Raj Keshri

About Raj Keshri

I specialize in managing claims adjudication processes with proficiency in analyzing, processing, and resolving claims. My expertise includes ensuring accurate claim adjudication, implementing efficient workflows, and maintaining compliance with industry regulations. I am adept at liaising with cross-functional teams to investigate and resolve complex claim issues promptly. My strong attention to detail and analytical skills enable me to identify discrepancies and mitigate claim-related risks effectively. With a dedication to delivering high-quality results, I strive to optimize the claims adjudication process and contribute to the overall efficiency of the organization.

Experience

1. Associate

   Exl

   Oct 2023 — Present · Noida, IN

   Life Claims and Adjudication Specialist at EXL (Transamerica)Role Overview:As a Life Claims and Adjudication Specialist at EXL, handling claims for Transamerica, I am responsible for the accurate and timely processing of life insurance claims. My role involves detailed evaluation and adjudication of claims, ensuring compliance with policy terms and regulatory standards while providing exceptional service to policyholders and beneficiaries.Key Responsibilities:Claims Processing: Review and process life insurance claims, ensuring all documentation is complete and accurate.Adjudication: Conduct thorough investigations to assess the validity of claims, collaborating with medical professionals and legal teams.Documentation and Reporting: Maintain detailed records of claims processed and prepare reports for management, identifying trends and potential issues.Skills and Accomplishments:Expertise in life insurance claims processing and adjudication.Strong analytical and decision-making abilities.Excellent communication and interpersonal skills, providing empathetic customer support.Proficiency in claims management software.Proven ability to manage a high volume of claims efficiently and accurately.

Education

• Calcutta University, Kolkata

  Bachelor of Commerce - BCom, Business Administration and Management, General

• University of Calcutta

  Bachelor of Commerce - BCom, Business Administration and Management, General

  2018 — 2021

• G.D. D.A.V. Public School

  School

• Aacharya Jagdish Chandra Bose College

  Bachelor of Commerce - BCom, Business Administration and Management, General

• A.J.C. Bose College

  Bachelor of Commerce - BCom, Business Administration and Management, General