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Risk Consulting & Advisory Services
        Insurance Sector



RiskPro India Ventures (P) Limited
        New Delhi, Mumbai, Bangalore




                        1
Who is Riskpro… Why us?


                 ABOUT US                                                    MISSION
   Riskpro is an organisation of member firms
    around India devoted to client service                   Provide integrated risk management
    excellence. Member firms offer wide range                 consulting services to mid-large sized
    of services in the field of risk management.              corporate /financial institutions in India
   Currently it has offices in three major cities           Be the preferred service provider for
    Mumbai, Delhi and Bangalore and alliances                 complete Governance, Risk and Compliance
    in other cities.                                          (GRC) solutions.
   Managed by experienced professionals with
    experiences spanning various industries.




         VALUE PROPOSITION                                            DIFFERENTIATORS
   You get quality advisory, normally delivered
    by large consulting firms, at fee levels                  Risk Management is our main focus
    charged by independent & small firms
                                                              Over 200 years of cumulative experience
   High quality deliverables
                                                              Hybrid Delivery model
   Multi-skilled & multi-disciplined organisation.
                                                              Ability to take on large and complex projects
   Timely completion of any task                              due to delivery capabilities
   Affordable alternative to large firms                     We Hold hands, not shake hands.

                                                      2
Risk Management Advisory Services

           Basel II/III Advisory               Corporate Risks                            Information Security
              Market Risk                        Enterprise Risk Assessment                IS Audit
              Credit Risk                        Fraud Risk                                Information Security
              Operational Risk                   Risk based Internal Audit                 IT Assurance
              ICAAP                              Operations Risk                           IT Governance
                                                  Forensic services
SERVICES




           Operational Risk                    Governance                                 Other Risks
              Process reviews                    Corporate Governance                      Business/Strategic Risk
              Policy/ Process Review             Business Strategic risk                   Reputation Risk
              Process Improvement                Fraud Risk                                Outsourcing Risk
              Compliance Risk                    Forensic Accounting                       Contractual Risk
              Insurance Risk



                              Training                                                  Recruitment

                      Banking – E Learning                                        Virtual Risk Managers
                      Corporate Training                                          Full Time Risk Professionals
                      Regular Risk Management Training                            Part time Risk Professionals
                      Online Training material                                    Risk Managers on call – free
                      Workshops / Events




                                                            3
Insurance Industry Prologue…                                             How we Do


    Insurance industry has seen numerous changes in recent past with increased
     players, products mode of distribution, regulatory changes, technological
     improvements with a moderate healthy growth.


    Key stakeholders in insurance industry include- insurers, corporates, brokers,
     TPA’s and surveyor’s who run the entire cycle of acquisition to settlement
     process of clients.


    Key risks arising in today's fast-paced, ever-evolving world will have to be
     managed through effective risk management in insurance solutions to clients.


    Emerging challenges continue to impact insurance industry in form of De-
     regulation, Global markets impact, Self insurance need & Market driven
     pricing.



                                             4
Riskpro
Insurance Risk Management Services – Generic Offerings                      Service Offerings


                     Value Proposition

 •Risk           •Risk Reporting              •Industry
 Inspection                                   Benchmarking

 •Insurance      •Training services-          •Due Diligence –
 Manuals         Processes/ Claims            Current
                 handling                     Insurances

 •Risk           •Risk Audits-                •Indemnity
 Evaluation      Coverage/Exclusions/         Advisory and
                 covenants                    Renewals            ‘We at Riskpro help cover
                                                                      entire spectrum of
 •Valuation of   •Claims Management as        •Insurance         insurance risk management
 Capital         per T&C valuation/ liaison   Market trends/
                                                                      solutions for your
 Assets for      with surveyors for quicker   Regulatory
 loss coverage   disbursement                 compliances-              organization’ !
                                              IRDA, ICDR,
                                              SEBI.



                                                   5
Insurance Risk Advisory Services




*This presentation and its contents in part or whole should not be copied or distributed to anyone.
                                                                            6
Focus areas for Insurance Risk advisory services                                              How we Do


    Identification of Internal & External             Insurance Industry Continues to Respond to Risk Dynamics
     Pure Risks
         Existing Risk Control Measures
          Review
         Risk inspection
         Risk Audit

    Scrutiny of Existing Insurance Covers                                                  Dynamic       ERM &




                                             Risk
                                                                                            Financial    Economic
          Coverage                                                                         Analysis      Capital
          Rates & Deductibles
                                                                               Cash flow
          (Compulsory self insurance)                                           testing                  Cash flow
                                                                                                          testing
                                                                    ALM
    Defining Standard SOP for Claims                                                                      ALM
     Control
                                                     Traditional                                         Traditional
         Guidelines on documentation                   Risk                                                Risk
                                                    Management                                          Management
                                                                                 Time




                                                             7
Key Industry Risks Focus Areas…   How we Do




                              8
Key Risks Services Overview                                               How we Do

                          •Accidental damage    •Insured perils         •Policy coverage
                          evaluation            inclusion               advisory for
                                                                        premises / F&F
                          •Sum insured          •Claims processing
                          calculation           and FSR



                          •Regulatory changes   •Investing in Risk      •Loss control for
                          & Impact              management              Credit Risk
                          • Actuarial Risk      •Systematic Risk of     •ALM- Liquidity Risk
                                                Liabilities


                          •Risk Survey &        •Operations Risk          •Product launch
                          Analysis through      management-               risks analysis
                          documentary review    Employees/Contractual
                                                parties/Third parties
                          •Non fulfillment of
                          contractual
                          obligations &
                          recourse


                          •Employee Benefit     •Workplace risk         •Expatriate risk
                          Risk impact           analysis
                          •Personal accident
                          coverage
                                    9
Risk Category Solutions…1/4                                                         How we Do




 Employee Benefits Insurance                               Value Proposition


                               Portfolio Analysis       Program Analysis         Plan implementation
 Group Health Benefits
                               •Evaluation and          •Optimize the benefits   •Endorsement
 Group Accidental Benefits     assessment of cover      program with             tracking & Monthly
                               over premium spends      established              Data Reconciliation
                                                        benchmarks
 Life Insurance Benefits
                               •Comprehensive           •Cost optimization       •Claims Advisory,
                               analysis for             through vendor           Control and
 Retirement Benefits           competitiveness and      relationship and         Management
                               cost-benefit             volumes handled
                               •Review of prior claim   •Optimizing              •Monthly report card
                               and losses to identify   administrative time      benchmarking
                               trends & issues          and workload             performance against
                                                                                 SLA
                               •Funding Alternatives    •Optimizing
                               Analysis                 communication




                                          10
Risk Category Solutions…2/4                                                   How we Do




         Liability Insurance                        Value Proposition


                                  Risk Assessment   Risk Presentation &       Plan Design
 Commercial General liability     & Claims          Administration
                                  •Exposure         •Information gathering    •Coverage
 Product liability                identification    for underwriter’s         Design

 Public liability                 •Risk retention   •Presentation of risk     •Peer
                                  advisory          to market                 benchmarking
 Retirement Benefits
                                  • Claims          •Negotiating with         •Monthly report
                                  management        insurer’s for optimum     card
 Employment practices liability                     coverage/ price           benchmarking
                                                                              performance
 Public offerings of securities                                               against SLA
                                  • Assistance in   •Policy structuring for
                                  claims            right pricing
                                  documentation




                                     11
Risk Category Solutions…3/4                                            How we Do




      Project Insurance                         Value Proposition



 Contract Risk Management      •Contractual        •Contractual risk   •Competitive
                               Obligations         flows               stress
 Peer Benchmarking             •Technological      •Regulatory         •Risk presentation
                               Development         requirements        to credit analysts
 Underwriting to reinsurers    •Insurer /          •Insurance          •Claims Advisory,
                               Reinsurer carrier   advisory            Control and
 Strategic Claims              selection                               Management




                              12
Risk Category Solutions…4/4                                                                               How we Do



       Claims Handling Services                                                     Value Proposition

 •Claims resolution                     •Loss assessment                            •Documentation and support for right
                                                                                    compensation
 •Compelling presentation of client’s   •Client on-site support as solution         • Best overall value for quick and
 claims                                 provider                                    capable claims cycle management
 • Understanding existing processes,    • Notification of all Claims and Claim      •Coordination and guidance in
 philosophies, service needs and        circumstances to the appropriate            submission of all Claims related
 challenges in Claims handling          insurers                                    documents


 •Management of complex claims          •Consultation and advice on coverage        •Assistance in Claim settlement
                                        questions prior to Claim notification and   negotiation
                                        issues likely to arise post Claim
                                        notification
 • Maintaining Claim records            • Producing Claim reports and analysis      • Creating efficient, effective, and pro-
                                        as required                                 active strategies to reduce Claim costs
                                        • Providing Claims review meetings on       and mitigate exposures
                                        regular basis




                                                              13
Insurance Claims Management Process                                                 How we Do




                                                                 -Assisting client in registering
  - Interaction with surveyor for      Insurance Firm              claim with Insurance Company
    a) Survey of Loss
                                                                 - Collection of loss details to
    b) Assessment of loss
                                                                 organize insurance Survey
    c) Finalization of report
                                                                 - Preparation of claim papers once
    d) Early issuance of report to
                                                                    survey is over
       Insurance Company

                                            Riskpro                          Client
           Surveyor

                                     Follow up with Insurance
                                     firm for claim settlement




                                                    14
Insurance Broking Services




*This presentation and its contents in part or whole should not be copied or distributed to anyone.
                                                                           15
Composite Insurance Broking Services- Individuals & Corporates                   How we Do


Functional Definition : An insurance broker ( or agent) sells, solicits or negotiates insurance
for its clients with a compensation percentage. Riskpro offers a wide spectrum of broking
services covering your enterprise needs with optimal risk solutions & advisory.


                                                                     Mortgage redemption
            Saving’s Plan              Term Insurance Plan
                                                                            Plan




       Hire Purchase Risk cover      Keyman Insurance cover        Supplementary Executive
                 Plan                      to HNI’s                    Retirement Plan




       Rider & Claim Settlement      Group term insurance for      Group Gratuity Schemes
               Advisory                    employees                /Deposit linked Plans




                                      Group superannuation
                                            Benefits


                                                 16
Insurance Risk Training – We Address your FAQ’s                                      How we Do


 What is Insurance product and what is suitable for me.
 What extent of insurance cover I should take depending on potential loss event and risk
  exposure.
 How to negotiate Insurance claim for total Loss claim.
 Scrutiny of major insurance policies for applicable premium, any relevant discounts,
  warranties, clauses and conditions.
 Guidelines advisory for fixing sum insured.
 Evaluation of business interruption exposure due to known risks.
 Guidelines for documentation fulfillment , procedures for claims under policies.
 What are different payment options for my insurance policy.
 Life insurance regulations for NRI’s.
 Policy servicing- Nomination procedure




                                                 17
Insurance Training - Areas & Services                                         How we Do


Riskpro offers unparallel array of insurance training services by our industry experts
team with decades of experience combined with deep insight of insurance business
model and needs of staff training as per changing market, regulatory, customer life-
cycle aspects.

                                  Reinsurance & Various
                                                             Underwriting business
       Introduction/Concepts       Risks Management
                                                                  workflows
                                         training


        Types of Insurance
                                  Regulatory Framework
        Plans for customer                                      Policy servicing
                                    and Compliances
            segments



                                   Insurance portfolio        Risk Management &
       Claims management
                                  management services             Monitoring



                                   Designing Business
                                   strategic insurance
                                        programs

                                              18
Riskpro Clients                                                                        Our Clients




*Any trademarks or logos used throughout this presentation are the property of their
respective owners
                                                               19
Team Experiences                                                                  Our Experiences




                  Our team members have worked at world class Companies
 *Any trademarks or logos used throughout this presentation are the property of
 their respective owners
                                                             20
Team Experiences - Insurance Sector                                               Our Experiences




                  Our team members have worked at world class Companies
 *Any trademarks or logos used throughout this presentation are the property of
 their respective owners
                                                             21
RESUMES – Our Team                                                                     Credentials

                 Co-Founder - Riskpro
                 CA, CPA, MBA-Finance (USA), FRM (GARP)
 Manoj Jain


                 Over 10 years international experience – 6 years in Bahrain and 4 years USA
                 15 years exp in risk management consulting and internal audits, Specialization in
                  Operational Risk, Basel II, Sox and Control design
                 Worked for Ernst & Young (Bahrain), Arab Investment Company (Bahrain),
                  Navigant Consulting(USA), Kotak Mahindra Bank (India) and Credit Suisse(India)
                 Sox Compliance project for Fannie Mae, USA ( $900+ Billion Mortgage Company)


                 Co- Founder - Riskpro
                 CA (India), MBA (Netherlands), CIA (USA)
 Rahul Bhan




                 Over 15 years of extensive internal and external audit experience in India and
                  abroad.
                 Worked with KPMG United Arab Emirates, PKF South Africa, Ernst and Young
                  Kuwait, Deloitte Netherlands and KPMG India.
                 Worked with clients in a wide variety of industries and countries including trading,
                  retail and consumer goods, NGO, manufacturing and banking and finance. Major
                  clients include banks, investment companies, manufacturing organizations,
                  aviation etc.


                                                      22
RESUMES - Our team                                                                                Credentials


                     Co-Founder - Riskpro
 Casper Abraham

                     PGD (Electrical & Electronics & Computer Programming)
                     30 years of experience in Information & Communications Technology (ICT) Solutions
                      for Retail, Garments, Manufacturing, Services Industries.
                     Has created Companies, Divisions, Products, Brands, Teams & Markets.
                     Consulting in Business, Technology, Marketing & Sales & Strategic Planning.
                     Advisory, Training, Workshops & Implementation in Systems Thinking, Systems
                      Modeling & Balanced Scorecard
                     Worked with TIFR, Mahindra, Ambience, Communico-Graphique & Ionidea Inc, USA,

                     Vice President – Risk Management
                     MBA, PDFM, NSE-NCFM, PMP, CSSGB,Trained ISO 9001:2000 I.A,GARP-FBR, ITIL
 Hemant Seigell




                     Professional with 17 years of rich experience into diverse Consumer finance/ Lending
                      operations ,Risk Management,BPMS, Consumer Banking, NBFC, Management Consulting &
                      Housing finance in BFSI industry having successfully led key business strategic
                      engagements across multi-product environment in APAC, Australia and US regions.
                     Worked with GE, ABN AMRO Bank, Citigroup, Accenture, Deutsche Postbank
                     Highly skilled and expert Trainer in Risk areas across Fraud, Credit, Operational, Corporate
                      Risk management, GRC.
                     Specializes in Fraud Control, Compliance QA ,ERM and Regulatory governance.




                                                             23
RESUMES - Our team                                                                              Credentials


                    Head - Insurance Risk Advisory services
                    B.sc, Associate of Indian Institute of Insurance
                     Licensed Category A Insurance surveyor
 R. Gupta


                 

                    26 years of experience in Insurance advisory services, Loss adjusting for large
                     corporates,Claims management.
                    Has assessed more than 4500 high value insurance claims across various industry
                     sectors.
                    Risk management inspection
                    Valuations of fixed assets for insurance purpose.


                    Head - Human Capital Management
 Nilesh Bhatia




                    Chartered Accountant, Lead Assessor ISO 9000, Six Sigma Trained, Trained on Situational
                     Leadership, Trained on interviewing skills and Whole Message Model.
                    Over two decades of international, multi-cultural experience in finance and human resources
                     viz. internal audit, accounting operations, accounting process review & re-designing, risk
                     management, business solutioning, six sigma projects, talent acquisition, talent retention,
                     organization design/redesigning, compensation and appraisal processing, employee and
                     customer satisfaction surveys, knowledge management and finance services.
                    Worked with Citicorp/MGF, India Glycol, Delphi, American Express India, American Express
                     USA, Fidelity International and Macquarie Global Finance Services India.



                                                            24
Our team                                                                                          Credentials

                     Co-founder- Riskpro
 Rajesh Jhalani

                     B.Com, FCA
                     Senior Partner with 48 year old Delhi based Chartered Accountant firm, Mehrotra
                      and Mehrotra
                     Over 19 years of experience in the field of Audit, Taxation, Company law matters.
                     Major clients served are NTPC, BHEL, Bank of India, PNB, Airport Authority of
                      India etc.



                     Specialist Risk Consultant – ERP & IT Compliance
                     SAP Certified, MBA (Finance), SAP Security trained (from SAP India), SAP GRC Access
 Gourav Ladha




                      Controls trained (from SAP India)
                     Over 7 years of experience working in the area of ERP/IT Risk advisory, primarily focusing
                      on SAP, for ‘Fortune 500’ clients in around 8 countries including US, UK, UAE, Hong Kong,
                      etc
                     Specializes in SAP Risk & Controls Advisory, SAP Business Process Controls Audit, SAP
                      Security & Segregation of Duties Control Audit, ERP Trainings,
                     Strong Industry experiences ranging from Beverages, Insurance, Energy, FMCG,
                      Pharmaceutical, Retail, Telecommunication to IT Services
                     Worked for risk advisory teams of reputed organizations like Ernst & Young, EXL Services



                                                             25
Key Contacts and Locations (India)

 Corporate                           Mumbai                         Delhi                       Bangalore
    Riskpro India                    Manoj Jain                     Rahul Bhan                  Casper Abraham
 Ventures (P) Limited                Director                       Director                    Director
                                     M- 98337 67114                 M- 99680 05042              M- 98450 61870
                                     manoj.jain@riskpro.in          rahul.bhan@riskpro.in       casper.abraham@riskpro.in
     info@riskpro.in
     www.riskpro.in                  Shriram Gokte                  Hemant Seigell
                                     Principal - Information Risk   VP – Risk Management
 C 561, Defence Colony               M- 98209 94063                 M- 99536 97905
   New Delhi 110024                  shriram.gokte@riskpro.in       hemant.seigell@riskpro.in


 Ahmedabad                           Pune                           Agra                        Gurgaon
 Maulik Manakiwala                   M.L. Jain                      Alok Kumar Agarwal          Nilesh Bhatia
 Associate Firm                      Principal – Strategy Risk      Associate Firm              Head – Human Capital
 M - 91 98256 40046                  M- 98220 11987                 M- 99971 65253              M- 98182 93434
                                     mljain@riskpro.in                                          nilesh.bhatia@riskpro.in
 Gourav Ladha
 Sap Risk Advisory
 M- 97129 52955

 Salem                               Ghaziabad
 Chandrasekaran                      R Gupta
 Recruitment Franchisee              Head – Insurance Risk
 M - 91 9443 599132                  M- 98101 07387



Copyright- © 2012 RiskPro ,India .All rights reserved.
                                                                       26

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Riskpro Insurance Services Ver5

  • 1. Risk Consulting & Advisory Services Insurance Sector RiskPro India Ventures (P) Limited New Delhi, Mumbai, Bangalore 1
  • 2. Who is Riskpro… Why us? ABOUT US MISSION  Riskpro is an organisation of member firms around India devoted to client service  Provide integrated risk management excellence. Member firms offer wide range consulting services to mid-large sized of services in the field of risk management. corporate /financial institutions in India  Currently it has offices in three major cities  Be the preferred service provider for Mumbai, Delhi and Bangalore and alliances complete Governance, Risk and Compliance in other cities. (GRC) solutions.  Managed by experienced professionals with experiences spanning various industries. VALUE PROPOSITION DIFFERENTIATORS  You get quality advisory, normally delivered by large consulting firms, at fee levels  Risk Management is our main focus charged by independent & small firms  Over 200 years of cumulative experience  High quality deliverables  Hybrid Delivery model  Multi-skilled & multi-disciplined organisation.  Ability to take on large and complex projects  Timely completion of any task due to delivery capabilities  Affordable alternative to large firms  We Hold hands, not shake hands. 2
  • 3. Risk Management Advisory Services Basel II/III Advisory Corporate Risks Information Security  Market Risk  Enterprise Risk Assessment  IS Audit  Credit Risk  Fraud Risk  Information Security  Operational Risk  Risk based Internal Audit  IT Assurance  ICAAP  Operations Risk  IT Governance  Forensic services SERVICES Operational Risk Governance Other Risks  Process reviews  Corporate Governance  Business/Strategic Risk  Policy/ Process Review  Business Strategic risk  Reputation Risk  Process Improvement  Fraud Risk  Outsourcing Risk  Compliance Risk  Forensic Accounting  Contractual Risk  Insurance Risk Training Recruitment  Banking – E Learning  Virtual Risk Managers  Corporate Training  Full Time Risk Professionals  Regular Risk Management Training  Part time Risk Professionals  Online Training material  Risk Managers on call – free  Workshops / Events 3
  • 4. Insurance Industry Prologue… How we Do  Insurance industry has seen numerous changes in recent past with increased players, products mode of distribution, regulatory changes, technological improvements with a moderate healthy growth.  Key stakeholders in insurance industry include- insurers, corporates, brokers, TPA’s and surveyor’s who run the entire cycle of acquisition to settlement process of clients.  Key risks arising in today's fast-paced, ever-evolving world will have to be managed through effective risk management in insurance solutions to clients.  Emerging challenges continue to impact insurance industry in form of De- regulation, Global markets impact, Self insurance need & Market driven pricing. 4
  • 5. Riskpro Insurance Risk Management Services – Generic Offerings Service Offerings Value Proposition •Risk •Risk Reporting •Industry Inspection Benchmarking •Insurance •Training services- •Due Diligence – Manuals Processes/ Claims Current handling Insurances •Risk •Risk Audits- •Indemnity Evaluation Coverage/Exclusions/ Advisory and covenants Renewals ‘We at Riskpro help cover entire spectrum of •Valuation of •Claims Management as •Insurance insurance risk management Capital per T&C valuation/ liaison Market trends/ solutions for your Assets for with surveyors for quicker Regulatory loss coverage disbursement compliances- organization’ ! IRDA, ICDR, SEBI. 5
  • 6. Insurance Risk Advisory Services *This presentation and its contents in part or whole should not be copied or distributed to anyone. 6
  • 7. Focus areas for Insurance Risk advisory services How we Do  Identification of Internal & External Insurance Industry Continues to Respond to Risk Dynamics Pure Risks  Existing Risk Control Measures Review  Risk inspection  Risk Audit  Scrutiny of Existing Insurance Covers Dynamic ERM & Risk Financial Economic  Coverage Analysis Capital  Rates & Deductibles Cash flow (Compulsory self insurance) testing Cash flow testing ALM  Defining Standard SOP for Claims ALM Control Traditional Traditional  Guidelines on documentation Risk Risk Management Management Time 7
  • 8. Key Industry Risks Focus Areas… How we Do 8
  • 9. Key Risks Services Overview How we Do •Accidental damage •Insured perils •Policy coverage evaluation inclusion advisory for premises / F&F •Sum insured •Claims processing calculation and FSR •Regulatory changes •Investing in Risk •Loss control for & Impact management Credit Risk • Actuarial Risk •Systematic Risk of •ALM- Liquidity Risk Liabilities •Risk Survey & •Operations Risk •Product launch Analysis through management- risks analysis documentary review Employees/Contractual parties/Third parties •Non fulfillment of contractual obligations & recourse •Employee Benefit •Workplace risk •Expatriate risk Risk impact analysis •Personal accident coverage 9
  • 10. Risk Category Solutions…1/4 How we Do Employee Benefits Insurance Value Proposition Portfolio Analysis Program Analysis Plan implementation Group Health Benefits •Evaluation and •Optimize the benefits •Endorsement Group Accidental Benefits assessment of cover program with tracking & Monthly over premium spends established Data Reconciliation benchmarks Life Insurance Benefits •Comprehensive •Cost optimization •Claims Advisory, analysis for through vendor Control and Retirement Benefits competitiveness and relationship and Management cost-benefit volumes handled •Review of prior claim •Optimizing •Monthly report card and losses to identify administrative time benchmarking trends & issues and workload performance against SLA •Funding Alternatives •Optimizing Analysis communication 10
  • 11. Risk Category Solutions…2/4 How we Do Liability Insurance Value Proposition Risk Assessment Risk Presentation & Plan Design Commercial General liability & Claims Administration •Exposure •Information gathering •Coverage Product liability identification for underwriter’s Design Public liability •Risk retention •Presentation of risk •Peer advisory to market benchmarking Retirement Benefits • Claims •Negotiating with •Monthly report management insurer’s for optimum card Employment practices liability coverage/ price benchmarking performance Public offerings of securities against SLA • Assistance in •Policy structuring for claims right pricing documentation 11
  • 12. Risk Category Solutions…3/4 How we Do Project Insurance Value Proposition Contract Risk Management •Contractual •Contractual risk •Competitive Obligations flows stress Peer Benchmarking •Technological •Regulatory •Risk presentation Development requirements to credit analysts Underwriting to reinsurers •Insurer / •Insurance •Claims Advisory, Reinsurer carrier advisory Control and Strategic Claims selection Management 12
  • 13. Risk Category Solutions…4/4 How we Do Claims Handling Services Value Proposition •Claims resolution •Loss assessment •Documentation and support for right compensation •Compelling presentation of client’s •Client on-site support as solution • Best overall value for quick and claims provider capable claims cycle management • Understanding existing processes, • Notification of all Claims and Claim •Coordination and guidance in philosophies, service needs and circumstances to the appropriate submission of all Claims related challenges in Claims handling insurers documents •Management of complex claims •Consultation and advice on coverage •Assistance in Claim settlement questions prior to Claim notification and negotiation issues likely to arise post Claim notification • Maintaining Claim records • Producing Claim reports and analysis • Creating efficient, effective, and pro- as required active strategies to reduce Claim costs • Providing Claims review meetings on and mitigate exposures regular basis 13
  • 14. Insurance Claims Management Process How we Do -Assisting client in registering - Interaction with surveyor for Insurance Firm claim with Insurance Company a) Survey of Loss - Collection of loss details to b) Assessment of loss organize insurance Survey c) Finalization of report - Preparation of claim papers once d) Early issuance of report to survey is over Insurance Company Riskpro Client Surveyor Follow up with Insurance firm for claim settlement 14
  • 15. Insurance Broking Services *This presentation and its contents in part or whole should not be copied or distributed to anyone. 15
  • 16. Composite Insurance Broking Services- Individuals & Corporates How we Do Functional Definition : An insurance broker ( or agent) sells, solicits or negotiates insurance for its clients with a compensation percentage. Riskpro offers a wide spectrum of broking services covering your enterprise needs with optimal risk solutions & advisory. Mortgage redemption Saving’s Plan Term Insurance Plan Plan Hire Purchase Risk cover Keyman Insurance cover Supplementary Executive Plan to HNI’s Retirement Plan Rider & Claim Settlement Group term insurance for Group Gratuity Schemes Advisory employees /Deposit linked Plans Group superannuation Benefits 16
  • 17. Insurance Risk Training – We Address your FAQ’s How we Do  What is Insurance product and what is suitable for me.  What extent of insurance cover I should take depending on potential loss event and risk exposure.  How to negotiate Insurance claim for total Loss claim.  Scrutiny of major insurance policies for applicable premium, any relevant discounts, warranties, clauses and conditions.  Guidelines advisory for fixing sum insured.  Evaluation of business interruption exposure due to known risks.  Guidelines for documentation fulfillment , procedures for claims under policies.  What are different payment options for my insurance policy.  Life insurance regulations for NRI’s.  Policy servicing- Nomination procedure 17
  • 18. Insurance Training - Areas & Services How we Do Riskpro offers unparallel array of insurance training services by our industry experts team with decades of experience combined with deep insight of insurance business model and needs of staff training as per changing market, regulatory, customer life- cycle aspects. Reinsurance & Various Underwriting business Introduction/Concepts Risks Management workflows training Types of Insurance Regulatory Framework Plans for customer Policy servicing and Compliances segments Insurance portfolio Risk Management & Claims management management services Monitoring Designing Business strategic insurance programs 18
  • 19. Riskpro Clients Our Clients *Any trademarks or logos used throughout this presentation are the property of their respective owners 19
  • 20. Team Experiences Our Experiences Our team members have worked at world class Companies *Any trademarks or logos used throughout this presentation are the property of their respective owners 20
  • 21. Team Experiences - Insurance Sector Our Experiences Our team members have worked at world class Companies *Any trademarks or logos used throughout this presentation are the property of their respective owners 21
  • 22. RESUMES – Our Team Credentials  Co-Founder - Riskpro  CA, CPA, MBA-Finance (USA), FRM (GARP) Manoj Jain  Over 10 years international experience – 6 years in Bahrain and 4 years USA  15 years exp in risk management consulting and internal audits, Specialization in Operational Risk, Basel II, Sox and Control design  Worked for Ernst & Young (Bahrain), Arab Investment Company (Bahrain), Navigant Consulting(USA), Kotak Mahindra Bank (India) and Credit Suisse(India)  Sox Compliance project for Fannie Mae, USA ( $900+ Billion Mortgage Company)  Co- Founder - Riskpro  CA (India), MBA (Netherlands), CIA (USA) Rahul Bhan  Over 15 years of extensive internal and external audit experience in India and abroad.  Worked with KPMG United Arab Emirates, PKF South Africa, Ernst and Young Kuwait, Deloitte Netherlands and KPMG India.  Worked with clients in a wide variety of industries and countries including trading, retail and consumer goods, NGO, manufacturing and banking and finance. Major clients include banks, investment companies, manufacturing organizations, aviation etc. 22
  • 23. RESUMES - Our team Credentials  Co-Founder - Riskpro Casper Abraham  PGD (Electrical & Electronics & Computer Programming)  30 years of experience in Information & Communications Technology (ICT) Solutions for Retail, Garments, Manufacturing, Services Industries.  Has created Companies, Divisions, Products, Brands, Teams & Markets.  Consulting in Business, Technology, Marketing & Sales & Strategic Planning.  Advisory, Training, Workshops & Implementation in Systems Thinking, Systems Modeling & Balanced Scorecard  Worked with TIFR, Mahindra, Ambience, Communico-Graphique & Ionidea Inc, USA,  Vice President – Risk Management  MBA, PDFM, NSE-NCFM, PMP, CSSGB,Trained ISO 9001:2000 I.A,GARP-FBR, ITIL Hemant Seigell  Professional with 17 years of rich experience into diverse Consumer finance/ Lending operations ,Risk Management,BPMS, Consumer Banking, NBFC, Management Consulting & Housing finance in BFSI industry having successfully led key business strategic engagements across multi-product environment in APAC, Australia and US regions.  Worked with GE, ABN AMRO Bank, Citigroup, Accenture, Deutsche Postbank  Highly skilled and expert Trainer in Risk areas across Fraud, Credit, Operational, Corporate Risk management, GRC.  Specializes in Fraud Control, Compliance QA ,ERM and Regulatory governance. 23
  • 24. RESUMES - Our team Credentials  Head - Insurance Risk Advisory services  B.sc, Associate of Indian Institute of Insurance Licensed Category A Insurance surveyor R. Gupta   26 years of experience in Insurance advisory services, Loss adjusting for large corporates,Claims management.  Has assessed more than 4500 high value insurance claims across various industry sectors.  Risk management inspection  Valuations of fixed assets for insurance purpose.  Head - Human Capital Management Nilesh Bhatia  Chartered Accountant, Lead Assessor ISO 9000, Six Sigma Trained, Trained on Situational Leadership, Trained on interviewing skills and Whole Message Model.  Over two decades of international, multi-cultural experience in finance and human resources viz. internal audit, accounting operations, accounting process review & re-designing, risk management, business solutioning, six sigma projects, talent acquisition, talent retention, organization design/redesigning, compensation and appraisal processing, employee and customer satisfaction surveys, knowledge management and finance services.  Worked with Citicorp/MGF, India Glycol, Delphi, American Express India, American Express USA, Fidelity International and Macquarie Global Finance Services India. 24
  • 25. Our team Credentials  Co-founder- Riskpro Rajesh Jhalani  B.Com, FCA  Senior Partner with 48 year old Delhi based Chartered Accountant firm, Mehrotra and Mehrotra  Over 19 years of experience in the field of Audit, Taxation, Company law matters.  Major clients served are NTPC, BHEL, Bank of India, PNB, Airport Authority of India etc.  Specialist Risk Consultant – ERP & IT Compliance  SAP Certified, MBA (Finance), SAP Security trained (from SAP India), SAP GRC Access Gourav Ladha Controls trained (from SAP India)  Over 7 years of experience working in the area of ERP/IT Risk advisory, primarily focusing on SAP, for ‘Fortune 500’ clients in around 8 countries including US, UK, UAE, Hong Kong, etc  Specializes in SAP Risk & Controls Advisory, SAP Business Process Controls Audit, SAP Security & Segregation of Duties Control Audit, ERP Trainings,  Strong Industry experiences ranging from Beverages, Insurance, Energy, FMCG, Pharmaceutical, Retail, Telecommunication to IT Services  Worked for risk advisory teams of reputed organizations like Ernst & Young, EXL Services 25
  • 26. Key Contacts and Locations (India) Corporate Mumbai Delhi Bangalore Riskpro India Manoj Jain Rahul Bhan Casper Abraham Ventures (P) Limited Director Director Director M- 98337 67114 M- 99680 05042 M- 98450 61870 manoj.jain@riskpro.in rahul.bhan@riskpro.in casper.abraham@riskpro.in info@riskpro.in www.riskpro.in Shriram Gokte Hemant Seigell Principal - Information Risk VP – Risk Management C 561, Defence Colony M- 98209 94063 M- 99536 97905 New Delhi 110024 shriram.gokte@riskpro.in hemant.seigell@riskpro.in Ahmedabad Pune Agra Gurgaon Maulik Manakiwala M.L. Jain Alok Kumar Agarwal Nilesh Bhatia Associate Firm Principal – Strategy Risk Associate Firm Head – Human Capital M - 91 98256 40046 M- 98220 11987 M- 99971 65253 M- 98182 93434 mljain@riskpro.in nilesh.bhatia@riskpro.in Gourav Ladha Sap Risk Advisory M- 97129 52955 Salem Ghaziabad Chandrasekaran R Gupta Recruitment Franchisee Head – Insurance Risk M - 91 9443 599132 M- 98101 07387 Copyright- © 2012 RiskPro ,India .All rights reserved. 26