Hiten Panjankar
Claims life cycle management | Corporate health insurance | TPA operations | Cashless & reimbursement claims | Policy validation | Claim scrutiny | Medical admissibility | Endorsem
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About
Customer Support and Insurance Operations professional with 8= years of experience across contact centers, healthcare Administration and Third-Party Administrator (TPA) environments. Specializing in corporate health insurance servicing, claims lifecycle management, and stakeholder coordination with insurers and brokers. Demonstrated expertise in claims scrutiny, grievance resolution, and service-level adherence while supporting high-value corporate accounts.
Proven record of process optimization, compliance alignment, and multichannel customer engagement within regulated insurance ecosystems.
Experience
Insurance Officers at Corrtech international limited (2026-07 – Present)
- Managing Insurance policies Ear policy, WC policy, marine policy, GPA, Motor policy, Properties, fire, burglary all type of policy handling.
- Take care of renewal process and review on quotation, connect with Brokers and insurance company for queries and negation rates.
- Maintaining all policies data, MIS and review on monthly, yearly insurance budget.
Senior Executive-Insurance Operations at MediAssist TPA Pvt.Ltd (2019-05 – 2026-07)
- Managing end-to-end servicing for large corporate health insurance groups, coordinating with insurers, brokers, HR teams, and employees across multiple policy structures
- Resolving complex escalations and grievances through structured mail and telephonic communication while maintaining regulatory and contractual compliance
- Tracking claims lifecycle from intimation through settlement, ensuring documentation accuracy and adherence to defined turnaround timelines
- Performing first-level scrutiny of reimbursement and cashless claim documents to validate policy coverage, exclusions, and medical admissibility
- Optimizing internal follow-up mechanisms with insurance partners, reducing average claim closure timelines by 22%
- Supporting simultaneous high-priority service requests while maintaining SLA compliance above 98%
Data Processing Executive-Healthcare Operations at MedusindLtd (2018-10 – 2019-03)
- Verified and processed sensitive medical data for United States healthcare clients in compliance with HIPAA-aligned data handling standards
- Compiled, validated, and structured clinical and billing information to support downstream claims and audit functions
- Maintained accuracy of large-scale healthcare databases through systematic data reconciliation and validation workflows
- Accelerateddataentrythroughputby18%throughprioritizationanderror-prevention controls.
Associate-Customer Support at Tech Mahindra Ltd (2017-10 – 2018-03)
- Handled domestic customer service operations for Reliance Jio, resolving service queries through email-based support channels.
- Documented customer interactions within CRM systems to ensure traceability and compliance with internal quality benchmarks.
- Sustained customer satisfaction ratings above 95% during tenure through structured query resolution.
Customer Service Executive at Aegis Customer Support Services Pvt.Ltd (2015-09 – 2017-10)
- Delivered premium postpaid customer support for Vodafone subscribers with international roaming requirements.
- Processed service requests, billing clarifications, and complaint resolutions across high-volume in bound call queues.
- Improved first-call resolution metrics by 17% through accurate needs assessment and policy-aligned responses.
Customer Support Representative at Focus Infoline Pvt. Ltd (2014-12 – 2015-06)
- Provided inbound and outbound customer assistance while documenting interactions within internal databases.
- Managed concurrent call handling, real-time documentation, and issue resolution in high-volume contact center environments.
Education
Bachelor of Technology(B.Tech) – Rajasthan Technical University (2018-06)
H S C – Shree swaminarayan school (2007-06)
S S C – Shree swaminarayan school (2005-06)

