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Rohan Rege

Rohan Rege

Client Servicing & Account Management - Medical Claims

Nasco Karaoglan

Client Servicing- Medical Claims

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Willis International

Senior Account Executive

Career medium 04

Nasco Karaoglan

Client Servicing & Account Management - Medical Claims

Providing comprehensive claims management services for large MNC clients. Extensive coordination with Insurance Companies and TPA’s to achieve and sustain consistently high service levels.

- Liaising with health insurance providers to establish SLA’s and provision of comprehensive medical claims management services for clients
- Reporting on pending pre-approvals, reimbursement claims, auditing denied claims, addressing service provider complaints, meeting service providers to obtain end-to-end solutions to client queries, etc
- Analyzing and understanding client satisfaction levels in relation to service offerings enabling continuous improvement in internal processes
- Monitoring and making sure all queries and concerns are replied to and closed within the management’s standards
- Implement complaints handling procedure,including the coordination with different departments in order to close any pending problem
- Process or overview the processing of claims on system according to the applied terms and conditions and within the agreed turn around time
- Assist in verifying and auditing processed claims according to claims review procedures and guidelines
- Building and maintaining strong relationships with clients
- Monitoring client satisfaction and addressing concerns
- Ensuring the quality and accuracy of contract preparation, processing and maintenance
- Ensuring compliance with latest policies and ensuring that the same is in line with other regulatory requirements
- Maintaining good relations with the Insurance market
- Proactive communication with all internal and external units globally

Career

Tata AIG Life Insurance

Executive Underwriter

-Evaluate and recommend underwriting of insurance applications
-Responsible for documentation & updation of standard operating procedures pertaining to underwriting guidelines
-Prepared underwriting manual which served as a ready reckoner for the entire team
-Designed (and developed) an intranet portal facilitating comprehensive online access for products and process information

Career medium 05
Career

XLRI Jamshedpur

EX - PGP, Marketing

Bhavan's College of Science

Bachelor of Science, Physics