pradeep kumar rajendran

3
R. Pradeep Kumar B.Com , M FSCM, Dip BPR, LIII Email ID: [email protected] Mobile No: +91 9500114478 Career Summary Professional experience spread over 4.5 years with specific exposure and experience towards General Insurance Industry for 3 years At present associated with Bharti AXA General Insurance Company Ltd as Legal Specialist for Tamil Nadu region. Areas of interest include Insurance Claims, legal aspects of insurance, Fraud control, Forensic Audit, Business process reengineering and Operations Risk Management , Professional Experience May 2014 to till date Company : Bharti AXA General Insurance Company Ltd Designation : Claim Handler / Legal Specialist/ Management Grade II Dept. : Retail Claims Third Party, Consumer and WC Claims Currently holding a fiduciary position in retail claims portfolio for a leading Private Sector General Insurance Company in India. Roles & Responsibilities include November 2012 to May 2014 Company : Cholamandalam MS General Insurance Company Ltd. Designation : Assistant Manager Dept. : Third Party claims Was Associated with Cholamandalam MS general Insurance Company on the mentioned tenure in a managerial position for Third Party Claims Department; Roles & Responsibilities in the above profiles include Adhere to the company’s claims guidelines and handling procedures Register new claims and adhere to registration procedure and time frame allowed. Monitoring, and processing Third Party Liability Consumer and WC claims with hands on approach by negotiation and undertake prudent litigation options available. Handle standard correspondence like acknowledging of claim notification, releasing letters to request for standard claim documents, issuing standard reminders for outstanding correspondence etc. To deal with incoming correspondence relating to claims under care. For existing claims, to track down the case file by tracing the Claim No from the system and pass files to manager in-charge of the case. Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis. Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company Claims Manual and procedures. Communicate with underwriting and reinsurance department to obtain information necessary for processing claims. Evaluate and settle claims, applying technical knowledge to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio. To update and adjust reserves to meet the estimated losses to be paid to the claimant. Prepare reports as required by the management. Team handling

Upload: pradeep-kumar

Post on 12-Apr-2017

132 views

Category:

Career


0 download

TRANSCRIPT

Page 1: Pradeep kumar rajendran

R. Pradeep Kumar B.Com , M FSCM, Dip BPR, LIII

Email ID: [email protected] Mobile

No: +91 9500114478

Career Summary

Professional experience spread over 4.5 years with specific exposure and experience towards General Insurance Industry

for 3 years

At present associated with Bharti AXA General Insurance Company Ltd as Legal Specialist for Tamil Nadu region.

Areas of interest include Insurance Claims, legal aspects of insurance, Fraud control, Forensic Audit, Business

process reengineering and Operations Risk Management,

Professional Experience May 2014 to till date

Company : Bharti AXA General Insurance Company Ltd

Designation : Claim Handler / Legal Specialist/ Management Grade II

Dept. : Retail Claims – Third Party, Consumer and WC Claims

Currently holding a fiduciary position in retail claims portfolio for a leading Private Sector General Insurance

Company in India.

Roles & Responsibilities include

November 2012 to May 2014

Company : Cholamandalam MS General Insurance Company Ltd.

Designation : Assistant Manager

Dept. : Third Party claims

Was Associated with Cholamandalam MS general Insurance Company on the mentioned tenure in a

managerial position for Third Party Claims Department;

Roles & Responsibilities in the above profiles include

Adhere to the company’s claims guidelines and handling procedures

Register new claims and adhere to registration procedure and time frame allowed.

Monitoring, and processing Third Party Liability Consumer and WC claims with hands on approach by

negotiation and undertake prudent litigation options available.

Handle standard correspondence like acknowledging of claim notification, releasing letters to request for

standard claim documents, issuing standard reminders for outstanding correspondence etc.

To deal with incoming correspondence relating to claims under care. For existing claims, to track down the

case file by tracing the Claim No from the system and pass files to manager in-charge of the case.

Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis.

Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made

according to company Claims Manual and procedures.

Communicate with underwriting and reinsurance department to obtain information necessary for processing

claims.

Evaluate and settle claims, applying technical knowledge to effect fair and prompt disposal of cases and to

contribute to a reduced loss ratio.

To update and adjust reserves to meet the estimated losses to be paid to the claimant.

Prepare reports as required by the management.

Team handling

Page 2: Pradeep kumar rajendran

September 2011 to October 2012

Company: Management and Governance Consulting – MaGC

Formerly known as NCR consultants limited (www.ncrcl.com)

Profile: Management Consulting Projects with NCRCL/ MaGC

Was associated with NCR management Consultancy Ltd as Junior Consultant during the mentioned tenure for

Governance and Management related projects; Some the prestigious project snap shots are as below

Task : Review and re design the information and management systems

Position : Consultant trainee

Client : Industrial consultancy and sponsored research, IIT Madras

Task : Debt mechanism and Performance analysis of Urban Local Bodies, Tamil Nadu

Position : Junior Consultant

Client : Commissionerate of Municipal Administration, Tamil Nadu Government

(World Bank Funded project)

Task : Formulating Policy on Finances

Position : Junior Consultant

Client : Andhra Pradesh Mineral Development Corporation Limited

Education, Training & Certifications

Master’s Degree - Masters in Law (Financial services and capital Markets)

NALSAR University of Law & Institute of Insurance and Risk Management Major: Banking operations, Banking Regulations, Insurance operations, Insurance Regulations,

Capital market operations, securities regulations and Risk management (ERM, Credit, liquidity, risk mapping, mitigation)

Bachelor’s Degree - B.com- Bank Management

Ramakrishna Mission Vivekananda College Major: Financial accounts, managerial economics, banking and insurance.

Diploma in Business Process Reengineering Indira Gandhi National Open University

Certification programmer in Information Security ISACA - LIBA

General Insurance Certifications Licentiate – Insurance Institute of India

Other Interests

Learning and development

I was associated with Ramakrishna Mission Vivekananda College in the academic year 2011-12 as part time

lecturer. I have trained Commerce students on the lines of insurance and financial services laws.

Had opportunities to represent the college faculty team in National and International Paper Presentations.

Have been a part of inter departmental association “Confluence” in organizing different inter departmental and

collegiate programs.

Active interest towards Blogging and Newsletters;

Page 3: Pradeep kumar rajendran

References

Dr. R. S. Murali, Managing Director, NCR consultants Ltd., Mobile -09884073283

Dr. V. Manikandan, HOD, Department Of Bank Management, Ramakrishna Mission Vivekananda College, Chennai, Mobile - 94441 43743

Personal Information

Name : R. Pradeep Kumar

Father Name : Dr. N. Rajenderan

Permanent Residence : 102 A, Akme Park,

Mount Poonamalie Road,

Mugalivakkam, Chennai -106.

Temporary Residence : No: 83, Kalyani Nagar, 2nd cross,

Kannakurichi Main Road,

Kannakurichi, Salem - 16

Date of Birth : 9th April 1988

Sex : Male

Marital Status : Single

Nationality ; Indian

Languages : English (Read, write and Speak)

Tamil (Native) (Read, write and Speak)

Telugu & Hindi (Basic Communication)

Declaration

I hereby declare that the above mentioned details are true to the best of my knowledge and belief.

Date: 20-11-2015

Yours Truly

(Rajendran Pradeep Kumar)