January 6th, 2011, 04:13 PM
Post Count Number #1
Forensic & Fraud Auditing Manager Gurgaon Chennai : www.abrahamconsultants.com Abraham Consultancy Services
Client of Abraham Consultancy Services Pvt Ltd Gurgaon , Chennai : Assistant Manager - Forensic & Fraud Auditing
Company Name : Client of Abraham Consultancy Services Pvt Ltd
Company Location : Gurgaon , Chennai
Designation (of vacancy) : Assistant Manager - Forensic & Fraud Auditing
Company E-mail ID : resume@abrahamconsultants.com
Company Website : www.abrahamconsultants.com
Job Description, Candidate Profile, Company Profile, Company Address :
Leading provider of Risk Advisory services
Experience : 3 - 5 Years
Location : Chennai, Gurgaon
Compensation : Rupees 10,00,000 - 14,00,000
other Education : UG - Any Graduate - Any Specialization,Graduation Not Required PG - CA
Industry Type :
Desired Candidate Profile :
Forensic Audits, Data driven intelligence, Fraud loss management, Revenue Assurance, Investigations
DESIRED SKILL SET :
1. Excellent Communication Skills
2. Should be willing for travelling as profile demands 80% travelling
Job Description :
Experience in Forensic/ Fraud auditing, will be given prefrence otherwise experience in Internal Auditing & interested for Forensic Auditing can also apply.
Interested Candidates can Forward their Resumes to resume@abrahamconsultants.com
Regards
PANKAJ GARG
Manager Operations-North
Abraham Consultancy Services Pvt ltd
Email :PK@ABRAHAMCONSULTANTS.COM
Mobile 099 888 00 655, 09888881153
www.abrahamconsultants.com
Last edited by muthukalee; February 2nd, 2011 at 05:45 PM.
February 11th, 2011, 06:32 PM
Post Count Number #2
Re: Forensic & Fraud Auditing Manager Gurgaon , Chennai : Abraham Consultancy Services
CURRICULUM VITAE
Name : Dr.Sunil Pendharkar
E-mail :- dr.sunilraj1981 AT gmail.com
Cell no. :
Objective :
Intend to build a career with leading corporate of good environment with committed & dedicated people, which will help me to explore myself fully and realize my potential. Willing to work as a key player in challenging & creative environment.
Education :
- Pursuing Post graduation diploma in insurance management in Symbiosis institute of management, Pune.
- B.A.M.S. from Tilak Ayurved Medical College, Pune. M.U.H.S.Nasik. [64%]
- HSC [Science] Passed in First class with distinction from [Nasik Board]. [77%]
Job Experience :
- Presently working as Assistant Manager in Corporate services [Marketing Dept.]
[In charge of corporate + health insurance], in Jehangir Hospital in association with Apollo hospitals group, Pune. Since may 2008.
- Presently working as Medical Officer in Kalyani Carpenter , Mundwa ,Pune [SUNDAY ON]
Since one year.
- Worked as a Team leader & Sr.Auditor [Cashless Team] in MD India Health Care Services T.P.A. Pvt. Ltd. [Head Office] Pune for 1 year. [Audit rights – 7.5 lacks.]
- Worked as an ICU Medical Officer in Sahyadri Speciality Hospital, Karve road, Pune for 2 yrs.
- Worked as C.M.O. in Venky’s India Ltd. [ UTTARADEVI CHARITABLE TRUST at KWAJA MOINUDDIN CHISHTY DARGAH ] in Ajmer [ Rajasthan ] for 6 months.
Role and Responsibilities :-
- Monitor and Supervision on insurance staff.
- Operation management of Corporate & insurance patients.
- Auditing of documents to ensure there are no discrepancies between Pre-auth data and discharge card.
- Informing TPA in the event of discrepancies and collecting bill from patient if authorization cancelled.
- Operation management of Corporate & insurance patients.
- Ensuring test reports and other documentation is complete when bills are fwd to TPA.
- Handling the issues of client [patients], hospital, insurance companies, corporates and TPAs.
- Dealing with international insurance clients like Bupa International,Europ Assistance & International Sos.[ Provide cashless service ]
- Team management & train the new joiner.
- Justifying the queries of insurance companies, corporates & TPAs.
- Organizing the events for corporate clients about cashless hospitalization.
- Giving Presentation to corporate clients about cashless hospitalization & the best services of the hospital.
- Find out the discrepancies in the indoor case papers & preauthorization form and provide the actual history and duration of the illness to TPAs.
- Recovery of disallowed amount & unnecessary deductions from TPAs & Corporates.
- Daily checking the insurance patients and discuss with their consultants about their treatments and diagnosis.
- Monitoring on every sub process to see that TAT at each stage is as per target
- Submitting claim documents to TPAs after the discharge of patient to be less than 7 days.
- PPT presentation explaining flow chart & Personal counseling to consultants & staff.
- Increasing awareness among consultants & staff at all levels about cashless business in order to ensure compliance to rules & procedures.