Ruchika Saini

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.

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.

BHMS - Homoeopathic Medicine - Bakson Homoeopathic Medical College (2007-06 - 2013)

High School Diploma - DLDAV Model School (2007-04)