Amul Jadhav

Results-driven insurance and health-benefits professional with 12+ years of experience spanning Key Account Management, Group Medical Coverage (GMC) portfolio management, Cross-Sale, Upsell, fraud risk and audit operations, sales compliance, and vendor management. Proven track record of managing large enterprise accounts, driving process automation, and presenting data-backed performance insights to senior leadership. Adept at translating claims and audit data into actionable strategy, building MIS dashboards, and leading cross-functional teams to improve TAT, reduce escalations, and grow account value.

Key Account Manager (DY Lead) — Enterprise Client Management - Bajaj Finserv Health

(2023-04)

• Manage a portfolio of 30 enterprise/corporate accounts with an overall premium portfolio of ₹33 Cr+, including strategic and high-value clients.
• Owned end-to-end key account management, including client relationships, renewals, service delivery, escalations, engagement, retention and business growth.
• Drive client retention and revenue expansion through structured account planning, identifying cross-sell and upsell opportunities, and strengthening stakeholder relationships.
• Successfully maintained 93% retention while contributing to premium growth of ₹1.44 Cr across the portfolio.
• Generated ₹9 Cr+ revenue by driving billable utilization, expanding wallet share and identifying cross-sell opportunities across multiple health & wellness solutions, delivering ₹3 Cr+ in profitability.
• Manage relationships with senior stakeholders across HR, Rewards & Benefits, Admin, Finance and leadership teams of enterprise clients.
• Lead strategic employee health and wellness initiatives including OPD, AHC, preventive health check-ups, chronic care programs, Gym memberships and employee engagement campaigns.
• Drive resolution of complex claims, cashless, provider, technology and service-related escalations, ensuring timely closure and maintaining client confidence.
• Identify and execute cross-sell / upsell opportunities, including TPA services, wellness programs and employee health solutions.
• Work closely with operations, claims, provider, product, technology and service teams to ensure seamless execution for enterprise clients.
• Lead high-priority client implementations and launches, including onsite health campaigns, employee communication, provider network expansion and platform readiness.
• Monitor key account metrics including retention, utilization, CSAT, ICR, service TAT, ageing, cashless fulfilment and client escalations to identify improvement opportunities.
• Act as the single point of contact for strategic clients, ensuring proactive communication, governance and structured review mechanisms.
• Mentor and support team members in account management, client servicing and escalation handling while managing own strategic portfolio.

Assistant Manager — Corporate Relationships Management - Mediassist Insurance TPA Ltd.

(2022-04 - 2023-04)

• Lead the team of 10 FTE's administratively.
• Managing corporate relationships and delivering effective service delivery.
• Coordinating with various stake holders including Insurance Brokers and Insurance companies.
• Attending the escalations and taking it to the positive closures within the timelines.
• Maintaining SLA timelines in terms of Group health claims settlement.
• Preparing and implementing service level agreements for corporates.
• Participating and leading weekly, fortnightly and Fortnightly business reviews for corporates and brokers.

Branch Operations Manager - Health India Insurance TPA Ltd.

(2022-04 - 2023-04)

• Led PIMS operations for Maharashtra and Goa Region.
• Managed the team of 15 FTE's effectively.
• Maintaining SLA's set by management.
• Attending corporate queries and escalations and closing them in time.
• Arranging and participating meetings with the insurance companies and hospitals.
• Sourcing new business and retaining the existing corporate relationships.
• Managing network of partner hospitals and diagnostic centres.
• Participating in periodic audits of branch.
• Conducting periodic audits of partnered hospitals and diagnostic centres.
• Preparing and presenting detailed audit report to management.
• Identifying risk factors and initiating corrective / Preventive actions.
• Conducting a reconciliation of the billing data of insurance companies quarterly.

Deputy Manager, CPU - Star Union Dai-Ichi Life Insurance Co. Ltd.

(2019-08 - 2021-07)

• Customer Protection Officer (CPU Team): Investigated suspicious death and maturity claim cases, verified red-flagged client profiles, and examined sales-force conduct to ascertain fraud, ensuring 100% regulatory compliance during new business solicitation.
• Zonal Sales Support (Bancassurance Team): Coordinated with underwriting, sales, and operations teams for timely policy issuance, requirement closure, and claims processing; published sales and operations MIS and managed outsourced vendor performance and payouts.
• Handled customer escalations, surrender/FLC retention cases, and coordinated logistics for timely policy document delivery.

Assistant Manager, Sales Compliance - Bajaj Life Insurance Company Ltd.

(2013-10 - 2019-08)

Sales Compliance

• Reviewing the Fraud Prevention and Internal audit team investigated cases.
• Proposing disciplinary action on the entities as per the action matrix.
• Presenting and discussing critical cases (fraud and internal audit) cases with higher management.
• Coordinating with HR team for initiating Show Cause Notices and Disciplinary action letters to entities.
• Imparting necessary training to sales force pertaining to compliance, AML and sales compliance etc.
• Preparing and publishing compliance knowledge capsules to sales team.

Assistant Manager, Sales Compliance - New Business - Bajaj Life Insurance Company Ltd.

(2013-10 - 2019-08)

New Business

• Coordinating with underwriting team to ensure issuance of cases in stipulated TAT.
• Coordinating with respective Regional Heads and Branch Heads for clearing requirement pending cases in stipulated TAT.
• Coordinating with Vendor Management team for timely closure of Pre-Issuance Verification cases, medical cases and Live Verification cases.
• Publishing requirement pending MIS, Territory wise, Region wise, Branch wise.
• Publishing Pending Pre-Issuance verification cases MIS.
• Managing end to end process activities of outsourced vendors (TCS, NSDL, CDSL, CAMS, Writers, Pace Setters etc.)
• Maintaining & managing vendor's agreements & SOW's/agreements.
• Acting as a Single Point of Contact to vendors for various activities.
• Monitoring daily/weekly/monthly performance of vendors, conducting monthly review meetings.
• Arranging & participating trainings, calibrations, internal audits at outsourced vendor location.
• Verifying monthly pay-out data of the vendors and processing the same with the help of finance team.
• Participating in various internal/external and regulatory audits.
• Preparing and publishing various MIS reports periodically.
• Follow through with the sales team for timely complying of requirement pending cases.
• Collaborating with IT team for initiating and completing the various IT developments.
• Conducting testing of newly launched modules/functionalities and deploying the same with the help of IT team.
• Preparing and publishing various reports in BI modules/templates with the help of IT team.

PGDM - Insurance & Risk Management - MIT School of Distance Education (2022)

Bachelor of Arts - Dr. Babasaheb Ambedkar Marathwada University (2007)

H.S.C. - Maharashtra State Board, Pune (2004)

S.S.C. - Maharashtra State Board, Pune (2002)