Vice President & Head - Fraud & Risk control at Niva Bupa
More than 17 years of experience in General Insurance industry, predominantly in Health Insurance, across wide gamut of functions including Claims Management, Investigations, Fraud and Abuse Control, Risk Management, Provider Network Management, Underwriting and Audits. Presently working as an Vice President & Head - Provider Management at HDFC ERGO GIC Ltd. Effectively performed in leadership roles at Middle Management level and handled large teams for managing Claims operations, Network management, Investigations and Fraud & Risk control functions. Excellent Interpersonal and organizational skills with proven abilities in team management and project execution Skillful in liasioning with internal/external stakeholders and maintaining amicable relations Specialties: Provider Network Management, Claims Management, Customer Service, Fraud Investigation & Risk control, Underwriting, Operations, Audits and regulatory matters.
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