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Sunday, December 1, 2024

P&C - AK

 

Tell me Something about yourself?

Thank you for giving me this opportunity to introduce myself. My name is Akhilesh and I am from Pauri Garhwal, Uttarakhand. Currently, I reside in Delhi. As far as my qualifications are concerned, I accomplished my Bachelor’s in commerce from Delhi University. I did my schooling from in sarvodhya bal vidhalaya from CBSE board.

If I talk about my work experience concerned 

Currently, I'm working with Pan Business Pvt Ltd. that's works for Capgemini as an executive in property and casualty insurance.

where I am responsible for

       Verified payments received from insurance companies.
       Forwarded fully & correct payment to the client for further processing.
       Verified the amount that needed to be paid by the insurance company.
       Created cases for overpayments and processed refunds to the insurance company.

 

 I can effectively work in the MS Office Google Docs spreadsheet program. I have good verbal & written communication skills along with a typing speed of 40 words per minute. Adaptability accuracy in serval environments and Working hard are my core strength. I am a person who overthinks before doing any task because I want everything perfect. In my family, there are four members including me. My father, mother, or elder brother. My hobbies are playing cricket and chess. I wish to utilize my skill, learn, and grow together, with your company, and provide top-notch services to your clients. That's all about me Thank you.

You have been working for the past five years, but your salary is still 2.7 LPA, and your designation has not changed. Why?

I have been working at PBL for Capgemini for the last Five years in a contract-based position. Initially, they was told me within 2-3 years, I would be on-roll with Capgemini, but that hasn't happened. While I have gained valuable experience and expertise in my role, the contractual nature of my job has limited my career growth, salary increments, and opportunities for promation. I am now looking for a stable job with a multinational company on their payroll, where I can contribute effectively and grow professionally."

Capgemini CEO - Aiman Ezzat
CEO india - Srinivas Kandula

  

In my currently, I working as an Executive in the Allied process for the USAA Group. Each day, we received allocations from the client with details such as the insured name, contact number, car number, and claim number.

Our task was to search for the account using the claim number in a software called LIDS. After accessing the account, we would check how much money needed to be paid and how much had already been received from the insurance. If the payment was correct, we would forward the case to the client. If there was an overpayment, we created a case and sent the extra amount back to the insurance company. If there was an underpayment, we had to recover the remaining amount from the insurance.

My target per shift is 55-60 cases, and my hourly target is 6-7 cases."

Based on my target of 6-7 cases per hour, it typically takes me about 8-10 minutes to process one case, depending on the complexity and nature of the task.

Why job Change

"I've been on the bench for the last month in my current job due to insufficient workload, there is uncertainty in the future our process may ramp down that why  I'm looking for opportunities  That's why I'm interested in joining Genpact. I think Genpact is the right fit for me

Expectation salary

As per company norms, and the pay scale for this position I'm comfortable with any salary

Stuck Case

During my shift, I got stuck on a case. I accessed a new client case with account details, but when I searched for the user using the claim number in the LIDS software, I couldn't find the account. I double-checked the details and claim number several times, but the issue remained. I then contacted my supervisor and the technical support team. They informed me that there was a delay in syncing the details in the LIDS database. After some time, the problem was resolved.

What is Insurance

Insurance is an agreement with a company in which we pay them in a regular amount of money So that they agree to pay at the time of any mishappening

What is Property and Casualty insurance?

 It is insurance that help to protect you and the property you own. For eg. your home or your car.

 

Types of P&C insurance

Homeowners Insurance Provides coverage for damage to your home and personal property, as well as liability for accidents that occur on your property.

Renters Insurance Covers personal belongings against theft, fire, or other damages in a rental property, along with liability protection for accidents that occur inside the rented space

Car insurances Offers protection for your vehicle and covers liability for bodily injury or property damage caused by a car accident.

Pet insurance Helps cover veterinary expenses for your pets, medical treatments, surgeries, and sometimes accidents or illnesses.

Natural disaster insurance Provides coverage for damages caused by natural disasters like earthquakes, floods

 

Patient responsibility or out of pocket expenses

The amount which is insured needs to pay from their pocket

Deductible: PR1 Fixed annual amount paid by secondary insurance or insured before he can take benefits from the insurance company.

for example, we get a claim feb 1lakh we pay 20 thousand and we again get 1 lakh that time all money will paid by insurance company

voluntary | compulsory 

Or It is an amount that the insured needs to pay before the insurance starts to pay

Co-insurance: PR2 A specified percentage amount paid by secondary insurance or insured. 80:20

on very claim we pay fix ration of amount

Co-payment: PR3 Small dollar amount paid by secondary insurance or insured on every visit.

 

What is Insurance

Insurance is an agreement with a company in which we pay them in a regular amount of money So that they agree to pay at the time of any mishappening

 Insurance claim- An insurance claim is a formal request to an insurance company for a payment

What is insurance Coverage

Insurance Coverage that covers the risk and liability or loss of a person that arise due to any mishappening  and it is covered by insurance company

 

What is a Premium

It is an amount that needs to be paid by the policyholder before getting benefits from insurance it could be monthly, quarterly, half-yearly, yearly

 

Who is Insured/Policy holder/subscriber

who has purchased the policy

Who is Insurer

insurance company who pays money to the insured or provider

What is Settlement

Mutual understanding between insured and insurer

Who is Adjuster

It is the person who settles the claim for the insured in P&C insurance

Natural Disaster Insurance

It is only covered for the person who pays high premium

What is Insurance Underwriting

It is the process through which insurance company determine the actual loss and after that they will price it

 

Annuity

It is a Private company-sponsored plan in which a Person has to pay the premium for a given period of time and he can get the benefit(money) after the maturity and it is paid in a certain interval of time with Interest by the insurance company. For Eg. LIC

Type of annuity

Fixed Annuity- A plan where the insurance company guarantees a fixed interest rate.

Variable Annuity: the insurance company invests your money in stocks, bonds or other investments you choose and the returns depend on the market's performance. Eg SIP

RISK

Risk measures the uncertainty that an investor is willing to take to realize a gain from an investment

Risk is nothing but a possibility of loss when it comes to P&C insurance

Ex if you have your home the possibility of loss is a fire could damage your home as a result you cannot use your home

Suppose that I have purchased a share for XYZ company then there will be a risk,it will be profit or it will be loss.

 

Difference between agent and broker

A broker can help clients buy and sell property, negotiate sales prices, and sign contracts

An insurance broker represents you as the client

an Insurance Agent represents the company they are employed by as their client, and you become the customer.

 

What is Subrogation-imp
Subrogation' is referred as the process of seeking reimbursement from the responsible party for a claim that they had already paid.

For example, if you have an accident where your car gets damaged, and you have car insurance, the insurance company will pay you the money. But when the insurance company comes to know that the accident occurred due to the other party's fault, now they will claim the money from the other party this is known as 'subrogation'.

 

What is insurance Endorsement

Insurance endorsements allow you to change standard property and casualty insurance. It is mainly used for any kind of additions, subtractions, and other updates to your coverage. It can also be used to clarify language or change administrative stuff like address, email or names, etc

 

Insurance cycle

Submission → Processing → Adjudication → Payment/Denial

 

First, we have to submit the claim and after submission, it will go will processing after processing it will go for adjudication where it will be decided whether the claim is paid or denied and in the end will get to know the result.

SSN-( Social Security number) It is a 9 digit unique number which is used to track the earning of US citizens or residents Ex ( govt) PAN Card    


Policy Number -The policy number is 8 digit number consisting of one alphabet and 7 numerical numbers

Client name- Allstate, State Farm group, USAA group, Liberty Mutual

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