1. Bhupender Kumar
PHONE: +971 559012078
EMAIL: kumarbhupender31@gmail.com
__________
Career Objective:
Seeking assignments in Healthcare or related Operations in a progressive organization in the
field of Medical Insurance by utilizing my skills, experience based on my proven career
records.
Core Competencies
● Ability to maintain the records & review them.
● In-depth knowledge of medical terminology in relation to diagnoses and procedures
● Possess good communication and excellent listening skills.
● Strong positive attitude
● Deep knowledge of the claim processing technicalities
● Comprehensive knowledge of the Insurance terms & policies
● Well versed with IT skills such as MS-Office (Word, Excel, PowerPoint)
Professional Experiences
Genpact (2009-Present)
Genpact Dubai (For US Health Insurance Client)
Insurance Coordinator (2015- Present)
● Liaison for client and insurance company including claims processing
● Coordinatingwithdepartment staff to research, identify and provide solutions to client
and brokers
● Internal coordination to ensure that the claims are accurately and timely processed
● Working in accordance with the UAE insurance authorities law
● Handling calls and correspondence of clients
● Providing resolution for queries pertaining to claims, benefits and general inquiries
● Giving approvals as per the policy terms and conditions
● Handling escalations/complaints and providing resolution
Genpact India (For US Health Insurance Client)
ClaimsAdjudication(2012- 2015)
● Adjudicationof 30 to 40 claims (Aetna members) against the target of 24 claims on daily
basis with an approval limit of 20000 USD
● Assessed70to 80 claims (Aetnaproviders) with highest accuracy against the daily target
of 60 claims
● Managing the Inventory & TAT for the Dubai Members and Providers database
● SPOC for all NASCO and Aetna staff claims
● Adjudicationof MOFA (Morocco) memberandproviderclaimswithhighestquality scores
● Handled the escalated and aged member claims sent on priority
● Processed claim forms, adjudicates for provision of deductibles, co-pays, co-
insurance and provider settlements

2. ● Applying medical necessity guidelines, determine coverage, complete eligibility
verification, identify discrepancies and fraud
● Deliveredtimelyservice tothe members,providers,billingdepartmentsonthe subject of
claims
● Single point of contact for managing the issue log for the escalated items
Genpact India (For UK Health Insurance Client)
Personal ClaimsTeam (2009- 2012)
● Processed medical claims of provider who were generating maximum revenue for the
clients.
● Assessed 140 to 160 claims on daily basis against the target of 120 claims as per policy
terms and conditions
● SME for new hires
● Mentored new hires during their training period for processing claims
● Selected as member of audit pool by end client from UK for auditing and marinating
process accuracy and QA checks
● Worked on different kinds of MIS reports.
● Discussed production and Quality on weekly calls with onshore clients
IBS India (2007- 2009)
CustomerServicesRepresentative
● Worked in the domestic call center for handling customer calls
● Floor Supervisor for handling escalated calls
Achievements &Awards
● One Silver award for outstanding performance
● Three Bronze awards for consistency in performance and taking extra initiatives
● Have implemented 2 Lean Projects for the betterment of the Process and got Lean Ace
Certified.
Educational Qualification
● Bachelor of Arts (Mathematics) from Delhi University
Personal Details
Nationality: Indian
Fathers Name: (Late) Mr. Chiranji Lal
Proficient Languages: English and Hindi
Passport Number: K1098495
Address: Apartment1114, AB plaza9, A block,Al Nahada1, Dubai
DOB: 03rd
October1985