Unni Ramdas

UNNI RAMDAS Mobile :- E-mail- SYNOPSIS: Overall 15 years plus experience in Banking & Insurance sector To contribute towards the Achievements of practice and organizational objectives of the Company. To deliver highest efforts in the course of value addition in all assignments. Educational Qualifications: Level / Class Institution Year B. A -Communicative English University of Kerala - Higher Secondary Education (Commerce) Board of Higher Secondary Examination-Kerala - Technical Qualification: Diploma In Hardware & Networking ACCEL Computer Education 2006 Work Experience: My Risk Advisors for Health Service -Dubai Role: Insurance Claims Officer [From Nov 2018–Dec 2020] Working as Claims Officer for 5 Medical Centers to handle the submissions, Resubmissions and Reconciliation of E-claims as well as Paper claims. Doing Diagnosis coding(ICD-10) and Billing of the claims as per Insurance guidelines. Preparing MIS report of each Claim batches and Tallying it with the Hard copies. Uploading the claims batches through E-claim Link (As per DHA Protocol) Evaluating the denied claims and doing the resubmissions of the same. Preparing the denial reports and send it to the Management for review on Monthly basis Implementing new procedures to avoid the rejection for future claims Follow up with Insurance companies/TPA’s for the Payments on time. Arab Doctors Specialist Center-Sharjah Role: Insurance Claims Officer [From May 2016–Oct 2018] Working as Claims Officer of the Medical Center to handle the submissions, Resubmissions and Reconciliation of E-claims as well as Paper claims. Doing Diagnosis coding(ICD-10) and Billing of the claims as per Insurance guidelines. Preparing MIS report of each Claim batches and Tallying it with the Hard copies. Uploading the claims batches through E-claim Link (As per DHA Protocol) Evaluating the denied claims and doing the resubmissions of the same. Preparing the denial reports and send it to the Management for review on Monthly basis Implementing new procedures to avoid the rejection for future claims Follow up with Insurance companies/TPA’s for the Payments on time. Healthcare Infrastructure Solutions DMCC-Dubai Role: Medical Claims Officer [From Feb 2015–Jan 2016] In charge of Medical claim submissions and Resubmissions of 6 Medical Centers Upon receiving claims from the clients perform billing and diagnosis coding as per DHA guidelines. Cross checking the invoices with the price list given by the Insurance Companies. After doing the billing and diagnosis coding convert these files into Xml formats and upload it into DHPO through Eclaim links (DHA guidelines) . Maintaining and providing MIS statement as well as reconciliation statements of the claims to the clients. Evaluating the denied and partially paid claims and also doing the resubmission of those claims. Role: Customer Service Officer- Medical Claims Department [From Nov 2012–July 2014] Handling Medical insurance claims/reimbursements submitted by clients. Checking the claim applications for authenticity, submitted document proofs, etc. On completion of documentation and authenticity check, send the application for further approval from Insurance companies. Responsible for maintaining high standards of customer service with the objective of retaining and increasing the company’s client base. Handling client complaints / queries through emails and phone calls and ensuring their satisfaction by providing required services. Scrutinizing policy documents and negotiating with Insurers on obtaining clauses and terms favorable to our client. Co-ordinate with the hospitals to make sure that the client does not face any trouble in case of cashless facility. Rejected claims to be rectified by providing the requirements needed by the insurance company. Provide complete assistance to the client until the claim is settled and the claim proceeds get credited in client's account. Handling Additions and deletions to the medical policies. Update the records in system &file the hard copies for future references. Bharti-AXA Life Insurance Co Ltd,Alleppey&Cochin Branch, India. Underwriting the New Business Proposal forms, in case of any discrepancy, will inform SM and correct it at branch Level itself .Ensuring the KYC and AML of the logins. Managing Finance like Cash Collection, petty cash Maintenance, Bank Reconciliation.etc. Handling entire logins, scanning, disbursement and providing customer support for their queries. Preparing daily MIS and Monthly reports for concerned manager. Follow up with the customers for the renewals and repayments of premiums Coordinating with hospitals for doing the medical checkup of the clients for issuance of their policies Working as Branch-in-charge to look all Branch Administration process and handling Petty cash for the branch’s day to day functioning. HDFC Bank Ltd - Wholesale Banking Operations, Alleppey Branch,India HDFCBank is India’s premier private sector bank promoted by HDFC. The responsibilities includes banking operational activities such as Clearing and realization of cheques presented by retail and corporate customers under various Corporate / Speed Collection arrangements of the Bank. Handling fund transfers, outstation cheque collection & processing. Maintaining General Ledger and sending the Balance sheet to the Reporting Manager on daily basis. Reconciliation of Nostro&GL accounts. Preparing and maintaining all registers relating to Cheque Clearance, CMS process, Demand draft processing etc. Thorough knowledge in all ChequeClearing process and banking. Proficiency in Banking Software Such as Flex-cube, Cash in etc. Achievements: Top Branch Performer (South India Cluster) –October 2008, Bharti-AXA Life Insurance Co Ltd. PersonalInformation: Date of Birth:17thJune 1985 Nationality:Indian Marital Status:Married Father’s Name:Ramdas.N Languages Known:English, Malayalam,Tamil and Hindi Passport No: H- UNNI RAMDAS