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Versatile and highly adaptable General Insurance professional with over thirty years’ experience in various general insurance verticals, more specifically Health Insurance, looking for an opening to employ the skills and knowledge acquired over the years, for the mutual benefit of the organization and society. |
 Contact RAMESH VENKATAKRISHNAN
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Area of Expertise: |
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Administration, HR, Management, Accounting/Finance
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Health, Doctors, Nurses, HIV/AIDS, Nutrition
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Monitoring, Evaluation, Policy, Research
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Professional Experience: |
Project Head
Chief Minister’s Comprehensive Health Insurance Scheme, Tamil Nadu
Medi Assist Insurance TPA Pvt. Ltd., Chennai.
December 2013 to 30th April 2019
Overseeing implementation of the
Scheme in the allotted districts
Enrolment of beneficiaries
Issuance of Smart Cards/E-cards
Ensuring quick approval of Preauth
and Claims thereby ensuring good TAT
Empanelment of Network hospitals
Fraud control
Redress grievances of beneficiaries
and empanelled hospitals
Liaison with the Government, District
Revenue Officials and the Insurer and
ensuring overall smooth functioning
of the Scheme in the allotted districts.
Manager
Health Insurance Claims
Star Health & Allied Insurance Co.Ltd.
Dec. 2011 – Dec.2013
Settlement of Health Insurance Claims
Assistant General Manager – HR and Administration
Golden Enterprises, Hyderabad
May 2009 – December 2011
Golden Enterprises is the Manpower Service Provider to Star Health & Allied Insurance Co. Ltd., the Insurance provider for the Rajiv Aarogyasri Community Health Insurance Scheme in the State of Andhra Pradesh, India.
Recruitment for various positions in
the Rajiv Aarogyasri Community Health
Insurance Scheme, promotions, employee welfare, grievance redressal and all other such HR activities relating to close to 4000 employees.
Overseeing functions of the administration department to meet with the infrastructure requirements of the Network Hospitals and District Offices. Close to 400 Network
Hospitals in Andhra Pradesh cater to the medical requirements of around 6.5 crore beneficiaries under the Rajiv Aarogyasri Health Insurance Scheme.
Business Head-Rural
ALEgION Insurance Broking Ltd., Chennai, India
December 2004 to April 2009.
Member of a three member core committee to formulate an insurance policy for persons with disabilities as requested by The National Trust for the welfare of persons with disabilities.
Coordinated the country-wide implementation and monitoring of ‘NIRAMAYA’, a Health Insurance Scheme for Persons with Disabilities launched by The Ministry of Social Justice & Empowerment, Govt. of
India.
Assisted in processing claims under
Mediclaim relating to corporate
clients.
Handled the Rural and Micro Insurance verticals.
Developed a Diagnostic Tool to Assess
Organizational Capabilities of Micro Finance Institutions, NGOs and other such organizations to undertake Micro Insurance interventions. The project was funded by CARE, an International NGO.
Developed tailor-made insurance products for various organizations.
Assistant Administrative Officer, 1984 – 1989
Administrative Officer 1989 – 1995
Assistant Manager 1995 – 2004
United India Insurance Co.Ltd.
Underwriting Rural Insurance Business and settling claims.
Motor Own Damage claims.
Participation in Lok Adalats and Out-of-Court settlements of Motor Third Party claims.
Member of the Quality Assurance Team for nine years. Assisted operating offices in scienti
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Education: |
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Post-Graduate in Veterinary Science
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Affiliations and Achievements: |
Effective and successful implementation of the Chief Minister’s Comprehensive Health Insurance Scheme in the allotted districts in Tamil Nadu over five years.
Ensuring smooth implementation of the prestigious Rajiv Aarogyasri Community Health Insurance Scheme in Andhra Pradesh, India by providing competent manpower and ensuring their welfare through good HR practices.
Achieving efficient budgetary controls through effective cost-cutting measures.
Visiting Faculty at the Corporate Training Centre United India Insurance Co. Ltd., since 1998. Successfully trained a number of officers in handling MACT cases, Cases before the Consumer Forums, Marketing, Claims Management and Marketing of Micro Insurance and Rural Insurance products.
Trained IRDA Agents on General Insurance.
Specialization in Micro Insurance and Rural Insurance products.
Consultant to NGOs and Micro Finance Institutions on insurance matters.
Designed customized insurance products for NGOs and Micro Finance Institutions in conjunction with insurers. Successfully developed a Loan Security product for an NGO.
Expertise in Insurance Product evaluation. Carried out evaluation of certain custom-made insurance products offered by insurers to NGOs and Micro Finance Institutions.
Designed a Diagnostic Tool for use by NGOs and Micro Finance Institutions to evaluate their capabilities for Micro Insurance interventions.
Resource Person on General Insurance at National Workshops and Seminars.
Member of a Core Group constituted by the National Trust, Ministry of Social Justice & Empowerment, Government of India to design insurance products for Persons with Disabilities.
Successfully coordinated country-wide implementation of ‘NIRAMAYA’ a Health Insurance Scheme for Persons with Disabilities launched by the National Trust, Ministry of Social Justice & Empowerment, Govt. of India.
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Available for: |
- Consulting assignments
- Job opportunities
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