Ask Question / Post resume

Post a reply to the thread: www.optima.co.in INSURANCE BROKERS Delhi : INSURANCE, SALES

Your Message

Your Username:

Notes:-
1) You can copy and paste your full resume in the box below.
2) Or you can ask your question. We try to answer, as far as possible.

Title:

[QUOTE=Unregistered;291305]SANJAY KUMAR
[b][u][b][u]Email [/u][/b] [/u][/b]:skdhar1976 AT gmail.com

[b][u]CAREER OBJECTIVE. [/u][/b]:
To manage a team of health insurance professionals committed to the delivery of quality healthcare. My career objective is to deliver my utmost skills and values with the sheer effort with devotion, dedication and determination. Managing & Adding new dimensions to the healthcare sectors through systems approaches.

PROFESSIONAL EXPERIENCES.;
[b][u][b][u]Experience [/u][/b] [/u][/b]: 11+ Years (10 + Years in General Insurance/Insurance Brokers/Health Care & 1.5 Years in IT Sector.)

[b][u]Areas of Expertise [/u][/b]:
[b][u]Operation Management [/u][/b]:
Mapping the requirement of policy & providing claims settlement advice to corporate clients.
Building and maintaining healthy business relations with major corporate & their subsidiaries clients, ensuring customer satisfaction by achieving delivery & service quality norms.
Team Management
Training & monitoring the performance of team members to ensure efficiency in operations and meeting of individual & group targets.
Conducting meetings for setting up corporate servicing objectives and designing or streamlining processes to ensure smooth functioning of sales operations.
[b][u]Customer Relationship Management [/u][/b]:
Building and maintaining healthy business relations with institutional clients; mapping their requirements and providing them best solutions in terms of products.
Conceptualize & implement Public Relations, & corporate communication strategies for product lines, corporate image etc. to build consumer preference & achieve organizational targets.
Reviewing the market movement on a regular basis and refurnish plans if necessary with a view to optimize returns.
[b][u]Corporate wellness [/u][/b]:
Design strategically targeted wellness program as well as general wellness activities.
To plan out a strategy as to what kind of a wellness programs is most effective for different work environment.
Identify organisational risk and develop strategies to minimise risk, Develop a culture of health awareness and accountability.
Measure and evaluate outcome.
[b][u]Corporate Communication [/u][/b]:
Facilitating efficient communication to Internal Departments, Associates etc. through appropriate mediums.
Giving presentation at appropriate forums, communicating the company policies and ideology more effectively, receiving immediate response.

Presently designated as a “Senior Manager Employee Benefits Claims” with “Prudent Insurance Brokers Pvt. Ltd” Gurgaon. Prudent is an innovative, technically superior Insurance Broker with a pan-India presence providing risk management solutions to discerning corporate houses. Prudent delivers the dynamism, service orientation, superior technical expertise, service for their Property, Casualty, Executive Risk, Clinical Trials, and Employee Benefits Insurance Programs along with excellence of a local expert with the world-class resources and global reach of a major international provider of insurance services. (Duration : July 2008 till date).

[b][u][b][u]Key highlights [/u][/b] [/u][/b]:
Monitoring the insurance market, the credibility of the players and the quality of services they render.
Analyzing the various products available in the market and assist the clients in choosing the products that suit their requirement.
Develop tactical plans addressing the requirements of the client’s proposal.
Monitoring the overall operational functions for the policy issuance till placement as specifications required by the clients.
Perform implementation and configuration activities including analysis, system configuration, operational implementation, and process documentation and process development in support our corporate/individual policy holders.
Allocation of operational resources to team in order to achieve pre-defined objectives. Helping the client in the completion of the proposals, conclusion of the contract and render subsequent services, if any.
Ensuring that the client policies, being drafted by the insurer, are received in time.
Ensuring that the policy, once received, is reviewed in the most stringent manner to ensure that all the coverage’s sought has been provided correctly.
Liasoning with the sales team and the insurers to ensure coverage is as per original understanding with the client.
Maintenances meticulous records of all communication with all the parties concerned, tracking changes being mode on the policy.
Ensuring complete response and timely resolution for all ‘Claims related’, issues along with interacting with external customers/ insurance companies, In order to facilitate the settlement of claims.
Generation of MIS Reports for Corporate’s, Insurance Companies and Network Providers for Claims documented.
Provide internal and external audit support, as requested.
Coordinating with various Regional and Divisional offices of various Public Sector Insurance Companies and also with various Private Sector Insurance Companies.
Customizing ergonomic session according to the profile of the client.
Arranging eye camps, Dental camps, ergonomic sessions, health talks, health checkups, Basic Life support and first aid trainings.
Disease specific health talks e.g. (Breast & cervical cancer, lifestyle diseases, Cardiovascular Talk).

[b][u][b][u]Worked as a “Manager-Operations” with “EmedLife Insurance Broking Services Limited” New Delhi. It is a one of the leading insurance broker’s in the country, which is licensed by IRDA to represent their clients with the insurance companies for organizing the insurance programme and risk management solutions. (Duration [/u][/b] [/u][/b]: Nov 2007 to Jun 2008).
Profile was same as presently I am currently handling in Prudent Insurance Brokers Pvt Ltd.

[b][u][b][u]Worked as a “Claims Associate” on a Uniprise Module with “UHG (UnitedHealth Group Information Services Private Limited), Gurgaon” (Duration [/u][/b] [/u][/b]: June 2007 – Oct 2007). It is a diversified health care and well-being company dedicated to making the health care system work better serving more than 70 million Americans. The company directs its resources into designing products, providing services and applying technologies that: Improve access to health and well-being services; Simplify the health care experience; Promote quality; and, Make health care more affordable.

[b][u][b][u]Key highlights [/u][/b] [/u][/b]:
Worked as per HIPPA Federal law of US, my Job profile include doing the Claims assessment of US Health care products like Medicaid, Medicare, HMO, PPO, POS, and Indemnity Plan etc. on the basis of research through various documented procedures, policies wording and guidelines.

[b][u][b][u]Worked as an “Executive Operations.” In “Bajaj Allianz General Insurance Co. Ltd. Pune”. (Duration [/u][/b] [/u][/b]: July 2005 – April 2007.) It is a joint venture between two leading conglomerates, Bajaj Auto, one of the biggest 2 and 3 wheeler manufacturers in the world and Allianz AG, one of the world's largest insurance companies.

[b][u][b][u]Key highlights [/u][/b] [/u][/b]:
Supervising the all over India Cashless Hospitalization round the clock.
Claim Assessment as well claim processing both for Cashless / Reimbursement Claims. & maintained automated workflow processes.
Coordinating with all Regional and Branch offices of Bajaj Allianz General Insurance Co. Ltd. for CASHLESS / REIMBRUSEMENT/ CLAIMS queries.
Analyzing Claims with history and past Policy preferences for customizing Underwriting standards.
Handling all types of queries related to Cashless hospitalization as well for reimbursement claims.
Coordinating with Medical Team and Audit Team for speedy settlement of claims.
Preparation of MIS Reports for Senior Management, Claims Admin Teams as well as for R/O & B/O of BAGIC for daily Inward Claims (Cashless) including request Intimation for hospitalization.
Monitoring, controlling and improving cashless process through statistical studies, problem analysis and corrective action implementation.
Active participation in providing solutions to any problem faced by any out station offices by Creating effective Communication channels between regional office and the head office.

[b][u][b][u]Worked as an “Executive” (Team Leader) in “PARAMOUNT HEALTH CARE MANAGEMENT Pvt. Ltd.” New Delhi. (Duration [/u][/b] [/u][/b]:Jul 2003 – Jul 2005) A joint venture with, Munich-Re, a German General Re-Insurance Company and listed among fortune 500 companies. This organization is a Third Party Administrator deals into Medi-claim settlement of different Public and Private Sector Insurance Companies.

[b][u][b][u]Key highlights [/u][/b] [/u][/b]:
Responsible for supervising the North India & Central India Cashless Hospitalization round the clock.
Responsible for monitoring & running Call Centre round the clock, handling all types of queries related to private (corporate) sector as well to public (PSU) sector.
Managing and handling Internal Audits.
Personal involvement in each and every request for cashless and to ensure that its status timely reach to hospital as well as to the patient.
Coordinating with various Regional and Divisional offices of various Public Sector Insurance Companies and also with various Private Sector Insurance Companies.
Comprehensive experience of dealing with doctors, hospitals, diagnostic centers, & nursing homes.

[b][u][b][u]Worked as an ‘Analyst ‘in a Software Development Team of “India Meteorology Department, Mausam Bhawan” New Delhi. (Duration [/u][/b] [/u][/b]: Jan 2002 – Jan 2003)

[b][u][b][u]Key highlights [/u][/b] [/u][/b]:
During this tenure I worked on different projects of Seismo-logy (Earthquake) like SEISAN (Seismological Software), GIS (ESRI Arc Info) etc. All these projects involves Data Acquisition from different centers, analyze the data taken and then plotting this data under the guidance of senior professionals. I had also done my academic project for MCA (final year).
[b][u][b][u]Name of Project [/u][/b] [/u][/b]: “UNIX TUTOR”
This project is constructed using language “C”
 [b][u][b][u]Assignment of Software Testing done for “NIIT [Research and Development Center] “as a “Software Tester”, New Delhi. (Duration [/u][/b] [/u][/b]: Feb-2001-April-2001)

[b][u][b][u]Key highlights [/u][/b] [/u][/b]:
Worked required to test the software [graphics, sound] and other mechanical things and pointed out the errors and had fixed under the supervision and with the help of other technical teams of NIIT Software Development.
[b][u][b][u]Project Detail [/u][/b] [/u][/b]:
[b][u][b][u]Knowledge Based System [/u][/b] [/u][/b]: Tutorial Software’s for MCSE and MCSD Tracks.
[b][u][b][u]Specific construction under [/u][/b] [/u][/b]: Macromedia Flash 5.0, Sound Forge 4.0 [Sound Effects], Jasc Batch Master, Photo recall SE [Graphics Conversion]

[b][u][b][u]Worked as a “Trainee Analyst “in “Radicura Pharmaceuticals Ltd.” New Delhi. (Duration [/u][/b] [/u][/b]: Sep-1999 -Jan-2000)

[b][u][b][u]Key highlights [/u][/b] [/u][/b]:
Worked required to test the various kinds of medicine samples, taking their ‘UV’ reading, Infrared reading and different kind of chromatography like TLC, GLC etc using different software’s on a computer.

[b][u]AREAS OF INTEREST [/u][/b]:
Operations Research.
Health Insurance.
Quality Management in Healthcare.
Accreditation of Healthcare Providers.

[b][u]SCHOLASTIC RECORDS. [/u][/b]:
[b][u][b][u]Professional Qualification [/u][/b] [/u][/b]:-
 Licentiate from Indian Institute of Insurance.
 MCA (Master of Computer Application. (Dec 2000-Dec-2003) from IGNOU.)
Pursuing “AssociateShip” from Indian Institute of Insurance.
[b][u][b][u]Academic Qualification [/u][/b] [/u][/b]:-
 B.Sc. ( In Applied methods in Analytical chemistry & Biochemistry)
Kirori Mal College, University of Delhi, [1994-97].

[b][u]COMPUTER PROFICIENCY. [/u][/b]:
[b][u][b][u]Software’s Skills [/u][/b] [/u][/b]:
[b][u][b][u]Operating systems [/u][/b] [/u][/b]: Windows Family, UNIX, LINUX [Shell Programming]
[b][u][b][u]Packages [/u][/b] [/u][/b]: MS-Office XP\2007/10 [Word, Excel, Power Point, MS Access], Lotus Notes.
[b][u][b][u]Explore To [/u][/b] [/u][/b]: Knowledge of HTML, & Front Page. Macromedia Flash 5.
System Analysis & Design and Artificial Intelligence.
[b][u][b][u]Programming Languages [/u][/b] [/u][/b]: C, C++, Core Java,
[b][u][b][u]Computer Hardware [/u][/b] [/u][/b]:
Implementing System and Installations Software’s.
[Installing & Implementing Operating System & Assembling of Hardware’s]

[b][u]PERSONAL PROFILE [/u][/b]:.
Father’s Name. Shri. Chandra Prakash.
Date of Birth. 07/Jul/1976.
Language Known. English, Hindi.

[b][u]REFERENCES. [/u][/b]:
To be produced on request.

I hereby declare that all the above information is true to the best of my knowledge.

[b][u][b][u]Date [/u][/b] [/u][/b]:
[b][u][b][u]Place [/u][/b] [/u][/b]: NEW DELHI. (SANJAY KUMAR)[/QUOTE]

All times are GMT +5.5. The time now is 12:04 PM.