1. Chandra Prakash
Address: 680, Street No.23, Madangir DDA Flats, New Delhi-110062
Contact Number.8860987468; Email ID:cpchandraprakash1@gmail.com
Professional with 10 Plus years of General Insurance experience,
Health Insurance Industry Knowledge ~ Target Achievement ~ Operations ~ Relationship Management
Client servicing ~ Negotiation & Liaisoning ~ Training & Team Management, Resolving customer queries &
complains
 More than10 Plus years of experience in General Insurance Claims Management. Presently
Working as Manager - Operations with M/S Reliance Composite Insurance Broking Services Pvt.
Ltd., Karol Bagh since 29th
August11 to till date, managing Health, Travel, Personal accident &
Group Term Life, resolving customer’s complainants, queries and other Misc claims. Handling a
team of 4 people, coordinating with all major TPA & Liaisoning private & Public Sector Insurance
Company.
 Job Profile: Reliance Composite Insurance Broking Services Pvt. Ltd
 Relationship Management / Client Servicing:
 Relationship Management, maintaining & strengthening Relationships with major Customers /
Clients in target organizations for Business Development.
 Efficiently handled & resolved Customer Queries & Grievances, ensuring Customer Satisfaction
and also ensured TAT of all Payments & Enquiries assigned by the Company.
 Listening to customers queries, complains & resolving them on day to day basis.
 Doing GMP, GPA & GTL Presentation in Corporate Premises to all employees & hr. in reference to
how to use & avail benefits.
 A brief Summary for exclusions, Inclusion & the about policy coverage.
 Arranging Health Camp ones in Year for Major Corporate as per there requirements to their Pan
India all
Major Locations.
 An accomplished Domain Specialist integrating 10+ years of experience in Health Insurance.
 Apart from EB product also taking care of RFQ, Quotes of Fire, P.I., EDLI, Burglary & other assets
Insurance Policies.
 Taking care of Retention of all EB & Non EB Policies
 Since 15th
Oct 15 RCIBL is known Transasia Composite Insurance Broking Ltd
 Worked as Assistant Manager - Operations with M /S Unison Insurance Broking Services Pvt.
Ltd., Gurgaon, since 18th
August11 to 28th
August 13 managing employee benefits policies,
taking care of customer’s complainants, queries and other Misc claims. Handling a team of 2
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2. people, coordinating with all major TPA & Liaisoning private & Public Sector Insurance
Company.
 Job Profile: Unison Insurance Broking Services Pvt.Ltd. (Gurgaon)
Relationship Management / Client Servicing:
 Relationship Management, maintaining & strengthening Relationships with major Customers /
Clients in target organizations for Business Development.
 Efficiently handled & resolved Customer Queries & Grievances, ensuring Customer Satisfaction
and also ensured TAT of all Payments & Enquiries assigned by the Company.
 Listening to customers queries, complains & resolving them on day to day basis.
 Doing GMP, GPA & GTL Presentation in Corporate Premises to all employees & hr. in reference to
how to use & avail benefits.
 A brief Summary for exclusions, Inclusion & the about policy coverage.
 Taking care of EB Policies Retention.
 Worked as Assistant Manager - Claims with M/S Emedlife Insurance Broking Services Ltd., from
22nd
May 2006 to 17th
August 2011,N.Delhi,
 Proficiency in various Standard & Tailor Made Health policies (individual & Group), exposure to
Health Claims (including Cashless and Reimbursement),
 Experience of working with Electronic and Manual Claims Processing Systems, Sound Medical
Knowledge, deductibles, coinsurance, and co-payment.
 An efficient Communicator possessing sound Analytical Ability, Decision Making, Report Writing
and interpreting Information Skills. Seeking to be an effective catalyst in motivating & team
building through value added initiatives, customer orientation, dedication and positively
contributing to the overall organizational growth and enhancement.
Target Job – Operations / Claims / Technical / Hospital Networking/Quality Assurance
Target Sectors: Insurance (Health / General) / BPO (Healthcare Services)
Job Profile:
 M / S Emedlife Insurance Broking Services Ltd.
• Reporting to Branch Manager and looking after Claims and gained exposure in various activities.
• Guided a team of 3 people, monitoring overall activities related to claims.
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3. • Involved in identifying high-risk cases and informing the same to underwriting people, conduct
weekly audits assuring the quality of claims.
• Analyzed Inflationary Trends in medical costs, by providing statistics gathered from claims
experience on different medical providers and to develop reasonable and customary charges per
treatment.
• Conducted Trainings for newly recruited members, mentored Team Members and monitored the
Team Performance to ensure efficiency in Process Operations and meeting Individual & Group
Targets.
 Worked As Executive with M/S Genins TPA Ltd. Noida` from February 2005 to April 2006.
• Handled & resolved the queries of the Providers & Insured Clients.
• Proficiency in various Standard & Tailor Made Health policies (individual & Group), exposure to
Health Claims (including Cashless and Reimbursement),
• Quick resolution of corporate query & Concern.
Career Overview
Operations Management:
• Successfully analyzed Claims and provided suggestions on Healthcare Insurance Policy Coverage.
• Established Process of the Claims Administration starting from receiving, verifying eligibility of the insured,
processing, adjudicating and preparing the recommendations for settlement of the claims.
• Recognized for handling emergency situations by introducing contingent plans, known for sound
knowledge in customer service also effectively coordinated with Intra-Company and Inter-Company
Customers.
Team Management:
• Involved in HR & Recruitment activities, appointing new staff in Claims and Customer Service Dept. and
Training & Mentoring Staffs including Performance Appraisal & providing feedback.
• Guiding Team Members in achieving Targets, ensuring efficiency in Process Operations, meeting
individual & group targets and recognized for fostering a dynamic environment enhancing Business
Development opportunities and Productivity amongst Team Members.
Achievements:
• Successfully reduced Claims cost for a better loss ratio.
• Effectively managed all types of claims (Cashless & Reimbursement).
• Instrumental in successfully handling Reimbursement Claim.
• Successfully conducted Training for Processors and Doctors for efficiently processing various Healthcare
Claims.
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4.  Worked as a Team Leader with Tata Indicom, Kamla Nagar, Delhi. Since June 2004 to January
2005.
 Worked as a Free Lance Russian Interpreter for different companies, Tour & Travels, since
September 2002 to May 2004.
Educational & Professional Qualifications / Certificates
Degree/Certificate
Master Degree (M.B.A.) in
Insurance
University of Board
E.I.I.L.M. University, Sikkim.
Bachelor Degree in Computer Yerevan State Engineering University of Armenia (Country
-Armenia).
XIIth Govt. Boys Senior Secondary School, R K Puram,Sector VI,
New Delhi
CBSE.
Xth K R High School, Bettiah, Dist.West Champaran,
Bihar Board of Secondary Education.
Personal Information
Name : Chandra Prakash
Date of Birth : 3rd
January, 1974
Marital Status : Married
Hobbies : Reading Books, Listening Music
Languages Known : English, Hindi, & Russian
Nationality : Indian
Date
Place- New Delhi ( Chandra Prakash )
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