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Hiten Panjankar

Hiten Panjankar

Claims life cycle management | Corporate health insurance | TPA operations | Cashless & reimbursement claims | Policy validation | Claim scrutiny | Medical admissibility | Endorsem

Talent
AhmedabadMember since October 6, 2026
Corporate health insurance servicing
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Corporate health insurance servicing

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)

Skills

Claims life cycle managementCorporate health insuranceTPA operationsCashless & reimbursement claimsPolicy validationClaim scrutinyMedical admissibilityEndorsem

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