Vishal Garud

Dynamic Cashless Claim Executive at Shree Samarth Mediclaim Consultancy Services, adept at enhancing customer relations and expediting claim processes. Proven ability to build strong relationship with TPAs, leading to improved turnaround times. Skilled in administrative support and team leadership, ensuring timely resolutions and client satisfaction.

Cashless Claim Executive at Shree Samarth Mediclaim Consult Services (2024-04 – Present)

• Pre-Authorization: Responsible for initiating and tracking initial approval requests to ensure timely patient admissions.
• TPA Coordination: Managed strong networking and daily coordination with major TPAs including Star Health, Niva Bupa, Modi Assist, and Raksha.
• Query Management: Expertise in resolving complex medical and technical queries raised by insurance companies to prevent claim rejections.
• Discharge Process: Handled end–end final bill submissions and obtained final approvals to facilitate smooth and timely patient discharges.
• Patient Counselling: Counselling patients and their families regarding policy inclusions, exclusions, and co-payment requirements.
• Problem Resolution: Escalated critical claim issues to TPAs, conducted root-cause analysis, and coordinated directly with hospitals for swift resolution.

SSC (10TH) (2017 – 2017)

HSC (12TH) (2019 – 2019)

BA (THIRD YEAR APPEARING) (2025)