Strategic Advisor to Board of Directors-
SSS Risk Management & Insurance Brokers Pvt. Ltd.
Total des années d'expérience :37 years, 8 Mois
Strategic advisor for the technical underwriting and claims. Providing product training to employees, advising for recruitments, and business development.
Recognized as a leader with strengths in establishing business processes, defining Continuous improvement processes,
building consensus and delegating a right task to the right person. A strategic planner with expertise in designing
systems/procedures & contributing to improved performance heightened productivi ty & enhanced internal controls
* In-depth knowledge & vast experience of Health Claims management of +20 years and settled around 5, 000 claims of
various nature. Underwritten all lines of Insurance including Property & Casualty, Engineering, Liability, & Marine
* Delivered expert lectures on Health Care Management at Surgeons’ Association and Famil y Physician Association as well
* Expert in managing Insurance & reinsurance underwriting/claims processing & risk analysis to recognize technical &
functional analysis for efficient risk transfer including asset management, solvency margin & risk analysis
* Design, deliver and implement a clear company-wide framework for the identification, monitoring, reporting and prompt
escalation of risk and regulatory compliance
* Lead and developed TPA Service Level Agreement and implemented the same
* Hands-on preparations of all kinds of Insurance Manuals viz. Underwriting, Claims, and ERM, etc.
* Hands on developing, directingand monitoring sophisticated creditrisk management strategies associated with receivables
* Drive the "data strategy" - thinking of new data sources, making those data sources available, talking to third parties
* Align the analytical approach and available data, with the Company's strategy
* Worldwide approved trainer (CRCMPT) for Risk Management & Compliance by IARCP-US
* Expertise in formulating business-centric & value-focused strategies that applies to local & global insurance arena
* Competent Reinsurance Expertise from Facultative Placement to Treaty Placement, Treaty Renewals & Claims
Head of Insurance & Risk Management Anexas Consulting, Abu Dhabi (Free-lance consultant)
I have been returned to India in the month of May-2017 and joined as a Head of Insurance & Risk Management as a free-lance consultant at Anexas Consulting- Abu Dhabi and imparted various Risk Management training at ADNOC- Abu Dhabi
I was also rendering expert services at Technopolis Insurance Brokers Pvt. Ltd., Ahmedabad-India, wherein working for the growth and development of the Company
I was heading Risk Management & Internal Audit department at the Amana Cooperative Insurance Company (Saudi Listed Company), KSA.
Saudi Indian Insurance Company, KSA
As Reinsurance & Head of Product Development Department &
Successfully acted as Insurance & Risk Consultant-Founder of Vidisha Insurance Services, Rajkot
Key role in establishing Insurance Services Firm & subsequently converted same to the Insurance Broking Company viz.
Technopolis Insurance Brokers Private Limited with Head Office at Rajkot & Branch Office at Ahmadabad
(www.technopolis.co.in
Underwriting, Claims & Training
Vital role in formulating and implementing operational procedures involving acceptance of proposal, underwriting
guidelines & claims.Efficiently handled marketing operations while delivering training to All India Managers, Underwriters
& Sales Force
Channelized hospitals & diagnostic centers networking on PAN India Network
Well-versed with CPT Codes- understanding of all categories
Managed administration of performancemanagement programme involvingperiodic performancereviews & appraisals for
all employees. Spearheaded all customer & sales queries both pre- post enforcement.
Key rolein initiatingup-selling, cross-sellingformula & developingsales verticalsproviding efficient 24x7 claims services in
the market tracked health claims of all branches across country lodged with Medical TPA DHS India Private Limited.
Interfaced with TPA and aligned regular meetings for efficient claims settlement across PAN India, Identifications of fraud
claims and mitigating fraud risks.
Guided centralized underwriting of all India through established IT System within 6 hours with a team of 50+ managerial
staff and 400+ administrative staff
Specialization in Insurance & Risk Management
ISO
Majors Reinsurance, Management Accounting
Specialization in Advanced Accounting & Auditing
