Dr Jayant Waghule
Segment Incharge- Provider Networks Claims at Zuno General Insurance- Claim this Profile
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Bio
Experience
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Zuno General Insurance
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India
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Insurance
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200 - 300 Employee
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Segment Incharge- Provider Networks Claims
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Jan 2021 - Present
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Liberty General Insurance
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India
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Insurance
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700 & Above Employee
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Manager Provider Networks and Wellness
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Aug 2018 - Jan 2021
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Reliance General Insurance
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India
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Insurance
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700 & Above Employee
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Provider Management Manager
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Apr 2014 - Aug 2018
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Bajaj Allianz General Insurance
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India
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Insurance
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700 & Above Employee
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Zonal Health Network Incharge
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Apr 2012 - Apr 2014
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Future Generali India Insurance Company
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Pune Area, India
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Executive Claims And Networking
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Sep 2010 - Apr 2012
Responsible for management of health claims Responsible for maintaining good settlement ratio without compromising quality Responsible for identifying and thereby investigating fraudulent claims Visiting network hospitals for cross verification of the claim documents Ensuring quality of claims processing & Minimizing queries and grievance of claims Maintain regular communication with allocated accounts and senior management to ensure that goals are being achieved Manage expectations on provider front to ensure smooth and efficient flow of information and thereby maintain relationship at highest levels of satisfaction Show less
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Medi Assist
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India
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Hospitals and Health Care
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700 & Above Employee
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Hospital Networking
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Jul 2008 - Sep 2010
Responsible for establishing tie-ups with Hospitals all over Maharashtra excluding Mumbai for Cashless admissions/procedures of the insured Responsible for gradation of hospitals as per zones of cities and determining rates and Packages for medical and surgical procedures with all Hospitals pertaining to Maharashtra Monitoring cashless procedures from the period of pre authorisations to claim settlement Attending and settling grievances arising post settlement of Cashless Claims. Monitoring Pre Policy and Pre Employment check ups as a VAS activity. Show less
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Medical Officer
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May 2007 - Jul 2008
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Education
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PUMBA
MBA -
Dr D Y Patil College of Ayurvedic Medicine and Surgery
BAMS, Medicine