Claims Analyst at Equitable Financial Life Insurance Company (2023-07 – 2025-10)
As a Claims Analyst, managed and processed claims related to Life insurance policies.
- Review and assess life insurance claims to determine validity and ensure compliance with policy terms and conditions
- Analyze documentation provided by beneficiaries, including death certificates and medical records to verify the cause of death and eligibility for claim payout
- Maintain detailed records of all claims processed, including supporting documents and communication with policyholders or beneficiaries
- Ensure all documentation is accurate and complete to facilitate efficient claim processing and compliance with regulatory requirements
- Communicate with beneficiaries, policyholders and other stakeholders to gather necessary information and provide updates on claim status
- Address inquiries and concerns related to claims, providing clear and empathetic guidance throughout the process
- Identify potential fraudulent claims by conducting thorough investigations and collaborating with other departments or external agencies as needed
- Implement measures to prevent and detect fraud, ensuring the integrity of the claims process
- Make informed decisions regarding claim approval or denial based on thorough analysis and adherence to company policies and procedures
- Collaborate with legal and compliance teams when complex issues arise, ensuring decisions are legally sound and ethically appropriate
- Participate in training and development programs to stay updated on industry best practices, regulatory changes, and technological advancements
- Contribute to process improvement initiatives to enhance efficiency and effectiveness of the claims department
Test Lead at Efftronics Systems Private Limited (2009-03 – 2014-03)
This position reported directly to the client vendor. Accountable for activities relating to enhancing end to end test planning, user experience processing designed PCBs (Printed Circuit Boards) & deliver quality products.
- Analysed client requirements and prepared Test Estimates and Test Planning
- Participated in Walk through for Test Plans and Test Cases development
- Created new or modified existing Test Case based on specification and requirements documents
- Responsible for performing Integration Testing, System & Regression Testing
- Prepare Weekly Status Report based on the Testing progress
- Coordinate with Team to get the Daily/Weekly Status and Report to the Manager
- Performed manual testing to test the different functionality of the application
- Interacted with Designer/Developer & various members of project team to discuss and resolve defects and to determine their priorities
- Preparation of Clarification document based on the Business Requirement Document and sending for resolution
Test Analyst at Efftronics Systems Private Limited (2007-08 – 2009-03)
This position worked closely with Design & Development team and plan E2E test case execution and delivered quality products.
- Participated in Walk through for Test Plans and Test Cases development
- Created new or modified existing Test Case based on specification and requirements documents
- Responsible for performing Integration Testing, System & Regression Testing
- Performed manual testing to test the different functionality of the application
- Interacted with developers & various members of project team to discuss and resolve defects and to determine their priorities
- Summarize test results and generate test analysis reports according to the documentation standards
