N.nirmala Devi

Strategic healthcare product leader with 10+ years of experience driving digital transformation, claims automation, and operational excellence across insurance and provider ecosystems. Proven track record in SOP creation, QA protocol design, and stakeholder collaboration. Adept at translating complex regulatory and workflow requirements into scalable, audit-ready solutions. Currently pursuing AI product management certifications to deepen innovation impact also Dev Ops, Python with AI.

Chief Manager - Claims Digital transformation - Star Health Insurance - Chennai

(2024-07 - 2025-10)

• Led digital transformation of claims processing across Matrix and Galaxy – reducing manual intervention by 40%.
• Work flow improvements – Controlling the TAT, creating Wireframes, Data Analysis.
• Tariff digitization – Supporting the different departmental heads, IT, Business teams' coordination for building a platform for digitization.
• UI & UX experience improvements, User interface design based on regulatory compliance.
• ICD analysis and reports – Error free diagnosis and automation of claims processing.
• Requirement gathering & analysis - Vigilance dept. Complete Automation project.
• BRD and FRD created for the business teams and stakeholders based on the requirements.
• Facilitated stakeholder to align business needs with system capabilities, resulting in 3 successful product launches.
• Developed QA checklists and categorized 200+ test cases to support UAT.
• Microsoft Outlook, JIRA, Atlassian, Confluence, Visio, Vitraya, Matrix, Galaxy applications.

Health Claims Management and Core Networking expert - ICICI Lombard GIC - Chennai

(2019-12 - 2024-06)

Quality networking hospitals of 300+ (Chennai), coordination, negotiation, different tariff models created to control ACS. Operations and claims management for effective & efficient processing of claims, leading the auditing teams to ensure proper adjudications and settlements done on time.

• Pricing strategy and Tariff preparations for hospitals – ACS control - Identifying outliers and caution the regional teams of the health portfolio.
• Interactions with top management in the organization to analyse business requirements, processes, and information systems.
• Preparing different costing models and negotiation with the providers – Maintenance of quality network portfolio and also assisting in recovery and FWA.
• Received "Performance Excellence Award" 2023 for achieving the targets and excelling KPIs.
• Project: Provider Tariff Digitalization (Internal product development)

Manager – Operations - Camomile Healthcare Consulting Pvt Ltd

(2016-11 - 2019-11)

• Established the feasibility of public specialty Cancer care centres in the states of KN & TN.
• Development and Implementation of hospital transformation plan for Guwahati SCI.
• Due diligence and consultancy of 300 & 500 bed hospitals in Mumbai, Tirupati & Nigeria
• Development of a hospital compliance report for a large chain of private hospitals in Bangalore
• Proposed HR planning and Medical equipment planning for a 300 bed multispecialty hospital in Tamil Nadu and Assam.
• Conducted a Nation-wide research on "Delayed diagnosis of cancer" as CSR activity
• Supported business development activities and sourcing projects from various clients.

Administrator - Operations - Billroth Hospitals Pvt Ltd

(2014-08 - 2016-11)

• Daily operations of 350 bedded hospital coordinating all 52+ clinical & non clinical departments
• Coordinated primary staff and physician schedules and ensured optimum duty coverage
• Evaluated discharge process delays due to insurance, pharmacy delays and provided suggestions to reduce 45 min TAT
• Supported for internal audits and MIS for operations tracking the data. Empowered staff and patients through transitional changes, communicated objectives and expectations alleviated concerns and ensured procedural adoption
• Awarded "Best-Employee–2015" for being an outstanding performer in hospital operations within one year of joining

MBA - Master of Business Administration - Sri Ramachandra University Chennai (2012-06 - 2014-06)

B.Sc. - Advanced Zoology and Biotechnology - Meenakshi College for Women Chennai (2009-06 - 2012-05)