Claims Operations Specialist | Insurance Claims Processing & Compliance | Data Analytics & Process Optimization | MBA Finance | Excel, SQL

Bengaluru

Bengaluru

Remote





Master of Business Administration - MBA, Finance, General
Jain (Deemed-to-be University)

B.TECH, Civil Engineering
Dr. B.C. Roy Engineering College
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Download Tal BossClaims Operations Specialist | Insurance Claims Processing & Compliance | Data Analytics & Process Optimization | MBA Finance | Excel, SQL
I thrive at the intersection of operational precision, regulatory compliance, and data analytics. Currently processing 60+ claims daily at Pazcare, I specialize in streamlining complex insurance workflows while ensuring 100% compliance accuracy. Over the past 2+ years, I’ve built a reputation for combining rigorous attention to detail with data-driven process optimization—reducing turnaround times by 30% through automated tracking and workflow redesigns. Whether I'm diving into SQL and Advanced Excel to analyze operational records or managing end-to-end claim resolutions, my goal is always the same: drive efficiency without compromising quality. Core Competencies: Claims Management: End-to-end processing, validation, & payout coordination Compliance & Risk: Audit documentation, regulatory adherence, & policy enforcement Data & Analytics: Advanced Excel (Pivot Tables, VLOOKUP), SQL, & operational dashboards Process Optimization: Root cause analysis, workflow redesign, & automation 🎓 Education: MBA in Finance (In Progress) | B.Tech in Civil Engineering I’m always open to connecting with professionals in claims operations, claims analysis, and operational excellence. Feel free to reach out or connect!
Greater Bengaluru Area
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Operational Claim support at Pazcare, Apr 2025 - Present · 1 yr 7 mos, Bengaluru, Claims Processing & Validation: Process 60+ insurance claims per day, coordinating with internal teams and third-party administrators to ensure accurate policy interpretation and payout execution Maintain 100% compliance with IRDAI regulations and policy standards through systematic validation protocols Coordinate cross-functional workflows between medical teams, finance, and insurance partners to enable smooth claim settlements Process Optimization: Reduced claim resolution turnaround time by 20-30% by implementing automated tracking tools and standardized workflows Designed escalation protocols that accelerated issue identification and improved payout timelines without compromising accuracy Exceeded departmental quality KPIs through systematic documentation and proactive issue resolution
Technical Operation specialist at Digitide, Feb 2024 - Apr 2025 · 1 yr 3 mos, Bengaluru, Drove operational excellence for Union Bank of India's mobile banking platform, managing high-volume technical operations, data analysis, and escalation resolution. Operational Data Analysis: Generated routine reports identifying performance trends, system anomalies, and process bottlenecks—improving operational efficiency by 15% Technical Problem Resolution: Resolved 30-50+ mobile application issues daily for banking platform users, using diagnostic tools and technical documentation to achieve high first-time resolution rates. Improved user satisfaction scores by providing systematic troubleshooting for account access, transaction failures, and app performance issues. Escalation & Root Cause Analysis: Managed 15+ high-priority client escalations weekly, conducting in-depth technical investigations to identify root causes. Reduced escalation turnaround time by 20% through structured problem-solving frameworks and cross-team collaboration
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Master of Business Administration - MBA, Finance, General, Jain (Deemed-to-be University)
B.TECH, Civil Engineering, Dr. B.C. Roy Engineering College