www.bajajallianz.com Bajaj Allianz General Insurance Delhi : Health Claims & Underwriting

[Admin]

Bajaj Allianz General Insurance Co. Ltd
http://www.bajajallianz.com
bajajallianz.com

Designation: Assistant Manager - Health Insurance
Experience: 4 - 6 Years
Location: Delhi
Compensation:
Best in the Industry
Education: UG - MBBS - Medicine
PG - Any PG Course - Any Specialization
Industry Type: Insurance
Functional Area: Banking, Insurance
Posted Date: 08 Dec 2008

Job Description
1. Supervision of the claims team in Delhi. 2. Coordination with HAT, Pune for resolution of issues. 3. Coordination with offices in NCR for resolution of issues. 4. Evaluating proposals from NCR region 5. Medical assessment and approval of health & personal accident claims

Desired Candidate Profile
Will be handling Health claims & underwriting through a team

Company Profile
Allianz AG, the worlds largest Insurance Company in terms of gross written premium and Bajaj Auto Limited, one of Indias most trusted companies have joined hands and established Bajaj Allianz General Insurance Company Limited, one of Indias leading and fastest growing General insurers with a strong pan-India presence.

Address:
Not Mentioned

Email Address:
kawaldeep.kaur@bajajallianz.co.in

Telephone:
Not Mentioned

Keywords: Health Claims & Underwriting

[dr manuj]

sir,
as per your advertisment,i am here by sending my resume CURRICULUM VITAE
F-801, SUKHDEV NAGAR,
Kotla mubarak pur, New Delhi- 03,
Phone: 09868702800
Email- manuj.gupta85@gmail.com

MANUJ GUPTA
Career Objective
• To work in a growing organization where my skills and knowledge can be tested and where I can put my efforts to the task given to me by the organization.
Educational Qualification
• 10th passed from D.A.V. Public school (C.B.S.E) in 2001 with 71.8%.
• 11th passed from D.A.V. Public school (C.B.S.E) in 2002 with 86%.
• 12th passed from D.A.V. Public school (C.B.S.E) in 2003 with 79%.
• B.H.M.S. From Nehru Homoeopathic medical College (D.U) in 2008 with 61.01%.
Work Experience
• Practicing in Om Shree Sai Homoeo Clinic, kotla mubarak- pur. 1year and 2 months.
• Assisted Dr. O.P.Manchanda for 2 yrs. At S.L.D.J.M Health club- 1 year.

Extra Curricular Activities
• Was topper in Class- XI & XII.
• First prize winner in general science exhibition at district level in 2002
• Under 5 rankers in Nehru Homoeopathic Medical College & hospital, Delhi University.
• Was volunteer in Reorientation Teachers Programme twice organized by Nehru Homoeopathic medical College & hospital, Delhi (2008).
• Worked as supervisor in several NID Polio duties in Delhi.
• Also worked in MTNL Perfect Health Mela & AAROGYA Mela organized by 'AYUSH' Department (2008).

Languages Known
• Hindi & English.
Strengths
• Responsible, Efficient, Good leadership skills, Hard working, Honest.
Key Skills
• Confident & quite adoptable to working in a professional environment.
• Making a friendly environment around to work in.
• Ready to take initiative whenever required.
Personal Details
• Father's Name ----------------------- Dr. P .R. Gupta
• Date of Birth ---------------------------13th September,1985
• Sex ----------------------------------------Male
• Marital Status ------------------------ Single
• Hobbies -------------------------------- Reading, Swimming, Playing Football & Volleyball, Reading.

[Musharraf.Husain]

I am sending my detailed CV
Dr. Musharraf Husain
Mob: +91 9999670097 - Email: mush20sep AT yahoo.co.in , mush20sep AT gmail.com

Medical Graduate + MBA in Health Care Services with 7+ years of experience in Hospital and Health care Services

Hard working with a Professional & positive approach, an efficient Communicator. Having good Interpersonal & Coordination Skills to achieve goals combining with sound Liaisoning, Decision Making and Analysis skills. Presently working as Medical Audit Executive with Fortis Hospital Noida, U.P. India, seeking to be an effective catalyst in motivating & team building through value added initiatives, expert, technical and professional attitude, dedication and positively contributing to organizational growth and enhancement.

Career History
Fortis Hospital Noida
Sec. 62, Noida, U.P., India
Medical Audit Executive (May 2009 -till date)

Job Profile:
- Responsibilities to TPA department, administration, coordination and other functions to get approvals within time frame from TPAs and to resolve related issues.
- Medical /Clinical Audit and Investigation of medical files, discharge summaries and bills of insurance patients who are availing cashless hospitalization.
- To ensure that there is no discrepancy in proposed plan of treatment and treatment given during hospitalization and between preauthorization request and final documentation.
- To reply and quick response to the medical queries raised by TPAs/ insurance companies.
- To minimize and prevent the deductions of funds at the time of recovery by giving expert opinion to TPAs/insurance companies.
- Coordination with TPA’S and maintains a good relationship to provide services without any hindrance.
- To coordinate with doctors regarding issues and discrepancies in preauthorization forms and discharge summaries and to resolve accordingly.
- To resolve the queries of patients regarding TPA process, co payments, capping, exclusions and clauses like reasons for cashless denial, pre and post hospitalization benefits, pre existing diseases, diseases not covered.
- Tracking, maintaining TAT and operating of discharge process to minimize the total discharge time starting from Doctor’s discharge order to patient exit.
- Carrying and assisting in the various functions in the department of medical services, quality assurance and marketing.

Achievements:
- TPA Claim settlement ratio has been increased and denial ratio has been decreased by my efforts in a very short period and queries from TPAs are very less at the time of final settlement/recovery
- A project was done on Hospital pharmacy management; suggestions were given to improve drugs availability and inventory control that are being implemented in the organization.
- A clinical audit was done on long standing IPD cases (stay more then 30 days) that has proved to be very much helpful in context with quality indicator.
- A study was done on management of medication which earned lots of accolades from quality assurance officer.

Medi Search Diagnostic & Medical Centre
D-832, New Friends Colony New Delhi
Gen physician (Feb. 2004 to April 2005)
Asstt. /Deputy Medical Director (May 2005 to 31 Jan 2009)

Job Profile:
- Managing the Organization and spearheading a wide range of activities related to Administration and Management including clinical examinations, Quality assurance and control, Sales, Purchase, and Effective inventory Management and implementing various strategies for Business Development.
- Responsible for maintaining relationship with the existing Customers, vendors and strengthening relationship with prospective Clients ensuring Customer Satisfaction / Retention through effective Service delivery and proper feedback.
- Collect the right information, feedback, suggestions and pass it to next level management in time and to create & develop good atmosphere, organizational behavior, temptation towards their responsibilities and work among the staff.
- Engender corporate relationship, maintain provider and client relationship and perform medical examination and prepare MER reports, counseling of patients those are needed.

Achievements:
- Significantly formulated & implemented various innovative ideas and Strategies ensuring enhancement of the Market Share, Accuracy of diagnostic results, Organization Image and Business Development.

Reshma Medical centre -New Delhi
Residence Medical Officer (0ct. 2002 – Jan 2004)
Job Profile:
- Steered various activities with the hospital staff and reported to the medical director and consultants, organizing and conducting day to day activities in the hospital.
- Provided excellent Patient Care Services ensuring Patient Relationship / Customer satisfaction and involved in casualty and operation theatre procedures like to assist consultants.

Majeedia Hospital (Hamdard University) - New Delhi
House Physician (15 march 2002 – 14 sep. 2002)
Job Profile & Achievements:
- Experienced various procedures and the way of working and atmosphere of a hospital during working in different shifts in the wards of the various department of the hospital.
- Learned Patient care management and doctor patient relationship, handling patient history, files, record keeping and inventory control at ward level.
- 6 months working experience as house physician in the department of medicine(15 March 2002 - Sep. 2002)
- 6 months compulsory internship with departments medicine, surgery, pediatrics, ophthalmology, ENT, Dermatology.(02 July 2001- 31 Dec. 2001)

Professional Development & trainings
- A 3 months training program was the department of quality control & medical services with Fortis Hospital Noida from 2nd Feb 09 to 1st May 09.
- A study on Hospital Pharmacy Management-an issue and importance was done and project report was submitted to Fortis Hospital Noida
- A project report submitted on MEDICAL TOURISM INDUSTRY-AN INSIGHT in the partial fulfillment of my MBA (health care services) program. During project I visited physically various corporate hospitals in Delhi and experienced how they are performing great services in health care industry and what are threats and opportunities ahead.
- Two years teaching clinical training in subject fields done. During this period attended lectures, demonstrations, wards, O.P.Ds. and O.Ts. at Hindu Rao Hospital, Delhi (1999 – 2001)
- Simultaneous teaching programme and clinical training at Majeedia Hospital, New Delhi.
- Organized self esteemed medical/ hepatitis B Vaccination/ HIV orientation camps at local level.

Education
- M.B.A. (health care services) with 75.13 % from Sikkim Manipal University, Manipal (2008)
- Bachelor of unani medicine and surgery(BUMS) with 70.84% from Jamia Hamdard, New Delhi (2001)
- B.Sc. (Bioscience) with 55.33% from Ruhelkhand University, Barielly U.P. (1994)

Personal Information
Date of Birth: 20 September 1973
Languages: English, Hindi, Urdu, Arabic (Read only)
IT Skills: MS Office word, MS office Excel, MS Office PowerPoint: Internet/emailing
Permanent Address: Village- Asgaripur, Post- Didauli(joya), District- J.P. Nagar, U.P. 244222
Residential Adress: N-119, 2nd floor, Abul Fazal Enclave –I, Jamia Nagar Okhla, New Delhi 110025

Passport details
Passport No: E 1751807
Place of issue: DELHI
Date of issue: 11/06/2002
Date of expiry: 10/06/2012

[Maj. Dr. Deepak Dhanopia]

Name- Maj Dr.Deepak Dhanopia DOB-27/10/1973 Qualification-MBBS/MBA/MHA Exp-10 yrs exp in Army Job profile- workrd as MO incharge of a PHC IN Surat working as medical officer in army in different parts of the country IT skills-Ms Office Word, MS Office Excel, Ms Office Powerpoint, Internet emailing I intend to work with good corporate house after leaving army with 10 yrs of exp & wish to be a part of innovating world skills- I can be friendly with the other team members & try to get the maximum from all I have leadership qualities I try my bast to accomplish the assigned task Address- M.O., 4021 Field Hospital 3 E.M.E. Centre, Bairagarh Cantt, Bhopal (M.P.)

[Guest]

Hi.

I am Ankit Srivastava

[Guest]

Dr. Sayeed muzadid hussain H.
Email : drsmhussain AT yahoo.co.in
Professional Background : From May 2007 to till date working in Genpact, Gurgaon. Working as a Senior Process Associate.
- My key responsibilities include : Summarizing high risk medical histories of applicants for long term care insurance.
- Giving training to new hires.
- Preparing process dash board
- Medical Pre-Underwriting support : Entering the customer
- information into Medical records summary (MRS) form, which autoadjudicates
- and approves,
- declines or transfers the file to an
- underwriter for further verification
- based on the medical risk of the
- applicant
From Nov 2005 to may 2007 : worked as a Doctor in Baksons Homoeopathy, Gurgaon.
My responsibilities included
- Giving treatment to Patient
- Provide training to trainee doctors
- Looking after the overall functioning of the clinic.
From March 2002 to Oct 2005 : Private Practice in Bhubaneswar, Orissa.
Academic Background :
- BHMS from Utkal University ,Orissa in 2001 with 62%
- Internship from Dr. Abhin Chandra Homoeopathic Medical College and Hospital , Bhubaneswar , Orissa in 2001
- +2 Science from C.B.S.E , in 1994 with 70.4%
- 10th from C.B.S.E, in 1992 with 66.4 %.
- Pursing MBA from IGNOU
Computer Programming Skills :
- Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft PowerPoint and Microsoft Outlook Express.
- Operating Systems : Windows9X, Windows2000, Windows Vista.
Insurance Training :
LOMA 280. LOMA 290

[Guest]

CURRICULUM VITAE
SUNIL KUMAR

E-MAIL-sunil4gi1 AT gmail.com
CAREER OBJECTIVE :-
To establish my self in challenging job position in which I would be utilizing my analytical for the growth of my career as well as the organization.
EDUCATIONAL QUALIFICATION :-
- 10th Passed.
- 12th Passed.
- B.A from Kirori Mal Collage, Delhi.
- Pursuing M.B.A (in Insurance and Banking)

WORKING EXPERIENCE :-

- M/S HIMGIRI HYUNDAI CARS PVT LTD AS A INSURANCE EXCUTIVE (2006-2007)
- SECURE INDIA D.S.A BEHRA ENCLAVE PASCHIM VIHAR AS A T.L (2007-2008)
- SUB AGENT, DEALING WITH MORE THAN 10 COMPANY IN MOTOR GENERAL & HEALTH INSURANCE (2008-2011)

[Guest]

CURRICULUM VITAE
SUNIL KUMAR

E-MAIL-sunil4gi1 AT gmail.com
CAREER OBJECTIVE :-
To establish my self in challenging job position in which I would be utilizing my analytical for the growth of my career as well as the organization.
EDUCATIONAL QUALIFICATION :-
- 10th Passed. Kendriya Vidyalaya C.R.P.F Durgapur West Bengal.
- 12th Passed. Kendriya Vidyalaya C.R.P.F Durgapur West Bengal.
- Graduation B.A from Kirori Mal Collage, New Delhi.
- Pursuing .M.B.A (in Insurance and Banking) Eiilm University Sikkim.

Computer Literacy :
- Operating System MS DOS, WINDOW98/ME/XP
- Knowledge of MS Office (MS World, MS Excel, MS PowerPoint)
- Knowledge of Internet...
WORKING EXPERIENCE :-


- M/S HIMGIRI HYUNDAI CARS PVT LTD AS A INSURANCE EXCUTIVE (2006-2007) . ( Authorised Car Dealer of Hyundai Motors Ltd. ) Wazirpur Indl. Area, New Delhi, as a Insurance Consultant ( Car Insurance Division ). for one year.


- M/S MIDAS CANSALTANCY AS A TEAM.LEADER (2007-2008) ( An Associate of Leading Gen. Insurance Companies & Mediclaim Companies ) SECTOR 8 ROHINI New Delhi as a Team Leader for one year.
- M/S BIMA CENTER AS A MANAGER, (2008-2011)
( DEALING WITH MORE THAN 10 COMPANY IN MOTOR GENERAL & HEALTH
INSURANCE ,LIFE INSURANC) BUDH VIHAR NEW DELHI AS A Manager for Three
Years.
Work Profile
Team Management

* Making sub Agents, Recruiting, induction, training and monitoring the sales representatives to ensure efficiency; supervising a team and communicating effectively to avoid any obstacle.
* Identifying the areas of strength/weakness in the team; rewarding achievers and working on the weak links to enhance productivity.
EXTRA CURRICULAR ACTIVITIES
*100 Metre Running Campion in School
*Play Foot Ball Zonal Level in School