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تم إلغاء حظر المستخدم بنجاح
Jasmine Dalmeida, Deputy Manager Client Servicing

Jasmine Dalmeida

Deputy Manager Client Servicing·Family Health Plan TPA

الإمارات العربية المتحدة

بكالوريوس, Accounting

الخبرة العملية

مجموع سنوات الخبرة: 8 سنوات, 5 أشهر

Deputy Manager Client Servicing

أغسطس 2024 - يوليو 2025

Family Health Plan TPA

مومباي، الهند

أغسطس 2024 - يوليو 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.

مجال الشركة:
التأمين
الدور الوظيفي:
خدمة العملاء ومركز الإتصال

Team Leader - Account Management

أغسطس 2022 - يوليو 2024

Medi Assist India TPA Pvt Ltd.

مومباي، الهند

أغسطس 2022 - يوليو 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.

مجال الشركة:
التأمين
الدور الوظيفي:
الخدمات المساندة

Senior Team Member Claims

أكتوبر 2019 - أغسطس 2022

United Healthcare Parekh TPA Mumbai

مومباي، الهند

أكتوبر 2019 - أغسطس 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.

مجال الشركة:
التأمين

Network Executive

يناير 2018 - سبتمبر 2019

Health Assure Pvt Ltd

مومباي، الهند

يناير 2018 - سبتمبر 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.

مجال الشركة:
العيادات الطبية
الدور الوظيفي:
تكنولوجيا المعلومات

Executive – Customer Relationship and Claims Management

فبراير 2017 - نوفمبر 2017

Raksha Health Insurance TPA Pvt Ltd.

مومباي، الهند

فبراير 2017 - نوفمبر 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.

مجال الشركة:
التأمين

التعليم

MUMBAI UNIVERSITY

يوليو 2016

يوليو 2016

بكالوريوس، Accounting

الهند

MUMBAI UNIVERSITY

مايو 2016

مايو 2016

بكالوريوس، Commerce

الهند

المعدل التراكمي (نقاط): 4 من 4

المعدل التراكمي (نقاط): 4 من 4

MAHARASHTRA BOARD ST MARY'S JUNIOR COLLEGE

أبريل 2013

أبريل 2013

الثانوية العامة أو ما يعادلها، Commerce

الهند

MAHARASHTRA BOARD ST MARY'S JUNIOR COLLEGE

يناير 2013

يناير 2013

الثانوية العامة أو ما يعادلها، Commerce and Secretarial Practice

الهند

KARNATAKA BOARD MARYKNOLL HIGH SCHOOL

مايو 2011

مايو 2011

الثانوية العامة أو ما يعادلها، General Studies

الهند

KARNATAKA BOARD MARYKNOLL HIGH SCHOOL

يناير 2011

يناير 2011

الثانوية العامة أو ما يعادلها، Secondary Education

الهند

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

اللغات

الانجليزية
متمرّس
الهندية
متمرّس
الكانادا
متمرّس
المراتي
متوسط