Komal Kadam

I would like to be a part of organization where I could use and enhance my knowledge and talent for the development of both organization and myself.

Senior Executive at Bajaj General Insurance (2021-12 – Present)

Joined as 'Claims Executive' and got promoted as 'Senior Executive' in Nov' 23

• Flexible and proficient in both Opus & Maximus software used for claim processing
• Handling both retail and group insurance policy cases
• Handling escalations and disputes raised by the policy holders or hospitals during claim settlement
• Handholding the newly hired processors during their learning curve

Medical Officer at Medi Assist India TPA Pvt Ltd. (2019-08 – 2020-11)

To approve online preauthorization of medical insurance claims based on the treatment suggested, claim history and policy terms and conditions

• Strict adherence to the policy T&C and ensure no deviation in claims processing
• To inform the Network department in case of any erroneous billing/excess billing observed
• Identify and highlight any suspicious case observed to the investigating team
• Ensure to process all the claims allocated within TAT

Quality Executive at APOLLO HOSPITAL (2017-07 – 2017-11)

Worked as stroke coordinator on stroke pathway

• Department wise regular and surprise audits for quality checks
• Active member of blood transfusion committee
• Training to hospital staff on code red

Management Trainee at ZOI Hospital (2016-12 – 2017-06)

Worked on paperless prescription project for the hospital

• Implementation of INSTA software in the hospital
• Making templates in INSTA software which would be helpful for paperless prescription project
• Understanding the functionality of various departments in the hospital and preparing SOP's for them
• Audit on implementation of SOP and ensure it is being followed across all departments
• Identify gaps and challenges and bridge them for smooth functioning

MBA in Healthcare Administration – School of Healthcare Administration, Pune (2016-08)

Post Graduate Diploma in Emergency Medical Services – Symbiosis International University, Pune (2015-01)

B.H.M.S. – E.B.Gadkari Homeopathic Medical College and Hospital, Gadhinglaj, Maharashtra (2008-11)

HSC – Karmaveer Bhaurao Patil College of Science, Pandharpur (2003-03)

SSC – D. H.

Kavathekar High

School, Pandharpur (2001-03)