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Nitu
India-Delhi
1-3 yrs
No
Cordinator in Health Care Services
Seeking a career in an organization, which lays premium on initiative, responsibility & diligence. A challenging position in an organization where my knowledge skills & strength can be shared & enriched.
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CAREER OBJECTIVE:
Seeking a career in an organization, which lays premium on initiative, responsibility & diligence. A challenging position in an organization where my knowledge skills & strength can be shared & enriched.
WORK EXPERIENCE:
E -Meditek Solutions Ltd: Sept. 05,2005
This company is dealing in Health Insurance. This company is working as a Third Party Administrator for ICICI Lombard, Reliance Health Insurance, Oriental Insurance Co., New India Assurance and National Insurance Co. I am working here in Claims Department as Asst. Manager(Claims Cordinator).
Job Responsibilities:
Ø Claim Processing:
Processing Health Claims.
Find Out Missing Documents/Information.
Discuss the claims with panel of doctors. .
Create and maintain claim files.
Approve claims up to the authority limit.
Sending monthly MIS report of claims processing to Insurance Companies.
Ø Cashless Claim Settlement:
Process Cashless Claim
Scrutinize Cashless Claim document, verifying policy condition and coverage
Discuss the technicalities of claim with the panel Doctors
Cost containment.
Follow up with Hospitals and HO for payments
Forwarding documents to HO
Ø Managing a team of claim executive:
Provide training on claim processing, assigning claim
Discuss the technicalities of claim
Motivate the team to perform up to the expected level.
Providing daily basis report of Doctors & Data Entry operator to Senior Management and HR Dept.
Ø Customer care:
Handling customer care on behalf of Reliance Healthwise policy.
Cashless procedure and documentation.
Complaints regarding policy condition.
Claims and hospitalisation.
Connect Call Centre: Feb., 2004 – Nov, 2004:
This company is dealing in post paid connections. This company is working as a Franchise of Idea Cellular Ltd. I worked here in Sales Department as a Team Leader and Trainer.
Job Responsibilities:
v Responsible for achieving the targets of Whole team.
v Responsible for providing training to Telle Callers and Field Executives.
v Responsible for selecting team for Sales and Marketing Department.
v Responsible for providing daily basis out put of Sales and Marketing Dept.
EDUCATIONAL QUALIFICATION:
v Pursuing Master of Education in English from Ch. Charan Singh University.
v Pursuing Licentiate course in General Insurance from Insurance Institute of Delhi.
v Bachelor of Education from Ch. Charan Singh University.
v Bachelor of Education from Ch. Charan Singh University.
v 12th Standard from Central Board of Secondary Education.
v 10th Standard from Central Board of Secondary Education.
COMPUTER PROFICIENCY:
v Comfortable with computer environment and working knowledge of MS Office, Word, Excel; Internet / E- mail.
v Knowledge of typing with speed of 35 w/pm.
SKILLS AND STRENGHT:
v Team leader and player.
v Aptitude of learning new things.
v Excellent communication skills.
v Problem solving attitude.
ACHIEVEMENTS:
v Received appreciation letter from Paramount Cables Ltd, Jaipur and S.R.F Ltd., Bhiwadi for providing them best services on Behalf of E – Meditek Solutions Ltd.
v Received First Prize for Best Team Leader in Connect Call Centre.
v First Prizewinner in English Essay writing Inter School Competition.
v Best player in Athletics at Inter School Tournament.
PERSONAL DETAILS:
v Father’s Name : Shri Vijendra Singh Siwal
v Mother’s Name : Smt. Shakuntla Devi
v Date of Birth : 3rd Dec. 1984
v Place of Birth : Meerut
v Marital status : Married
v Language Known : English & Hindi
v Nationality : Indian
INTEREST AND HOBBIES:
v Reading stories book.
v Listening Music
v Making new friends
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