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A highly efficient Corporate Relations Manager with more than 7 years of experience in Health Insurance & TPA Industry. Highly skilled at Planning & Organizing and possesses Good Interpersonal Skills. Capable of managing the Branch Operations as a whole and has been a vital asset for his organization in the fields of Administration & Relationship Building. Adept at handling the matters pertaining to Claims Management as well as Data Capturing and well-versed with various aspects of Customer Service
PROFESSIONAL QUALIFICATIONS
1. RAKSHA TPA PVT. LTD., MANGALORE, KARNATAKA, INDIA Feb 2013 till Date
Designation: Sr. Exe. Corp-Relations
Job Responsibilities
• Customer servicing and relationship management
• Branch administration and management
• MIS preparations and presentation
• Branch Account management
• Medical claim processing
• Follow-ups for further documents and final settlement
• New business development and retention of existing business
• Customer grievance handling and resolving them without any escalations
• Corporate accounts management
• Claims Investigation
2. TTK HEALTHCARE TPA PVT. LTD., MANGALORE, KARNATAKA Aug 2006 to Jun 2011
Designation: Team Leader – Customer Care
Job Responsibilities
• Managing Branch Operations and Customer Care Department for more than 4 years
• Claims Management & Investigation
• Solving problems in the day-to-day working
• Office administration
• Branch accounts management
• Business development and retention
Achievements
• Successfully managed medical insurance business worth Rs 8 Crores for 4 years from 3 PSU Insurance Companies in Mangalore
SELF EMPLOYMENT DETAILS
Place: Mangalore, Karnataka, India
Position: Claims Investigator
Duration: July 2011 to February 2013
Worked For: TTK Healthcare TPA PVT Ltd
Responsibilities:
• Medical Claims Investigation
• Pre-Policy Investigation
• Pre & Post Hospitalization Investigation
• Reimbursement Claims Investigation
• Cashless Hospital Verification
• Hospital Service Auditing
EDUCATIONAL EXPERIENCE
• Bachelor’s of Commerce from Mangalore University in the year 2004
• Diploma in Computer Science from Aptech Computer Education in the year 2000-01
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