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Definition of Reputation Credits
Ashutosh Tiwari
US & UK Insurance
Ghaziabad, Uttar Pradesh, India
9+ years' experience in the areas of Business Process Operations Management, handled P&C Insurance & Health Insurance
segment for US and UK regions.
Associated with Genpact as Management Trainee - Operations leading portfolios for US Fortune 100 company.
• Strong domain expertise across P&C Insurance & Health Insurance for Personal & Commercial Lines, Underwriting, Claims and Surplus Lines.
• Possess interpersonal and organizational skills with demonstrated abilities in Process Management, Operations Management, Team Management, People Management, Client Management, Transition Management, Project Management.
• Skilled in managing teams to work in sync with the corporate set parameters & motivating them for achieving business and individual goals.
• Managing operations and ensuring targets & norms are met.
• Evaluating and appraising the performance of teams according to the set process workflow management & adherence to quality & compliance requirements.
Work Experience
Management Trainee (FLM) • Genpact
October 2021 - Present
• Involved in process migration and successfully done
• Managing a team of 20 to 25 FTE's
• To understand the complete process and its SLA
• Ability to understand the CTQ parameters that affect the process and work on them
• Ability to gauge the caliber of agents and train them accordingly
• Ensure complete participation and contribution in organization/process level initiatives (Absenteeism, Attrition control) that may be implemented from time to time to improve efficiency
• Ensure that the internal/external targets are meet and the team shows continual improvement month on month
• The role holder will be accountable for self-performances of the team he is aligned to
• Communicate effectively with the client to resolve issues and disseminate updates on the floor
• Client, Customer & People Management Effective performance
planning for self and team and time management and skill to self-organize
• Ability to achieve stretch targets and take decisions as well as manage complex/ difficult employee situations Handle escalations for the team
• Work as a Single point of contact for all non-ops departments and identify, evaluate & coordinate operational, Admin, IT and HR issues
• Timely closure of all processes and other requirements for self and Team
• To lead a team's available resources in order to deliver a quality service to customers in line with agreed service standards.
• Quality and Process Improvement Initiatives
• Ensure feedback for the process/Continuous Process improvement.
• Team's Career Planning/manage team performance & expectation.
• Evaluation of operational practices and procedures
• Participate in client call, calibration calls
• Good excel and presentation Skills
• Maintain self-knowledge of product by self-productivity, audit team work on quality parameters
CSA • EXL
February 2020 - February 2021
• Responsible for providing training to the new associates in the team
• Cascading & updating new updates to team
• Coaching & mentoring of new hires
• Taking care of hold & follow up items
• Daily, weekly and monthly escalation reporting
• Process supervision with real-time Monitoring
• Investigate and process insurance
• Handle and process a variety of claims, including automobile, life and home insurance claims
• Handle property claims involving damage to buildings and structures or liability claims involving personal injuries or third-person property damage from liability situations, such as motor vehicle accidents, slip and falls, dog bites, or alleged negligent behaviour
• Verify that coverage applies through an insurance policy
• Evaluate damages to ascertain compensation amount
• Examine photographs and statements
• Evaluate all information
Claim Associate • Optum Global Services
February 2019 - February 2020
• Analyzed contracts and contract language in regards to correct rates and fee schedules
• Identified loading errors and took the appropriate corrective measures
• Communicate and work with inter/intra departments
• Assessed, approved, and denied various medical claim Requests received
• Computed all medical benefits due and assisted with payment initiations
• Prepared and dispatched claim related correspondence to claimants and third party agencies
• Interpreted and followed government regulations and company policies, as applicable
• Informed and explained clients about medical terms and concepts, clearly
CSA • EXL
March 2015 - November 2018
• Worked with retail customers of USA for Insurance
• Pooling of customers based on associated risk exposure and credit score
• Generating proposal of policies with risk coverage and endorsements as per customer needs as per set guidelines
• Sending proposals to underwriters once approved by customers
• Builds estimate, and prices standard and special jobs at a level that keeps our products competitive and maximizes profit
• Achieving daily based task
• To document the business process by identifying the requirements
• Excellent lead generation and development skills.
Education
Swami Vivekanand Subharti University
Finance & Marketing
2017 - 2019
Skills
- Process Management
- Operations Management
- People Management
- Client Servicing
- Transition Management
- Project Management
- Reporting
Languages
- English — Fluent
- Hindi — Native or Bilingual
Ashutosh Tiwari
US & UK Insurance
Ghaziabad, Uttar Pradesh, India
9+ years' experience in the areas of Business Process Operations Management, handled P&C Insurance & Health Insurance
segment for US and UK regions.
Associated with Genpact as Management Trainee - Operations leading portfolios for US Fortune 100 company.
• Strong domain expertise across P&C Insurance & Health Insurance for Personal & Commercial Lines, Underwriting, Claims and Surplus Lines.
• Possess interpersonal and organizational skills with demonstrated abilities in Process Management, Operations Management, Team Management, People Management, Client Management, Transition Management, Project Management.
• Skilled in managing teams to work in sync with the corporate set parameters & motivating them for achieving business and individual goals.
• Managing operations and ensuring targets & norms are met.
• Evaluating and appraising the performance of teams according to the set process workflow management & adherence to quality & compliance requirements.
Work Experience
Management Trainee (FLM) • Genpact
October 2021 - Present
• Involved in process migration and successfully done
• Managing a team of 20 to 25 FTE's
• To understand the complete process and its SLA
• Ability to understand the CTQ parameters that affect the process and work on them
• Ability to gauge the caliber of agents and train them accordingly
• Ensure complete participation and contribution in organization/process level initiatives (Absenteeism, Attrition control) that may be implemented from time to time to improve efficiency
• Ensure that the internal/external targets are meet and the team shows continual improvement month on month
• The role holder will be accountable for self-performances of the team he is aligned to
• Communicate effectively with the client to resolve issues and disseminate updates on the floor
• Client, Customer & People Management Effective performance
planning for self and team and time management and skill to self-organize
• Ability to achieve stretch targets and take decisions as well as manage complex/ difficult employee situations Handle escalations for the team
• Work as a Single point of contact for all non-ops departments and identify, evaluate & coordinate operational, Admin, IT and HR issues
• Timely closure of all processes and other requirements for self and Team
• To lead a team's available resources in order to deliver a quality service to customers in line with agreed service standards.
• Quality and Process Improvement Initiatives
• Ensure feedback for the process/Continuous Process improvement.
• Team's Career Planning/manage team performance & expectation.
• Evaluation of operational practices and procedures
• Participate in client call, calibration calls
• Good excel and presentation Skills
• Maintain self-knowledge of product by self-productivity, audit team work on quality parameters
CSA • EXL
February 2020 - February 2021
• Responsible for providing training to the new associates in the team
• Cascading & updating new updates to team
• Coaching & mentoring of new hires
• Taking care of hold & follow up items
• Daily, weekly and monthly escalation reporting
• Process supervision with real-time Monitoring
• Investigate and process insurance
• Handle and process a variety of claims, including automobile, life and home insurance claims
• Handle property claims involving damage to buildings and structures or liability claims involving personal injuries or third-person property damage from liability situations, such as motor vehicle accidents, slip and falls, dog bites, or alleged negligent behaviour
• Verify that coverage applies through an insurance policy
• Evaluate damages to ascertain compensation amount
• Examine photographs and statements
• Evaluate all information
Claim Associate • Optum Global Services
February 2019 - February 2020
• Analyzed contracts and contract language in regards to correct rates and fee schedules
• Identified loading errors and took the appropriate corrective measures
• Communicate and work with inter/intra departments
• Assessed, approved, and denied various medical claim Requests received
• Computed all medical benefits due and assisted with payment initiations
• Prepared and dispatched claim related correspondence to claimants and third party agencies
• Interpreted and followed government regulations and company policies, as applicable
• Informed and explained clients about medical terms and concepts, clearly
CSA • EXL
March 2015 - November 2018
• Worked with retail customers of USA for Insurance
• Pooling of customers based on associated risk exposure and credit score
• Generating proposal of policies with risk coverage and endorsements as per customer needs as per set guidelines
• Sending proposals to underwriters once approved by customers
• Builds estimate, and prices standard and special jobs at a level that keeps our products competitive and maximizes profit
• Achieving daily based task
• To document the business process by identifying the requirements
• Excellent lead generation and development skills.
Education
Swami Vivekanand Subharti University
Finance & Marketing
2017 - 2019
Skills
- Process Management
- Operations Management
- People Management
- Client Servicing
- Transition Management
- Project Management
- Reporting
Languages
- English — Fluent
- Hindi — Native or Bilingual