Amey Pawar

About Amey Pawar

Experienced professional with a strong background in Claims Account Handling, Revenue Cycle Management, and Data Analysis. I have successfully navigated roles at MMGS, IKS Healthcare, and Accenture, where I developed expertise in optimizing processes, improving operational efficiency, and driving impactful solutions. Adept at managing complex client accounts, streamlining revenue cycle operations, and leveraging data-driven insights to inform business decisions. Currently exploring new opportunities to apply my skills in a dynamic, growth-oriented environment.

Experience

1. Specialist (Claims Account Handler)

   Marsh Risk

   Aug 2021 — Present · Mumbai, IN

   provide advice on making a claim and the processes involved process new insurance claims notifications collect accurate information and documents to proceed with a claim analyze a claim made by a policymaker to establish whether it satisfies the policyconditions guide policyholders on how to proceed with the claim identify reasons why full payment may not be made explain to policyholders when their claim is not covered contact tradespeople from a network of approved professionals and arrange for themto make repairs on the policyholder\'s property monitor the progress of a claim investigate potentially fraudulent claims liaise with solicitors, as well as other legal and claims professionals, and negotiate theterms of a claim prepare an initial estimate of costs and then closely monitor and keep a record of costs get advice from external specialists, such as loss adjusters and forensic accountants, oncomplex cases ensure fair settlement of a valid claim ensure the customer is treated fairly and that the customer receives excellent servicein accordance with industry and company guidelines handle any complaints associated with a claim manage all administration aspects of the claim adhere to legal requirements, industry regulations and customer quality standards setby the company. seek legal recovery of money paid out take responsibility for productivity and profit get involved in loss adjusting activities and in legal discussions relating to settlement.

Education

• B.N.bandodkar college

  Bachelor of Science - BS, Operations Management and Supervision

• University of Mumbai

  Bachelor of Science - BS, Science