JYOTI NARULA

Mobile: 08447576667 ~ E-Mail: jyotinarula2005@gmail.com Seeking career enrichment & assignments in the domain of Claims Administration / Operations Management with an organization of high repute in Insurance sector. I believe in continuous learning and up gradation, to always excel in my field. Professional Synopsis Over 6 years of experience in financial processes, Management, Administration, Documentation, Client Servicing and Team Management. Inclusive of 5 years of strong understanding of the insurance industry particularly the claim adjudication and end to end claims administration. Proficient in dealing with the providers and handling individual / group insurance policies issues, settlement analysis and documentation within the set time parameters. Excellent communication & report writing skills with strong abilities in analysing and interpreting information including legal documents. And always have been applauded for achievement and over achievement of targets. Pursuing Chartered Property Casualty Underwriters certification (CPCU)

Organisational Experience Since Jun07 Accountabilities: Xl India Business Services, Gurgaon Assistant Manager

Managing a team of 5 claim handlers. Managing Europe region which includes UK, Italy, Germany, France, Switzerland & Netherlands and also
Aerospace for US location. Updating work colleagues on business performance, new initiatives and related issues. Providing focus and direction to subordinates. Decision making and problem solving. Work scheduling that improves employee performance, accuracy and attention to detail. Efficient in handling teams, and motivating and directing team towards target achievements Ability to work as part of a team. Reviewing and updating procedures to ensure effective and satisfactory service to the clients Organize motivating training sessions to keep up the spirit of the teams Conveying the top management instructions effectively to the lower levels Team management and team player spirit

Executing and conducting audit reports in accordance with time periods with strong focus on data quality. Supervise the team and keep the track of all data backups of confidential reports and ensure that everything
is documented.

Ensure process improvement and/or better utilization of resources. Transitioning of process from Switzerland and design of the work transfer plan, training manual for
the onshore team.

Transitioning of New process from United Kingdom, Ireland, Australia, Honkong, Singapore &
Sweden along with a design of the work transfer plan for all the location. Memo for all the locations along with a training manual for the onshore team and offshore team on a new system.

Key Deliverables of the team Claim Adjudication

Receiving claims, verifying eligibility of the insured, processing, adjudicating and settlement; preparing the
recommendations for the settlement of claims.

Managing inventory of claims in accordance with applicable laws, policies and procedures. Ensuring timely payment and administration of indemnity. Documenting the file throughout the life of the claim; manage all issues in a pro-active manner ensuring
timely and efficient case resolution.

 Monitoring all the claims which have been filed and document them accordingly for the future analysis. Scrutinizing bank statements, inventories, expenditures, tax returns and other accounting and financial
records, documents and systems of an individual, department, company or other establishment. of claims paid.

Preparing the MIS reports, audit and other financial reports to keep a track of financial performance in terms Monitoring the TPA payments and taking adequate measures to ensure that the correct amounts of payments
have been paid.

Examining all the TPA records and preparing reports on basis of that.
Insurance Operations

Formulating & implementing CD Forms, guidelines, processes, workflow, application forms, etc. Overseeing claim procedures involving validity assessment and approvals of high value claims in compliance
with regulatory requirements.

Setting out quality standards for various operational areas, ensuring a high-quality customer experience, while
adhering to the SLAs and work processes.

Monitoring the registration and processing of claims.

Mar06-Jun07 Accountabilities: GE Capital Int. Services, Gurgaon Process Associate

Worked on Branch network, Business Support process for North America. Handled financial rejects, missing
claim payments and fees disputes.

Identified loopholes in the process of executing the same & worked on troubleshooting them. Administered the
quality checks for the Exception Management Process.

Maintained & identified reasons for claim payments that did not hit the accounts. Responsible for reviewing the claims submitted to ensure that proper guidelines have been followed. Reviewed and evaluated data stipulated on documents and forms, such as claim applications, birth or death
certificates, physician's statements, employer's records, vocational evaluation reports, and other similar records.

Design of the trainings programs and materials. Assisted claims adjusters and examiners with complex and complicated claims. Trained and supervised team of 5 claims examiners.

Educational Credentials

INS21 (Property and Liability Insurance Principles ) completed in 2011 from AICPCU American Institute For
Chartered Property Casualty Underwriters.

MBA/PGDBM in International Business from Institute of Management & Technology (IMT), Ghaziabad in 2007 B.Com. from Delhi University in 2001. HSC from Lilawati Vidya Mandir Sr. Secondary School, New Delhi in 1998. SSC from Lilawati Vidya Mandir Sr. Secondary School, New Delhi in 1996.

Trainings

Team Building Communication Skills Cultural Training Advance Excel, Ms Access. Change Management Time Management Additional Qualifications

CPCU INS 21 certified 2011 Advance Diploma in Web Designing from STG in 2002.

Advance Diploma in Software Engineering from Aptech in 2001.

IT SKILLS-Well versed with MS-Word, Ms-Excel, MS- PowerPoint, MS-Access. Personal Profile Date of Birth Place : : 14th August 1981 B2/9 Ashok Vihar Phase IInd, 2nd Floor, New Delhi