Headline

Auditor in Finance

About

Job Profile as Underwriter Worked as an underwriter wherein calculate and evaluate the group risk. Create new and change in Policy, Issue the Coverages Handling escalations Part of planning and strategic management team wherein look after for the process improvement approach. Ensure deliverables are prepared to satisfy the projects requirements. Studying various Insurance Proposals to determine whether risk should be shared with a reinsurer or not. Review Insurance Policy to determine Coverage and various insurance proposal. Maintained communication with insurance agents, brokers or brokerage firm and home office underwriters. Review medical history of all the customers provided in Census Review the company’s financial status with different sources. Design an Underwriting plan using components like Premium Contributions of employer and Employee, Commissions, salaries, Job Profile, Nature of Business, Medical Status which helps underwriter to generate the actual rate and premium. Maintained record of all underwriting data as per the required underwriting systems. Job Profile as Claim Analyst Claim Analyst Jul 15 Aug 2018 Worked as a Claim Analyst from Jan 2015 to Aug 2018 for Claim Process wherein Process the Long Term Disability cases and issue the benefit amount , also adjust the others benefit like Social Security Benefit , FMLA, Workers Compensation, Mandatory Rehab, Pre and Post Disabilities, Pre Disability Earnings , Offsets and Riders. Investigated and reported on insurers policy, identifying and recommending areas for improvement. Investigate Employee personal Details to process the claim Investigate the Employer statement to collect the EE details like Employee's Date Of Hire,Salary,Plan Effective Date, Insurance Effective Date,Actively at work. Details Investigation of Doctors Statement to collect details like , Date of Disability,Treatment,Surgery,Rehabilation,Diagnosis,Return to work , ICD10 codes, CPT codes. Managed claims products, including Long Term and Short Term Disability. Review Claim documents to received. Process 3 Claims successfully per day. Review Plan to determine Evidence of Insurability and coverage verification. Settlement of the claim in accordance with the norms of Insurance Policies. Review Organization Plans to Provide correct amount of Claim which defines Disability. Well Verse with the Legal system and function related to US Health Industry.

Location

New Delhi

Work experience

Finance Auditor at Fareportal, Aug 2018 - Present · 7 yrs 10 mos, India, Audit the revenue generated by Agent and verify that agent are following process Creating daily audited reports of customer service & Sales Team performance. Identification and Rectification of errors. Prepare consolidate incentive report of Agents and supervisors as per their Assign target & parameters. Functional abilities in preparing & maintaining Daily Production Reports, MIS Reports, Dashboards and Daily Business, Monthly Business. Interacting with the manager or supervisor and understanding their requirement and create Dashboards, Analysis

Financial Auditor at Fareportal, Aug 2018 - Present · 7 yrs 10 mos, Monitor financial transactions processed by agents and perform detailed audit reviews. Prepare and finalize monthly incentive files for Agents, Team Leaders, and Assistant Managers based on business KPIs and performance metrics. Coordinate with Payroll teams to ensure timely release of incentives along with salary processing. Review financial data, identify discrepancies, and rectify errors to improve process accuracy and operational efficiency. Participate in weekly audit review meetings with Team Leaders and Managers to discuss audit findings, resolve disputes, and improve compliance standards. Coordinate with HR, Operations, and Payroll teams for attendance validation, arrears, rebuttals, chargebacks, refunds, and attrition data. Maintain the financial Data like Refunds ,Arrears, Absorption ,Sales, Exchange , New Booking and Cancellation, Prepare daily and monthly audit reports to identify trends, revenue leakages, and process gaps. Support payment reconciliation activities by validating payout records and identifying duplicate, missing, or incorrect transactions. Maintain high levels of confidentiality and accuracy while handling financial records and audit reports.

Claims Analyst at MetLife, Jul 2015 - Aug 2018 · 3 yrs 2 mos, Noida Area, India, Claim Analyst Jul 15 Aug 2018 Worked as a Claim Analyst from Jan 2015 to Aug 2018 for Claim Process wherein Process the Long Term Disability cases and issue the benefit amount , also adjust the others benefit like Social Security Benefit , FMLA, Workers Compensation, Mandatory Rehab, Pre and Post Disabilities, Pre Disability Earnings , Offsets and Riders. Investigated and reported on insurers policy, identifying and recommending areas for improvement. Investigate Employee personal Details to process the claim Investigate the Employer statement to collect the EE details like Employee's Date Of Hire,Salary,Plan Effective Date, Insurance Effective Date,Actively at work. Details Investigation of Doctors Statement to collect details like , Date of Disability,Treatment,Surgery,Rehabilation,Diagnosis,Return to work , ICD10 codes, CPT codes. Managed claims products, including Long Term and Short Term Disability. Review Claim documents to received. Process 3 Claims successfully per day. Review Plan to determine Evidence of Insurability and coverage verification. Settlement of the claim in accordance with the norms of Insurance Policies. Review Organization Plans to Provide correct amount of Claim which defines Disability. Well Verse with the Legal system and function related to US Health Industry.

Insurance Underwriter at MetLife, Aug 2010 - Jul 2015 · 5 yrs, Noida, Uttar Pradesh, India, Studying Insurance Proposals and deciding whether the risk should be shared with a reinsurer or not. Reviewed new and renewal business requests in order to determine insurability based on corporate guidelines and standards Review Insurance Policy to determine Coverage and studying various insurance proposal. Responsible for authorizing reinsurance of policy when the risk is high or declining excessive risks Write RFPs as per customer requirement. Maintained communication with insurance agents, brokers or brokerage firm and home office underwriters and staff or potential customers for preparing quotes. Review medical history of all the customers provided in Census. Apply the Adjustment of riders while processing the case Review the company’s financial status with different sources Design an Underwriting plan using components like Premium Contributions of employer and Employee, Commissions, salaries, Job Profile, Nature of Business, Medical Status which helps underwriter to generate the actual rate and premium. Maintained record of all underwriting data as per the required underwriting systems.

Underwriting Associate at MetLife, 2010 - 2014 · 4 yrs, Evaluated group insurance risks and proposals under the RFP process. Assessed policy risks and recommended reinsurance placement for high-risk cases. Calculated premiums, established client payment plans, and managed recurring billing cycles. Reviewed new and renewal submissions for compliance with underwriting guidelines. Maintained accurate records for policies, renewals, sales, and RFP documentation. Coordinated with agents, brokers, underwriters, and clients to provide suitable insurance solutions. Analyzed financial and medical information to determine eligibility and coverage options. Supported process improvement initiatives to enhance underwriting accuracy and efficiency. Maintain the Underwriting Datal and Tool.

Education

Post Graduate Diploma, Computer Applications, DOEACC in the

B.Com, Accounts, V.B.S Purvanchal University