Priyanka Chavan
@priyankachavan2
Medical claims specialist at Allstate India reviewing auto casualty records and applying policy terms.
IndiaWhat I'm looking for
At Allstate India, I work as a Specialist summarizing medical records for auto casualty claims. I review records from medical facilities and have also worked as a Senior Associate Medical Summarizer at Allstate India.
At Principal Global Services, I reviewed medical records for life insurance underwriting and worked as an adjudicator applying client policy provisions. Earlier, I processed non-cashless claims at MD India Health Insurance TPA and practiced at Niramaya Clinic.
Experience
Work history, roles, and key accomplishments
Specialist - Auto Casualty Claim Medical Summarizer
Allstate India
Jul 2022 - Present (4 years 3 months)
Working as a specialist for auto casualty claim medical record summarization for US health insurance.
Adjudicator
Principal Global Services
Oct 2021 - Mar 2022 (5 months)
Worked in the Specialty Benefits Division as an adjudicator, processing claims according to policy provisions and approving amounts as per policy norms.
Medical Reviewer
Principal Global Services
Jun 2021 - Mar 2022 (9 months)
Summarized medical records from various facilities and worked with the medical underwriting team.
Medical Summarizer
Allstate Solutions
Aug 2018 - Jun 2021 (2 years 10 months)
Summarized various medical documents from hospitals and worked on MIB coding to provide medical histories to MIB affiliated insurance companies.
Senior Executive
MD India Health Insurance TPA Private Limited
Feb 2018 - Aug 2018 (6 months)
Processed non-cashless claims on various policies including CA, GIPSA, and LIC policies using medical expertise.
Owner and Practitioner
Niramaya Clinic
Nov 2011 - Jan 2017 (5 years 2 months)
Practiced homoeopathy in own clinic.
House Physician
Dr J J Magdum Homoeopathic Medical College
Jan 2009 - Dec 2011 (2 years 11 months)
Worked with homoeopathic OPD and IPD patients during MD completion.
House Post
Reputed Homoeopath Consultant
Jan 2007 - Dec 2008 (1 year 11 months)
Worked as a house post in a reputed homoeopath consultant's practice.
Intern
Samarth Hospital
Feb 2006 - Jan 2007 (11 months)
Completed one year internship training.
Education
Degrees, certifications, and relevant coursework
Maharashtra University of Health Sciences
M.D. Homoeopathy, Organon of Medicine
2009 - 2011
Grade: First class
Completed M.D. Homoeopathy in Organon of Medicine with first class.
Maharashtra University of Health Sciences
B.H.M.S., Homoeopathy
2002 - 2007
Grade: First class
Completed B.H.M.S. with first class.
MDL Healthcare Systems Pvt. Ltd
Clinical Management and Hospital Administration Course, Clinical Management and Hospital Administration
2006 - 2006
Completed Clinical Management and Hospital Administration Course in July 2006.
MDL Healthcare Systems Pvt. Ltd
Computer Essential Course, Computer Essentials
2004 - 2004
Completed Computer Essential Course in August 2004.
LOMA
LOMA 386, Insurance
Earned LOMA 386 certification.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Salary expectations
Social media
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