Summary
Overview
Work History
Education
Skills
Languages
Disclaimer
Timeline
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Mrunali Naik

Toronto,ON

Summary

Skilled insurance professional prepared for this role with strong analytical and negotiation skills. Proven track record of resolving complex claims efficiently while ensuring customer satisfaction. Strong focus on team collaboration and adaptability to changing needs. Dependable with keen eye for detail and results-driven mindset.

Overview

11
11
years of professional experience

Work History

Senior Claims Adjuster

Future Generali Total Insurance Solutions
09.2022 - 03.2025
  • Evaluated and resolved complex claims for OPD,IPD as well as accidental death while adhering to company policies and regulatory requirements.
  • Conducted thorough investigations to determine liability, utilizing evidence from multiple sources.
  • Implemented improved processes for claims management, increasing operational efficiency across the department.
  • Developed comprehensive training materials for new hires, streamlining onboarding processes for claims staff.
  • Managed high-volume caseloads while maintaining accuracy and meeting strict deadlines consistently.
  • Reduced claim processing time by implementing streamlined procedures and efficient documentation practices.
  • Optimized workload management, prioritizing time-sensitive cases to ensure timely resolutions for clients.
  • Improved team productivity, providing comprehensive training to junior adjusters on industry best practices and company guidelines.

Claims Adjuster

Mediassist TPA
03.2022 - 09.2022
  • Evaluated insurance claims to determine validity and appropriate compensation amounts.
  • Collaborated with policyholders and stakeholders to gather necessary documentation for claims processing.
  • Analyzed claim data to identify trends, ensuring compliance with company policies and industry regulations.
  • Managed complex claims by coordinating investigations, consulting with adjusters, and facilitating resolutions.
  • Implemented process improvements that streamlined claims handling, reducing turnaround time for approvals.
  • Examined claims forms and other records to determine insurance coverage.
  • Verified insurance claims and determined fair amount for settlement.


Doctor

Jalaram Homeopathy Clinic
07.2019 - 02.2022
  • Treat patient with acidity, arthritis, hair fall, dandruff, headache, bodyache, migraine and skin problems.
  • Job Profile : As a Doctor
  • Responsibilities :

Resident Medical Officer

Inamdar Multispeciality Hospital
08.2016 - 07.2018
  • Managing the pre-operative and post operative patients.
  • To treat the admitted medicine patients in best possible way.
  • Working in co-operation with the Consultants and the Nursing team in all matters relating to patient care.
  • Documentation of each and every important information about the patient.
  • Job Profile : Resident Medical Officer
  • Responsibilities :

Medical Officer (ayush)

Shri Vinoba Bhave Civil Hospital (SVBCH)
07.2014 - 07.2016
  • Screened and treat children under NRHM ,RASTRIYA BAL SWATHYA KARYAKRAM.
  • Job Profile : As a Medical Officer (ayush)
  • Responsibilities :

Education

B.H.M.S - Bachelor of Homeopathy Medicine & Surgery

West Bengal University of Health And Science
Kolkata,India
11-2013

Skills

  • Critical thinking
  • Claims investigation
  • Active listening
  • Highly motivated
  • Claims processing
  • Advanced oral and written communication skills
  • Decision-making
  • Caseload management
  • Best practices implementation
  • Damage assessment
  • Medical coding
  • Medical terminology specialist

Languages

English
Full Professional

Disclaimer

I confirm that the information provided by me is true to the best of my knowledge and brief. Date: Place: Dr. Mrunali Naik

Timeline

Senior Claims Adjuster

Future Generali Total Insurance Solutions
09.2022 - 03.2025

Claims Adjuster

Mediassist TPA
03.2022 - 09.2022

Doctor

Jalaram Homeopathy Clinic
07.2019 - 02.2022

Resident Medical Officer

Inamdar Multispeciality Hospital
08.2016 - 07.2018

Medical Officer (ayush)

Shri Vinoba Bhave Civil Hospital (SVBCH)
07.2014 - 07.2016

B.H.M.S - Bachelor of Homeopathy Medicine & Surgery

West Bengal University of Health And Science

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Mrunali Naik