Khush Preet Singh Oberoi
Head - Claims Provider Management Fraud Control Benefit & Product Plan @Care Insurance
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WORK HISTORY
Head - Claims Provider Management Fraud Control Benefit & Product Plan @Care Insurance
Gurugram, IN
Spearheaded initiatives to enhance customer experience through AI-enabled chatbots, WhatsApp integration, and IVR systems, resulting in significant improvement in customer satisfaction scores• Negotiated contracts with hospitals and healthcare providers, achieving an average cost reduction• Automated large operations and applied AIML analytics, cutting claim processing time, increasing workforce efficiency, reducing costs and enhancing data analytics through detailed information capture• Designed and executed a comprehensive fraud detection system, resulting in a 20% reduction in policy and claims fraud.• Established the Employee Benefit and Wellness consulting practice, building infrastructure that generated profitable revenue in its first year• Grew the provider network, increasing member access and negotiating contracts that saved substantial claim cost annually• Managed Underwriting rules and automation, integrating protocols, tele underwriting, lab tests, and risk protocols to meet service levels. Drove multiple automation initiatives, improving decision accuracy and incorporating claims feedback to further decrease turnaround time by 50%
EDUCATION
MDI
Post Graduate Diploma in Management, Marketing/Marketing Management, General
IGNOU
Post Graduate Diploma, Hospital and Health Management
Dr SN Medical College
Bachelor of Medicine and Bachelor of Surgery, MBBS
ABOUT KHUSH PREET SINGH OBEROI
A healthcare executive with 20 years of leadership experience across health insurance…
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