Rucha Shinde

Medical claim processor with a BDS degree and experience in health insurance claim processing, strong knowledge of medical terminology, claim verification and policy compliance. Skilled in accurate documentation and review while meeting quality and turnaround time

Senior Executive at MDIndia Health Insurance TPA Pvt. Ltd. (2025-04 – Present)

• Processed and audited health insurance claims in accordance with policy terms, IRDAI and Nippa guidelines
• Verified claim documents including bills, discharge summaries, investigation reports and policy coverage details
• Conducted reimbursement claim reviews for accuracy, eligibility and compliance
• Prepared accurate audit reports, summaries and maintained claim records in the system
• Handeled claim escalations and supported fraud detection through detailed analysis and review
• Achieved consistent adherence to turnaround time and quality benchmark

General Dentist at Dr. Trimbake's Dental Clinic (2017-10 – 2023-03)

• Successfully treated 700+ patients via restorative dentistry procedures, including fillings, crowns, veneers, dentures, periodontal therapies, and extractions
• Managed diverse aspects of general dentistry in a high-grossing practice
• Conducted comprehensive, periodic, and emergency health check-ups, consistently prioritizing patient education and oral health
• Diagnosed and presented tailored treatment plans using radiographs, photographs, impressions, and models

Bachelor of Dental Surgery in Dentistry – Maharashtra University of Health Sciences (2017)

Higher Secondary School – University of Pune (2012)

Secondary School – University of Pune (2010)