Dr Eifa Korlekar

• Managing end-to-end cashless claim adjudication including pre-authorization,
enhancement approvals, and discharge settlements.
• Managed an average of 150-200 cashless claim cases per day, ensuring timely
adjudication while consistently meeting SLA/TAT and quality standards.
• Ensuring SLA/TAT adherence and quality benchmarks.
• Reviewing medical records and policy wordings for liability determination.
• Handling grievance redressal and regulatory escalations under IRDAI guidelines.
• Managing PHD claims and high-value complex cases.
• Coordinating with network hospitals for medical necessity validation and cost optimization.

• Provided outpatient consultations and telemedicine services.
• Diagnosed and managed chronic and acute illnesses.
• Offered preventive healthcare and wellness counselling.
• Built a strong referral-based patient base.

• Managed patient admissions, treatment plans, and monitoring.
• Assisted senior consultants in clinical decision-making.
• Supported emergency care and ensured smooth workflow.

• Managed OPD & IPD patients including critical COVID cases.
• Coordinated with doctors and nursing staff for effective care.
• Oversaw patient flow and clinical operations.

• Assisted in gynecological & obstetric surgeries (LSCS, Normal Delivery,
Hysterectomy, Laparotomy, Tubal Ligation).
• Managed high-risk pregnancies and antenatal/postnatal cases.
• Handled pre- & post-operative and emergency ward care.

• Conducted outpatient consultations and managed acute/chronic illnesses.
• Assisted in skin grafting procedures and wound management.
• Performed dermatological procedures including excimer therapy.
• Maintained patient documentation and follow-up care.