Vision of Service
Empower and support Life and Health Insurance organizations through experiential training, intellectual inputs and medically apt cum legally sound opinions.
Dr Sushma Jaiswal

Work Experience:
  • Head Operations at C.M. Health Solutions
    14 Aug '06 till date
    Key Responsibilities:
    • Lead the Operations across functions; for all major clients.
    • Managing the Operations with focus on quality and ensuring rigid adherence to SLA
    Job Description:
    • Heading operations for Life/Health Insurance activities PAN India
    • Client Relationship - Coordinating with Claims Heads across industry
    • Co-ordinated end to end investigation for all claims (Life & General); the task involves location investigation, document scrutiny/verification and final reporting.
    • Assessment of claim related cases- Life and Health. Designing/Reviewing Processes: Setting up the measurement framework for all the Operations, Service processes, Identifying areas of Process Improvements
    • Auditing of Medical establishments - Defining Parameters, Defining case scenarios, Monitoring client feedback, Coordination with vendors for execution of process.
    • Leader - core team for setting up processes for Medical Audit
    • Over 2 years of experience in organising trainings in insurance domain
  • Private Homoeopathic Practice
    2002 - 2006
Education:
  • M. S. Psychotherapy, Institute for Psychotherapy and Management Science, Mumbai, 2007
  • B.H.M.S, Smt C. M. P. Homoeopathic Medical College, Mumbai, 2001
Skills:
  • Responsible for ensuring Quality Scrutiny of Operations
  • Drawing up the Process documentation, review, measurement/metrics methodology and implementation
  • Managed business segment performances, built action plans, provide expertise & leadership in the assigned functional area.
  • In the cycle of acquiring clients, understanding their needs, designing a solution for them, transition the process from the client site and help the operations reach a steady state.
  • Internal/ outward Audit