The document provides a summary of Mir Rafikul Islam's experience working in corporate relations and operations roles within the healthcare industry in India over the past 7 years. It outlines his responsibilities managing client relationships, hospital networks, claims processing, and more for several TPAs. It also lists his education credentials in Physiotherapy and an MBA in Health Care Service Management.
1. MIR RAFIKUL ISLAM
No-690/C, 1st
Floor, 2nd
Phase, 3rd
Block, BTM 6th
Stage, Arekere, Bannerghatta Road, Bangalore -
560076, Karnataka, India
Contact: +91 9886262938, 9482882740; Email: rafikulphysio@gmail.com; Date of Birth: 2nd
Sept, 1982
HEADLINE
Corporate Relations/ Operations ~ Insurance – Healthcare Industry
SUMMARY
I am an accomplished professional offering multifaceted experience of over 7 years, displaying core
strengths in Corporate Relation (Value Added Services & Employee Benefit), Monitoring Enrollment,
Hospital Outstanding, Hospital Empanelment, Public & Private Insurance Company Empanelment, Pre-
Authorization and Reimbursement Claims Team, maintaining Client’s requirements for Insurance
Company, Brokers, Agents and Corporate Clients with SLA Quality Parameter. I have demonstrated
strengths in maintaining high standards of customer service with quality & service norms to achieve
customer and business retention.
Equipped with exemplary leadership skills, I have effortlessly infused a spirit of togetherness to create
a happy workforce that fosters collaboration and team spirit under challenging environments. In due
course of my association with Mediassit India TPA Private Limited, I have made strategic inputs to
evaluate in-place systems, processes & procedures, identify improvement areas and streamline
corporate relations/ operations. My primary objective is to oversee smooth and scheduled
implementation of established standards and minimize gaps in actual vs. required standards of team
engagement.
Entrusted with the task for various general administrative functions/ corporate operations in the
organization, I have also demonstrated exceptional skills in handling corporate clients and effective
management. The intent is to ensure smooth operations with valuable inputs for process
improvement while tracking flaws and drawing inputs to realign strategies for suave running of the
unit. I have been a key contributor in organizational development and strategic decision making
processes through effective utilization of outstanding communication, leadership, training, planning,
management and motivational abilities. Now at this stage, I intend to expand my footprints as an
ambassador of change and creating high caliber teams to successfully meet and exceed company
objectives.
SKILLS
Strategic Planning Operations Management General Administration Liaison/Coordination Training
& Development Report Development Versatile Leadership Strong Interpersonal Skills
EXPERIENCE
Organization – Mediassit India TPA Private Limited, Bangalore, India, since Dec 2014
2. Title – Manager - Corporate Relations (Corporate Operations)
Responsible for handling Corporate Relation (wellness activity of corporate client and value added
services, employee benefit), Monitoring Enrollment, hospital outstanding, Hospital Empanelment,
Public and Private Insurance Company Empanelment, Pre-Authorization and Reimbursement Claims
Team and also maintaining Client’s requirements for Insurance Company, Brokers, Agents and
Corporate Clients with SLA Quality Parameter, data analysis, addition and deletions and premium
calculation.
Strategizing and implementing long term organization goals to ensure maximum profitability in line
with organizational objectives.
Pioneering efforts across effective communication within the organization for strategic deployment
of plans & policies; deftly managing whole gamut of Corporate Operations.
Effectively discussing the strategies and other required information while building collaborative
environment with the top management & advisors and reporting about the ongoing activities.
Organization – Vipul MedCorp TPA Private Limited, Bangalore, Nov 2010 – Dec 2014
Title – Dy Manager Corporate Relations (Corporate Operations)
Responsible for handling a team and regularly monitoring the progress of work flow and the
documentation in MIS.
Processed cashless and reimbursement claims of both private and public sector insurance
companies, claim reviewing, TAT monitoring, etc.
Involved in claims processing & benefit administration software management of member
enrollment, provider networking database, instant and accurate information to call centers,
generate flexible reports & adjudicate claims/cashless.
Accountable for designing Health Risk Assessment Tools & virtual wellness consulting Programs.
Accountable for designing employee wellness programs and conducting wellness workshops, health
talks, camps for corporate clients.
Handled claim and cashless processing TAT management & back office operations and hospital
networking.
Coordinating with insurance organizations, hospitals and customers regarding settlement of issues.
Ensured re-establishing the process of claim/customer servicing. Built Relationships with New
Clients/hospitals.
Researched New Contacts and Company Opportunities. Accountable for billing and analysis of
monthly invoicing.
Participated in client interactions for knowledge transfer, updates, review meetings, Market
research, Mapping and Analysis.
Handled and maintained CSM Team Activity like resolving the quires of the customer, Broker and
the Insurance Companies, Addition/Deletion/Correction Endorsement and Policy Copy of the
Corporate, Cards (Physical/e-Cards), MIS and Claim Ratio.
Organization – Manav Charitable Hospital (MCH), Bangalore, Jul 2009 – Jul 2010
Title – Senior Physiotherapist
3. Organization – Beyond Infinity Multispeciality Physiocare, Bangalore, Oct 2006 – Sept 2007
Title – Physiotherapist
Organization – Manipal Hospital, Bangalore, Feb 2006 – Aug 2006
Title – honorary Physiotherapist
ADDITIONAL EXPERIENCE
Visited IT companies as a consultant physiotherapist, treated patients with repeated stress injuries,
low back aches, conducted ergonomic workshops, etc.
Worked with disabled children at "Marthoma School, Bangalore", during internship as a rehab team
member. Treated kids with cerebral palsy, dystonia, ataxia, etc.
Presentation on posture related disorders, ergonomics etc.
EDUCATION
MBA (Health Care Service Management), 2013
Institute of Business Management and Research (IBMR), Bangalore, SMU, 66%
Master of Physiotherapy (MPT), 2009
Garden City college Of Physiotherapy, Bangalore, Rajiv Gandhi University of Health Sciences, Bangalore,
60%
Bachelor of Physiotherapy (BPT), 2005
Garden City college Of Physiotherapy, Bangalore, Rajiv Gandhi University of Health Sciences, Bangalore,
62%
Diploma in Health Insurance
Insurance Institute of India (III)
MEMBERSHIP
Indian Association of Physiotherapists (IAP), Life Membership