Experience

Gulf Union Cooperative Insurance Co.

• Saudi Arabia
• Insurance
• 1 - 100 Employee

• Medical Data-Portfolio Analyst

  • Jun 2020 - Present

  • Core responsibility includes analyzing the complete medical portfolio and provide the feedback to the Head of the Department• Responsible to provide key inputs related to Key Result Area of product performance and providing suggestion for further improvement. It includes suggestion to revise Product features, Marketing Strategy and Price mechanism. • Gathering market intelligence and playing key role in product design and product improvement• Preparing & Providing all Regulatory reports, Reinsurance Reports and Actuarial Data information as and when required.• Responsible for preparing and providing Power Bi analytical tools to the management and Department heads with indicating overall performance of the Medical Portfolio which includes segment wise loss ratio, overall product performance, suggestion and conclusion.• Contribute to the improvement and efficiency of new and existing system function.

• Underwriting Supervisor

  • Jan 2010 - May 2020

  • Responsibility to underwrite medical business with evaluating, analyzing the risk and valuating the premium for medical insurance business. • Conducting and collecting information from IMCM (In-House TPA) subject to settled claims, outstanding claims & IBNR information’s to Computing renewal / new quotation data through Actuarial Medical Pricing parameter by age band, relations, gender & offering class wise.• Assessing Document sent by Clients / Brokers for quotation for Group Health Insurance Large & SME’s group, also obtaining verification of documents and further process flow.• Co-ordination with Re-Insurance Department for monthly reporting of Bordeaux and also handling reinsurance query pertaining to underwritten business.• Quarterly analysis of loss ratio and overall policy performance and providing feedback to clients on regular basis.• Preparing Claims Experience Report Form upon client requirement on claims experience for renewal policy according to the Regulator format & procedure.• Attending meeting with clients, brokers and internal staff to adopt more efficiency & to succeed company objectives and goal. • Preparing monthly department report with inclusive production performance for number of quotations, succeed & loss business ratios, source wise quotations and comparative analysis with last periodical periods.• Closely coordination with In-house claims team, sales department & clients.

• Policy Maintenance Executive

  • Oct 2007 - Dec 2009

  • Verifying the quotation and issuing the policy as per policy terms, condition and compliance of regulatory.• Coordination with client and processing in future endorsements in system and monitoring data uploading in CCHI• Process endorsements (additions, deletions, status change or corrections) by screening and verifying required documents and issuing timely endorsement confirmation or new membership cards to client.• Prepare invoices, debit or credit advices, policy documents as needed and coordinate with brokers, agents and customers whilst maintaining appropriate records.• Maintain accurate records of all documents relating to underwriting in hard copies and on the system.• Maintain and update the policy register tracker and ensure the workflow is conducted as per the agreed timelines.• Verifying the client request and documents for completeness, accuracy.• Any Disputes in documents coordinating with clients.• Printing & Dispatching of Debit / Credit note, Medical cards to client.• Provide accurate and timely assistance to client regarding their issues on policy maintenance.• As a team member contributes in Team Performance & also getting Co-ordination from among team member.• Perform other task as assigned by Team Manager whenever necessary.



IFFCO Tokio General Insurance Co. Ltd.

• Insurance
• 700 & Above Employee

• Claim Assistant

  • 2005 - 2007

  • Collecting information about claim form insured for delegation of surveyor• Deputing the surveyor with co-ordination with corporate office• Scrutinizing the claim lodged by the client & Verifying the claim document• Claim registration & Documentation• Co-ordination with surveyor and insured for finalization of survey report• Co-ordination with corporate office for settlement of claims• Preparation & submission of MIS for each month on regular basis• Preparation of client portfolio• Maintaining & updating database for all insured including details of the claim• Regular Servicing of insured thereby maintaining good rapport with the insured



Paramount Health Services and Insurance TPA Ltd. Pvt.

• Insurance
• 100 - 200 Employee

• Jr. Executive

  • 2004 - 2005

  • Data compilation and updating database from Insurance companies.• Verification of data downloaded from e-mail sent by Insurance companies and managing of file as per requirements to avoid duplication.• Communicate with Insurance Companies offices when deficient and in complete data are forwarded to us. • Reconciliation of premiums uploaded in database on day to day basis. • Data compilation and updating database from Insurance companies.• Verification of data downloaded from e-mail sent by Insurance companies and managing of file as per requirements to avoid duplication.• Communicate with Insurance Companies offices when deficient and in complete data are forwarded to us. • Reconciliation of premiums uploaded in database on day to day basis.