Sharad Srivastava

Experienced Insurance and Finance professional with over 15 years of expertise in Insurance Claim Processing, Financial Transaction Audit, Payment Processing, Payment Reconciliation, and Insurance Operations. Skilled in handling disability and insurance claims, financial audits, incentive management, and payment verification processes with a strong focus on accuracy, compliance, risk reduction, and operational efficiency. Proven ability to identify errors, resolve escalations, manage financial risks, improve process quality, and maintain high productivity within SLA and TAT standards.

Experienced in coordinating with Payroll, HR, Operations, medical providers, employers, and internal stakeholders for smooth business operations.

Finance Auditor - FAREPORTAL - Gurugram

(2018-08)

• Monitor financial transactions processed by agents and perform detailed audit reviews.
• Prepare and finalize monthly incentive files for Agents, Team Leaders, and Assistant Managers based on business KPIs and performance metrics.
• Coordinate with Payroll teams to ensure timely release of incentives along with salary processing.
• Review financial data, identify discrepancies, and rectify errors to improve process accuracy and operational efficiency.
• Participate in weekly audit review meetings with Team Leaders and Managers to discuss audit findings, resolve disputes, and improve compliance standards.
• Coordinate with HR, Operations, and Payroll teams for attendance validation, arrears, rebuttals, chargebacks, refunds, and attrition data.
• Maintain the financial Data like Refunds, Arrears, Absorption, Sales, Exchange, New Booking and Cancellation.
• Prepare daily and monthly audit reports to identify trends, revenue leakages, and process gaps.
• Ensure adherence to financial policies, audit procedures, and revenue assurance guidelines.
• Support payment reconciliation activities by validating payout records and identifying duplicate, missing, or incorrect transactions.
• Maintain high levels of confidentiality and accuracy while handling financial records and audit reports

Claim Analyst - METLIFE - Noida Sec-135

(2014-01 - 2018-12)

• Reviewed insurance and disability claims to determine approval or rejection based on policy terms, coverage, and company guidelines.
• Processed insurance claims end-to-end and ensured timely and accurate benefit payments to eligible claimants.
• Verified claim documents including Policy Verification, Coverage Verification, Statement of Health, Evidence of Insurability (EOI), Employee Statements, and Employer Statements.
• Reviewed medical documents such as physician statements, treatment records, surgery details, rehabilitation reports, diagnoses, ICD-10/CPT codes, and return-to-work information.
• Calculated claim benefit amounts considering Social Security, FMLA, Workers' Compensation, offsets, riders, waiting period, and pre/post disability earnings.
• Performed payment processing and payment reconciliation activities to ensure accurate financial transactions.
• Investigated and resolved payment-related issues including duplicate payments, incorrect benefit calculations, and reconciliation mismatches.
• Coordinated with internal teams, employers, HR teams, medical providers, and claimants to resolve claim-related queries.
• Handled escalations and supported resolution of high-priority and complex claims.
• Followed compliance guidelines, audit requirements, and company policies to ensure accurate claim processing.
• Contributed to process improvement initiatives focused on reducing errors and improving operational efficiency.
• Per day 3 claims Successfully processed and managed more than 3,500 disability claims during MetLife Tenure.

Underwriting Associate - METLIFE - Noida Sec-135

(2010-01 - 2014-12)

• Evaluated group insurance risks and proposals under the RFP process.
• Assessed policy risks and recommended reinsurance placement for high-risk cases.
• Calculated premiums, established client payment plans, and managed recurring billing cycles.
• Reviewed new and renewal submissions for compliance with underwriting guidelines.
• Maintained accurate records for policies, renewals, sales, and RFP documentation.
• Coordinated with agents, brokers, underwriters, and clients to provide suitable insurance solutions.
• Analyzed financial and medical information to determine eligibility and coverage options.
• Supported process improvement initiatives to enhance underwriting accuracy and efficiency.
• Maintain the Underwriting Data and Tool.

PGDCA (2007-12)

Bachelor of Commerce - Commerce (2006-12)

Senior Secondary (2003-12)

Secondary (2000-12)