Ruchika Saini
Claims Manager/Insurance
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About
With over 11 years of experience in the insurance industry, my expertise lies in Health Claims Management, enhancing client satisfaction, and reducing fraudulent claims. I have led team members to achieve significant improvements in workflow efficiency and risk assessment accuracy.
Experience
Claims Manager/Insurance - Hdfc Ergo General Insurance - Noida, India
(2024-04)
- Managed complex Health Claims and reduced fraudulent claim through investigation.
- Recognized for excellent service with "Top Performer" award for 2 consecutive years, benchmarking claim investigation standards.
- Provided specialized trainings to team members for claim management. Also participated in seminars related to claim management.
- Decreased claim cycle time by enhancing training programs.
Claims Deputy Manager - Hdfc Ergo General Insurance - Noida, India
(2023-04 - 2024-04)
- Investigated an average of 200 claims per year, ensuring accurate settlements.
- Contributed to company that cut down false claims and enhancing the overall financial health of the company.
Claims Assistant Manager - Hdfc Ergo General Insurance - Noida, India
(2022-01 - 2023-04)
- Efficiently managed 35600 claims yearly, always prioritizing client needs and thorough investigation.
- Developed a client satisfaction initiative through personalized claim handling and follow-up processes.
- Streamlined claim processing procedures resulting in improvement in inter-departmental claim hand-off efficiency.
Senior Medical Summarizer - Genpact - Noida
(2016-06 - 2021-01)
- Reviewing and analyzing medical records to generate final summary output from analyzed data.
- Additional responsibility of writing summaries of Canadian medical records.
- Participated in discussions with senior management to improve quality standards across the process.
Medical Officer - Clinic
(2013-06 - 2016-06)
Pursued Rotational Internship for 6 months in Bakson Homoeopathic Medical College & Hospital and 6 months in Central Research Institute of Homeopathy (CRI), Noida.
Education
BHMS - Homoeopathic Medicine - Bakson Homoeopathic Medical College (2007-06 - 2013)
High School Diploma - DLDAV Model School (2007-04)
