Himanshu Gupta

About Himanshu Gupta

After completing my MBA, I began a rewarding career in the insurance industry and have now spent the past three years with Care Health. In my current role, I specialize in data extraction, claims management, and effective coordination with our sales team. I manage a wide range of claims, including HIPD, OPD, and PA CI (Death) claims, while ensuring the timely processing of new proposals, portability forms, renewals, and claim forms—all in strict adherence to compliance standards.

Experience

1. Claims Manager

   Care Insurance

   Jan 2023 — Present · Gurugram, IN

   Handling Broking & NBFC Channel (Pan India) • Oversee end-to-end operations for the Broking and NBFC channel across India, ensuring smooth coordination and compliance. • Extract and analyze case data daily, maintaining accurate NB forms, Claims Payment MIS, and other claims-related records. • Collaborate closely with the sales team to follow up on requirements and ensure resolution within defined TATs. • Manage diverse claim portfolios, including HIPD, OPD, and PA CI (Death) claims, with a focus on accuracy and timeliness. • Ensure same-day (Day 0) system entry of new proposals, portability forms, renewals (Group Business), and claim forms. • Guarantee AML/KYC compliance and zero scan deficiencies before forwarding proposals to the DE team.

Education

• Punjab Technical University

  B.com (Hons.), Accounting and Finance

• Chitkara University

  MBA in Healthcare Management (IT), Health/Health Care Administration/Management

• Internshala Trainings

  SQL for Data Analytics Certification Course, SQL for Data Analytics