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Jasmine Dalmeida, Deputy Manager Client Servicing

Jasmine Dalmeida

Deputy Manager Client Servicing·Family Health Plan TPA

United Arab Emirates

Bachelor's degree, Accounting

Work experience

Total years of experience: 8 years, 5 months

Deputy Manager Client Servicing

August 2024 - July 2025

Family Health Plan TPA

Mumbai, India

August 2024 - July 2025

• Lead and manage client servicing operations for a diverse portfolio of
corporate clients, ensuring seamless execution of health insurance claims and
services.
• Act as the primary point of contact for clients, resolving queries, concerns,
and escalations to improve client satisfaction.
• Oversee the entire claims processing cycle, ensuring compliance with policy
terms, timelines, and regulatory guidelines.
• Coordinate with internal teams (claims, underwriting, IT) to ensure smooth
service delivery and resolve operational challenges promptly.
• Conduct regular client reviews to assess service levels, gather feedback, and
identify opportunities for improvement.
• Develop and maintain strong relationships with key stakeholders, aligning
client expectations with organizational goals.
• Monitor key performance indicators and service level agreements, driving
continuous improvement in client servicing operations.

Company industry:
Insurance & TPA
Job role:
Customer Service and Call Center

Team Leader - Account Management

August 2022 - July 2024

Medi Assist India TPA Pvt Ltd.

Mumbai, India

August 2022 - July 2024

• Supervised front-end and back-end operations, ensuring efficient insurance
processes, including employee enrollment and claims management.
• Led a dynamic team, managed escalations, and provided effective
resolutions while maintaining client satisfaction
• Conducted client and broker meetings, gathered feedback, and delivered
presentations to strengthen relationships.
• Organized on-site helpdesk visits to address queries and provide direct
support to clients.
• Monitored outstanding claims, ensured timely processing, and presented
weekly reports to track and improve operational performance.

Company industry:
Insurance & TPA
Job role:
Support Services

Senior Team Member Claims

October 2019 - August 2022

United Healthcare Parekh TPA Mumbai

Mumbai, India

October 2019 - August 2022

• Informed clients of required documentation and guided them through claim
resolution processes.
• Analysed medical claims and collaborated with the medical team to resolve
discrepancies.
• Maintained accurate Excel reports for call logs and managed escalations
efficiently.
• Responded to client emails and calls, ensuring timely follow-up on pending
documents.
• Coordinated with hospitals and ensured adherence to TAT.

Company industry:
Insurance & TPA

Network Executive

January 2018 - September 2019

Health Assure Pvt Ltd

Mumbai, India

January 2018 - September 2019

• Coordinated with diagnostic centres and hospitals to confirm new client
packages and appointments
• Negotiated rates and service agreements with healthcare providers to ensure
cost-effectiveness.
• Managed client queries and resolved issues promptly to maintain service
quality.
• Responded to client emails and calls, ensuring timely follow-up on pending
issues and client request. Conducted follow-ups with diagnostic centres and
hospitals regarding client appointments and report status.
• Performed video audits of diagnostic centres and hospitals to ensure
compliance with service standards.

Company industry:
Medical Clinic
Job role:
Information Technology

Executive – Customer Relationship and Claims Management

February 2017 - November 2017

Raksha Health Insurance TPA Pvt Ltd.

Mumbai, India

February 2017 - November 2017

• Managed inbound calls and addressed queries from patients, relatives, and
hospitals.
• Coordinated with Cashless and Claim Processing teams to ensure seamless
operations.
• Explained cashless and reimbursement claim processes to patients and
families.
• Provided timely claim status updates to patients, relatives, and healthcare
providers.
• Ensured compliance with call matrix quality standards for consistent service
delivery.

Company industry:
Insurance & TPA

Education

MUMBAI UNIVERSITY

July 2016

July 2016

Bachelor's degree, Accounting

India

MUMBAI UNIVERSITY

May 2016

May 2016

Bachelor's degree, Commerce

India

GPA (point): 4 out of 4

GPA (point): 4 out of 4

MAHARASHTRA BOARD ST MARY'S JUNIOR COLLEGE

April 2013

April 2013

High school or equivalent, Commerce

India

MAHARASHTRA BOARD ST MARY'S JUNIOR COLLEGE

January 2013

January 2013

High school or equivalent, Commerce and Secretarial Practice

India

KARNATAKA BOARD MARYKNOLL HIGH SCHOOL

May 2011

May 2011

High school or equivalent, General Studies

India

KARNATAKA BOARD MARYKNOLL HIGH SCHOOL

January 2011

January 2011

High school or equivalent, Secondary Education

India

Skills

Claims Management
Expert
Claims Management
Expert
Team Leadership
Expert
Team Leadership
Expert
Insurance Claims
Expert
Insurance Claims
Expert
Client Service
Expert
Client Service
Expert
Health Insurance
Expert
Health Insurance
Expert
ACCOUNT MANAGEMENT
Intermediate
ACCOUNT MANAGEMENT
Intermediate
CLAIMS PROCESSING
Intermediate
CLAIMS PROCESSING
Intermediate
CUSTOMER COMPLAINT RESOLUTION
Intermediate
CUSTOMER COMPLAINT RESOLUTION
Intermediate
CUSTOMER RELATIONSHIP MANAGEMENT
Intermediate
CUSTOMER RELATIONSHIP MANAGEMENT
Intermediate
E COMMERCE
Intermediate
E COMMERCE
Intermediate
HEALTH ADMINISTRATION
Intermediate
HEALTH ADMINISTRATION
Intermediate
MANAGEMENT
Intermediate
MANAGEMENT
Intermediate
OPERATIONAL EFFICIENCY
Intermediate
OPERATIONAL EFFICIENCY
Intermediate
PROBLEM SOLVING
Intermediate
PROBLEM SOLVING
Intermediate
TEAM LEADERSHIP
Intermediate
TEAM LEADERSHIP
Intermediate
Health Insurance
Expert
Health Insurance
Expert
Insurance
Expert
Insurance
Expert
Insurance Claims
Expert
Insurance Claims
Expert
Administration
Intermediate
Administration
Intermediate
Customer Service
Expert
Customer Service
Expert
ACCOUNT MANAGEMENT
Intermediate
ACCOUNT MANAGEMENT
Intermediate
CLAIMS PROCESSING
Intermediate
CLAIMS PROCESSING
Intermediate
COORDINATING
Intermediate
COORDINATING
Intermediate
CUSTOMER COMPLAINT RESOLUTION
Intermediate
CUSTOMER COMPLAINT RESOLUTION
Intermediate
CUSTOMER RELATIONSHIP MANAGEMENT
Intermediate
CUSTOMER RELATIONSHIP MANAGEMENT
Intermediate
DYNAMIC APPLICATION SECURITY TESTING DAST
Intermediate
DYNAMIC APPLICATION SECURITY TESTING DAST
Intermediate
HEALTH ADMINISTRATION
Intermediate
HEALTH ADMINISTRATION
Intermediate
MANAGEMENT
Intermediate
MANAGEMENT
Intermediate
OPERATIONAL EFFICIENCY
Intermediate
OPERATIONAL EFFICIENCY
Intermediate
TEAM LEADERSHIP
Intermediate
TEAM LEADERSHIP
Intermediate

Languages

English
Expert
Hindi
Expert
Kannada
Expert
Marathi
Intermediate