Amit Anand Bansropun
Moka
Summary
Forward-thinking team leader skilled at operating departments efficiently to meet goals. Successful background matching employees with roles for maximum performance. Proactive and hardworking individual focused on continuous operational improvement.
Overview
15
15
years of professional experience
Work History
Operations Executive
The Mauritius, Union Assurance Cy. Ltd
11.2020 - 07.2023
- Overlooking the “Prise En Charge” and Inpatient team for smooth running of the daily operations
- Monitoring that guarantee of payments are sent to clinics on a timely manner when patients are admitted at clinics
- Have decreased turnaround time of providing guarantee of payment to clinics upon discharged of our clients
- Doing closely follow up for payments of claims to service providers and aim at decreasing the number of our debtors’ days
- Overlooking the Assistance, In cash and Travel team where close follow ups are done for clients going abroad for medical treatment, for clients who settled their claims and send for refunds and for customers who took travel insurance with us
- Attending to internal and external queries and provide good customer service to customers
- Meeting with clients with complaints and try to a maximum to meet their expectations in line with the terms and conditions of the policy
- Curriculum Vitae
- Actively participating in discussion with the “Association des Assureurs” for implementation of price increase for clinics, review of the Scale of Cost and also appointment of new doctors and services provided by clinics
- Providing monthly and weekly reports to management team and to other departments in regards of Outstanding Claims Report, Payment plans, credit limit reports, etc
- Reviewing and analyzing price increase sent by clinics and provide suggestions for the implementation
- Involve in the implementation of new information system and responsible for maintaining the Masters for price increase of clinics, the Scale of Cost, addition and deletion of new providers, clinicians, etc.
Head of Debtors
C Care
04.2018 - 06.2020
- Work towards monthly target to reduce the debtor balance and debtors’ days and identify opportunities for continuous improvement
- Supervises the production of weekly, monthly & quarterly debtors’ reports and develops reports for control purposes
- Ensures integrity and compliance to internal controls
- Engages in project management, leads and drives system process improvement activities
- Resolves account receivables issues with both the internal and external customer and also assist in monitoring, tracking and enforcing departmental policies, procedures and goals
- Initiates legal or other recovery actions against customers who are delinquent
- Manage all the relationship with doctors by making their payment and statement of account on a monthly basis and by assisting them for any queries
- Build strong working relationship with insurance companies and corporates in order to provide a good working environment between both parties
- Organising monthly or quarterly meetings with external customers
- Develop service level agreements with different business areas and regularly report performance against SLA with the use of KPIs
- Attending morning meetings and management meetings regularly and cascading information to staff members
- Involve in the implementation of the new Hospital Information System and ensure that all data migration was correctly done
- Curriculum Vitae
- Manage and develop team: monitor workload, ensure job proficiency, develop career goals by evaluating and monitoring individual staff performance and giving appropriate feedback, identify training and development needs
- Lead and motivate staffs to achieve excellent customer service standards, retain staffs and create a good working environment, recognize accomplishments, and serve as role model and coach by providing feedback to improve performance and executing progressive discipline as needed
- Establish, communicate and manage goals and expectations for department and individual performance
- Continuously work to identify broken processes; develop, recommend and implement improvements
- Plan and facilitate effective team meetings to share important customer or product knowledge resulting in improved communication and proactive resolution to customer inquiries
- Promotes the best image for the company through the professional appearance and behaviour and adhere to company standards and procedures
Insurance Coordinator
Clinique Darné
10.2015 - 04.2018
- As Insurance Coordinator was responsible to facilitate the discharge process and make recommendations to management for any improvement, determine patient’s financial responsibilities by liaising with different insurance companies for “prise en charge” of insured patients and coverage
- Reply to queries from insurance companies on time and inform the concerned customers accordingly & resolve claim rejections for eligibility, coverage and other issues
- Curriculum Vitae
- Liaise with doctors for payment of their fees and receivables by preparing their monthly statement of account & also attending to their queries.
Claims Manager
Metropolitan Health Mauritius Ltd
01.2012 - 06.2015
- As claims manager was accountable for managing, leading and developing a customer focused team
- Responsible for ensuring customers receive professional, attentive care in a time manner and for proactively identifying, developing and executing customer focused solutions to enhance the customer service experience on day to day operations
- Manage and develop team: monitor workload, ensure job proficiency, develop career goals by evaluating and monitoring individual staff performance and giving appropriate feedback, identify training and development needs
- Lead and motivate staffs to achieve excellent customer service standards, retain staffs and create a good working environment, recognize accomplishments, and serve as role model and coach by providing feedback to improve performance and executing progressive discipline as needed
- Establish, communicate and manage goals and expectations for department and individual performance
- Continuously work to identify broken processes; develop, recommend and implement improvements
- Plan and facilitate effective team meetings to share important customer or product knowledge resulting in improved communication and proactive resolution to customer inquiries
- Investigate, Negotiate and settle claims within delegated Authority
- Regularly review outstanding claims and liaise with the Finance
- Department to ensure the adequacy of claim reserves
- Prepare all statistics required by Management including Average Claim
- Ratio
- Communicate with other department managers pertaining to issues related to claims processing and vice versa
- Develop and maintain beneficial working relationships with subordinates and colleagues and meet inter departmental deadlines
- Promotes the best image for the company through the professional appearance and behavior and adhere to company standards and procedures
- Curriculum Vitae
- Contribute in developing, updating and implementing policies and procedures to suit the functional objective of the business
- Conduct staff appraisal using company performance appraisal tool
- Responsible in implementation of the core processes with accountability on the overall performance of the department
- Suggest updates in policies and procedures within the department to be followed by the staff members
- Manage process claims targets and quality check of data & efficiency of the staff members according to operational measures
- Maintain the productivity reports of the team members, preparing & maintaining monthly Process Report
- Suggest training requirements of staff to ensure productivity and growth
- Ensure contractual agreements are being met with service providers on a monthly basis.
Senior Claim Assessor
Metropolitan Health Mauritius Ltd
06.2011
- In charge of the team members for the claims department
- Ensure that proper controls were set in place in order for the good settlement of claims
- Works with close collaboration with other department in order to provider a good customer service to our clients.
Billing Supervisor
Apollo Bramwell Hospital
06.2009 - 05.2011
- Participation in the induction program for the opening of the hospital and helping into the implementation of procedures for the billing department
- In charge of shift management (either morning or evening) and roster organisation.
Front Office Supervisor
Constance Le Prince Maurice Hotel
06.2008 - 10.2008
- In charge of the team members for the front office department
- Roster organisation, annual appraisal for team members and close collaboration with all other department
- Also attending management meeting.
Head Receptionist
Le Prince Maurice Hotel
10.2004
- In charge of shift management (either morning or evening) at the reception as well as client hospitality management
Receptionist
Le Prince Maurice Hotel
04.2002
- Client hospitality management (check-in/ check-out, client billing, manage the cash float on a daily basis
Receptionist
Le Coco Beach Hotel
07.2001
- Client hospitality management (check-in/ check-out, client billing, manage the cash float on a daily basis)
F&B Cashier
Paradise Cove Hotel, Cap Malheureux
11.1999
- Manage the cash float for the food and beverage department
F&B Cashier
La Plantation Hotel, Aux Piments
05.1999
- Participation in the induction program for the opening of the hotel and in the appropriate courses (grooming courses, etc…)
- Manage the cash float for the food and beverage department.
Education
Certificate of Accomplishment for Skill Development Program in -
Financial Services Institute
Mauritius08.2021
Diploma - Hotel Management
Rushmore Business School, University of Birmingham
Mauritius2009
Front Office - Hospitality
Hotel School of Mauritius
Mauritius08.2000
School Certificate -
Mahatma Gandhi Institute Moka
Mauritius1996
Skills
- Strong leadership and interpersonal skills with ability to hire, lead, develop, evaluate, motivate and retain staff in customer-focused team setting
- Ability to differentiate between good and poor customer service and train and coach employees towards improvement
- Professional communication skills: verbal and written, and astute listening skills with ability to connect with customer
- Time management, prioritization and organizational skills while maintaining focus on customer needs
- Meeting facilitation skills & Project management skills
- Analytical skills with ability to understand budget and performance metrics
- Strategic thinking with short- and long-term planning skills
- Decision-making, conflict resolution and problem-solving skills
- Computer Literacy
- Fully computer literate with working knowledge of Windows & Microsoft office
Languages
English
Proficient
C2
French
Proficient
C2
Timeline
Operations Executive
The Mauritius, Union Assurance Cy. Ltd
11.2020 - 07.2023
Head of Debtors
C Care
04.2018 - 06.2020
Insurance Coordinator
Clinique Darné
10.2015 - 04.2018
Claims Manager
Metropolitan Health Mauritius Ltd
01.2012 - 06.2015
Senior Claim Assessor
Metropolitan Health Mauritius Ltd
06.2011
Billing Supervisor
Apollo Bramwell Hospital
06.2009 - 05.2011
Front Office Supervisor
Constance Le Prince Maurice Hotel
06.2008 - 10.2008
Head Receptionist
Le Prince Maurice Hotel
10.2004
Receptionist
Le Prince Maurice Hotel
04.2002
Receptionist
Le Coco Beach Hotel
07.2001
F&B Cashier
Paradise Cove Hotel, Cap Malheureux
11.1999
F&B Cashier
La Plantation Hotel, Aux Piments
05.1999
Certificate of Accomplishment for Skill Development Program in -
Financial Services Institute
Diploma - Hotel Management
Rushmore Business School, University of Birmingham
Front Office - Hospitality
Hotel School of Mauritius
School Certificate -
Mahatma Gandhi Institute Moka
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