1. RESUME
Mr. VILAS MADHUKAR MALI
B. Pharm. Sci.
Assistant Manager
Health & Personal Accident Claims
SBI General Insurance Company Ltd.
Contact: +91 9987333243 /+917506396961 E-mail: - vilasmmali@rediffmail.com
Work Experience: -
Current Organization SBI General Insurance Co Ltd
Job Designation Assistant Manager – Personal Accident, Daily Cash Benefit and Critical
Illness Claims
Job Profile: Includes strategic role in team handling and transactional role in processing &
approval of claims
- Managing team for processing of claims for Accidental benefit claims (death & disability) under
Personal Accident & Motor Personal Accident products, Critical Illness claims, Daily Cash
Benefit claims and Micro Insurance claims.
- Approval of claims within authority limits
- SPOC for Investigations: managing investigation related activities in coordination with
Investigation team.
- Member of committee for decisions on Rejection/Repudiations/Fraud claims.
- SPOC for managing Reconsideration requests, Legal notices and Litigation cases in coordination
with respective depts.
- Managing Claims Data maintenance and sanitization through team
- Publishing various MIS and reports through team
- Active contribution in Claim Process defining/modification and Process Documentation
activities
- Have successfully delivered trainings to claims team, regional investigation teams, management
trainees and branch representatives.
Previous Organizations
Birla Sun Life Insurance Co Ltd
Service Tenure 14th
April 2008 to 3rd
March 2014
Job Designation Senior Executive – Corporate Operations Claims
Death Claims, Health Claims, Rider Claims & TPA management, TPA transition,
Reconsideration request (Life & Health), Litigation Cases (Life & Health), Training, Projects, MIS
Alembic Ltd.
Service Tenure From 27th
April 2007 to 31st
March 2008
Job Designation Field Sales Officer (FSO) - Maharashtra & Goa
Novartis India Pvt. Ltd.
Service Tenure From 1st
April 2004 to 31st
March 2007
Job Designation Sales Executive – Maharashtra & Goa
Wockhardt Ltd. (Animal Health Division)
Service Tenure From 1st
Jul. 2003 to 31st
Mar 2004
Job Designation Sales Executive – Districts Thane, Raigad & Ratnagiri
2. Achievements in curriculam tenure
• Awarded ‘Best Performance’ for period Apr to Oct’15 across all claims verticals (except Motor
claims)
• Participation in workshop on “Rational Management and Fraud Containment in Personal
Accident and Motor Third Party Claims”
• Successful completion of ‘Program - output modification’ project.
• Operations Training Certification for successful completion of ‘Level 1 (Year 2009), Level 2
(year 2010) & Training Premier League – Level 3 (Year 2011) Certification’.
• Honored with 2 “BULLSEYE” Certificates (honor among the equals) for speedy hand
delivering Mumbai Terrorist Attack Victim Claim cheque to Claimant and swift closure of
Queries and Complaints in health Team
• Awarded with X- Claims certificate (Expertise in Insurance Claims) for training on ‘HIV-
AIDS - The insurance Perspective’.
• Runner up Certificate of achievement for efforts in ‘Detailed Process Review’.
• Excellent performance in trainings & Tests conducted by External Medical Consultant.
• Certificate course in ‘Fire Fighting’.
• Attended 3 Annual AIU seminars
• Successful completion of e-learning courses as;
Course Certificate
Interpersonal Skills on Fast Track Gold
The Master Negotiator Gold
Understanding Writing Mechanics Gold
Coping with Stress Gold
Analyze Your Use of Time Gold
Managing Time Gold
Communication Etiquette Gold
Generating Creative and Innovative Ideas Silver
Sentence Constructions Gold
Windows Server 2003: Basic Concepts Gold
Getting Started with Excel 2007 Gold
Getting Started with PowerPoint 2007 Gold
Personal Details
Address for correspondence: Mr. Vilas Madhukar Mali
201, Prathamesh, Balaji Arch Complex,
Near Dream Valley, Kasheli
Thane – Bhiwandi Road, Thane (W).
Maharashtra.
Date of Birth: - 8th
September 1981 Nationality: - Indian
Religion: - Hindu Marital Status: - Married
Languages known: - English, Hindi & Marathi
3. Declaration: I hereby declare that above produced information is true and correct to the best of
my knowledge.