, Course Development, Opportunities Identification and Creation, Course Assessments, Teaching Method Development, Teaching Workshop Management
Team Leader
Medi assist TPA
07.2019 - 06.2021
- Team Management, Claims QC audit, Works on SOP, TAT, SLA, STP, and NSTP analysis, Supervised and delegated tasks to employees to meet key productivity targets, Monitored staff performance, continually seeking ways to improve team delivery for optimized financial success, Reduced process gaps by effectively training new hires on best practices and protocols, Investigated and reported on insurers policy, identifying and recommending areas for improvement, Policy configuration QC - Reviewed internal logs to identify performance inefficiencies and implement appropriate solutions
Medical Manager
Vipul Medcorp TPA
02.2018 - 03.2019
- Preauthorization and Reimbursement, Retail and Corporate claims management, Policies and product Knowledge, Claims adjudication and Settlement Clarifications, Reimbursement checklist & approval guidance
Medical Manager
Vipul Medcorp TPA
10.2015 - 07.2016
- Claims adjudication, Retail and Corporate claims
Medical Auditor
MD India
08.2014 - 09.2015
- Health insurance claims Audit, Government Project, Preauthorization and Reimbursement claims
Education
Master of Business Administration - HR & Operations -
Faculty of Management, SRM University
01.2018
Bachelor of Physiotherapy -
Sri Ramachandra University
01.2013
Skills
- Claims Management
- Learning & Development
- Training Assessment
- HR Operations
- Problem-Solving
- Organization and Time Management
- Teamwork and Collaboration
- Excellent Communication
- Stakeholder Management
- Industry Expertise
- Performance Coaching
- Analytical and Critical Thinking
- Team building
- Quality Assurance
Linguistics
- English
- Tamil
Project Title
A STUDY ON PERFORMANCE APPRAISAL in Vipul Medcorp Insurance TPA Pvt Ltd
Personal Information
- Date of Birth: 06/19/91
- Marital Status: Single
Extracurricular Activities
Attended a 6-week internship in Apollo Hospitals and was trained in the Learning & Development, and Hospital Auditing Received the Best Manager Award, Springz '17 Acted as the Placement Coordinator in the college
DECLARATION: I hereby declare that the details submitted above by me are true to the best of my knowledge.
Timeline
Senior Manager
ICICI Lombard
04.2023 - Current
Assistant Manager
Medi assist TPA
07.2021 - 03.2023
Team Leader
Medi assist TPA
07.2019 - 06.2021
Medical Manager
Vipul Medcorp TPA
02.2018 - 03.2019
Medical Manager
Vipul Medcorp TPA
10.2015 - 07.2016
Medical Auditor
MD India
08.2014 - 09.2015
Master of Business Administration - HR & Operations -
Faculty of Management, SRM University
Bachelor of Physiotherapy -
Sri Ramachandra University
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