Siva Gaanapathyi Mohan Raj
Adjuster II Express Claims PC
Kuala Lumpur
Summary
Detail-oriented insurance professional with expertise in claims analysis, policy issuance, and adjusting. Skilled in assessing claims, preparing policy quotations, and ensuring compliance with underwriting guidelines. Adept at liaising with underwriters, clients, and stakeholders to resolve discrepancies and maintain service quality in line with SLA standards. Strong analytical and problem-solving skills with a commitment to accuracy, risk assessment, and efficient claims resolution. Proven ability to manage end-to-end policy processes while ensuring regulatory compliance and customer satisfaction.
Overview
7
7
years of professional experience
4
4
Languages
Work History
Senior Claims Analyst
Accenture Operations
02.2022 - Current
- Increased accuracy in claims assessment through thorough investigation and diligent documentation of claim details.
- Served as a subject matter expert on complex claim cases, offering consultation and guidance to colleagues in need of assistance.
- Improved client satisfaction by consistently resolving complex claims in a timely and professional manner.
- Optimized resource allocation by effectively managing caseloads and prioritizing high-impact assignments.
- Enhanced overall team performance by providing mentorship, guidance, and training to junior claims analysts.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Maintained detailed records of claims, prepared reports, and provided insights to improve claims handling efficiency.
- Processed claims within defined SLA timelines to maintain high service quality and client satisfaction.
Business Process Specialist
AIG Shared Services
06.2019 - 02.2022
- Served as financial process design and implementation expert, supporting organization-wide integration of manual and automated systems.
- Coordinated with underwriters to resolve incomplete policy data, ensuring accuracy and compliance with underwriting requirements.
- Prepared policy quotations, facilitated binding, and managed end-to-end policy issuance while ensuring accuracy, compliance with underwriting guidelines, and adherence to Service Level Agreement (SLA) standards.
- Managed policy amendments, endorsements, cancellations, and renewals while maintaining compliance with company policies.
- Maintained accurate records of issued policies, quotations, and underwriting decisions.
- Ensured all issued policies adhered to regulatory guidelines and company risk management policies.
- Facilitated training sessions on new procedures, fostering a culture of collaboration and knowledge sharing among team members.
Administrative Executive
IQA Spower Consultant
04.2018 - 06.2019
- Collected data, input records, and protected electronic files.
- Scheduled appointments and meetings, organized materials and prepared rooms.
- Implemented document management system that streamlined filing processes and facilitated easy retrieval of information.
- Handled confidential information with utmost discretion, ensuring sensitive data was protected from unauthorized access.
Education
2nd Class Upper - Diploma in Electronic Computer Engineering
Polytechnic Seberang Perai
Perai, Penang, Malaysia 04.2001 -
Skills
- Critical thinking
- Statistical analysis techniques
- Professionalism and integrity
- Insurance Policy Issuance
- Service Level Agreement (SLA) Compliance
- Data Review & Reporting
- Fraud Detection & Risk Analysis
- Claims Processing & Assessment
Additional Information
- Awards & Recognitions:
Q3 Team of the Quarter - 2019
Q2 Prestige Bronze Award - 2020
Q3 Prestige Gold Award - 2020
Performer of the year Award - 2020
Zero MC Award - 2020
FY22 Kick-off Townhall Analyst Award
Q4 Prestige Award - Team of the Quarter
Q1 Prestige Gold Award - 2025
Reference
Name: Badrunisha binti Mohd Hanifa
H/P No: 019 323 9679
Position: Team Leader
Name: Nurliyana binti Mohd Nazri
H/P No: 017 885 1065
Position: Subject Matter Expert
Timeline
Senior Claims Analyst
Accenture Operations
02.2022 - Current
Business Process Specialist
AIG Shared Services
06.2019 - 02.2022
Administrative Executive
IQA Spower Consultant
04.2018 - 06.2019
2nd Class Upper - Diploma in Electronic Computer Engineering
Polytechnic Seberang Perai
04.2001 -
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