ROHIT KRISHNAN

About documents in Scrum and artefacts.

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Hi Care Insurance, calling customer claim FRAUD!!! 🤐 Now it's time to prove you are not "FRAUD" ☠️ I am not demanding money, All I want is justified answer with Proof for rejecting my claim. 🔴 Requesting my connections to repost so it will help your contacts as well before buying insurance🔴 Disappointed with Care Health Insurance I’m extremely disappointed with how Care Health has handled my claim. Here’s what happened: 🔹 My claim was rejected with the reason: "fraudulent claim." 🔹 Despite multiple emails, I haven’t received a detailed explanation or proof. 🔹 Customer care repeats the same response without providing clarity or justification. I’m not demanding anything unjustified—I only seek transparency and proper reasoning. This lack of accountability is unacceptable. Care Health, I urge you to respond with all the necessary details and evidence. Ignoring customers’ concerns only harms your credibility. #HealthInsurance #CustomerExperience #Accountability #careInsurance #carehealth

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Hi All, Swiss Re Data Engineer Interview Question (1st Round :- 2nd Part) You are given three countries: India, Australia, and Pakistan. You need to schedule cricket matches between them with the following rule:   Each country should play against every other country exactly once. Write a solution in PySpark, SQL, or Python to generate the match schedule. The output should list the matches as pairs, such as India vs Australia, India vs Pakistan, etc. https://lnkd.in/gsb3Bebp please like and subscribe my YouTube channel. #pyspark,#sql,#python,#azure,#aws,#databricks,#interview,#interviewQuestion

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**The Effectiveness of Business Analysis in IT Projects** Business analysis plays a crucial role in the success of IT projects by bridging the gap between stakeholders' needs and technological solutions. Effective business analysis ensures that project goals are well-defined, requirements are clearly articulated, and the final product aligns with business objectives. One of the key strengths of business analysis is its ability to reduce project risks. Business analysts (BAs) thoroughly understand stakeholder needs and translate them into detailed requirements, minimizing the risk of scope creep or miscommunication. This clarity fosters more accurate project planning, budget control, and time management. Additionally, BAs facilitate effective communication among different teams. By working closely with developers, project managers, and stakeholders, they ensure that everyone is on the same page. This collaborative approach helps prevent misunderstandings and aligns the project with its intended outcomes. Another advantage of business analysis in IT projects is its adaptability to changing business environments. BAs are skilled at conducting continuous assessments and providing feedback during project lifecycles, ensuring that any necessary adjustments are made to keep the project on track. Ultimately, the effectiveness of business analysis lies in its ability to deliver projects that meet business needs and provide value. By focusing on clear requirements, risk mitigation, and efficient communication, business analysts contribute significantly to the overall success and sustainability of IT projects. #businessanalyst #itprojects #projectenvironment

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Unjust Claim Denial by ICICI Lombard and Lack of Support from Policybazaar.com After maintaining a health policy with Niva Bupa for 2 years, we ported to ICICI Lombard through Policybazaar.com in July 2024. The policy document was issued on 9th July 2024, while the policy start date was 28th August 2024. At the time, my mother, Suman Singh, had no pre-existing conditions. On 26th August, she was diagnosed with spondylitis for the first time, and initial treatment was completed in September. Despite submitting all required documents, ICICI Lombard denied the claim, citing non-disclosure of a pre-existing condition. This is completely baseless, as the diagnosis occurred after the issuance of the policy document on 9th July. This feels like a clear case of misrepresentation and unfair treatment by ICICI Lombard and Policybazaar.com has been equally unhelpful, despite being informed about the diagnosis immediately. Sarbvir Singh Sanjeev Mantri Yashish Dahiya Gopal Balachandran Here are the policy and claim details for reference: Policy Number: 4225I/P-ELVT/351232465/00/000 Claim Number: 220101208673 Date of Diagnosis: 26/08 (by examination) Community Question: Has anyone experienced a situation where a health insurance policy was ported after maintaining it for 2 years, and the insurer denied a valid claim for a condition diagnosed after receiving the policy document but before the policy start date? Any guidance or similar experiences would be helpful. #HealthInsurance #Fraud #UnfairDenial #ICICILombard #Policybazaar #PolicyPorting

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Sentiment Analysis: Revolutionizing Customer Experience in BFSI Understanding customer emotions is key to delivering exceptional service. Sentiment analysis enables BFSI companies to decode customer feedback across channels like social media, emails, and chatbots. Insights derived from sentiment analysis improve customer satisfaction and loyalty. It helps in identifying negative feedback early and resolving issues proactively. By leveraging AI-powered sentiment analysis, organizations can offer personalized and timely solutions. #SentimentAnalysis #BFSI #CustomerExperience #DigitalTransformation #AIForBusiness

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Learn how to build the shitiest insurance service, worst mobile app in the world from Magma HDI General Insurance Company Limited (yes, worse than even IRCTC). I wanted to initiate a claim for my 2 wheeler. Have been juggling with the IVR menu, which has been made to scare away policyholders deliberately from availing any service. Then obviously, the best app when it comes to not doing anything or not lets the user do anything. Feeling like I should have not brushed and checked Acko. Imagining myself in the Acko's ad 😭

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Wondering how integral a Business Analyst is to an organization? Here’s a glimpse into one of our Business Analysts Niveditasri N who forms the core pillar of iNube’s product management. #LifeatiNube #InsuranceTechnology #EmployeeAdvocacy Jiji Anil

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Ever wondered what an actuary does on a daily basis? Here’s are some responsibilities and daily tasks: An actuary's typical day includes data analysis, financial model, and meetings with clients or stakeholders. They dedicate significant amount of time improving predictive models and ensuring compliance with regulatory requirements. Actuaries analyze large datasets to identify trends, patterns, and potential risks. This analysis provides the basis for their predictive modeling and risk evaluation. Financial modeling is another key responsibility. Actuaries develop and maintain complex financial models to evaluate different scenarios and their financial impacts. Client consultations involve actuaries meeting with clients or stakeholders to present findings, discuss risk assessments, and offer recommendations. They prepare detailed reports summarizing their analyses, findings, and recommendations, which are used to make strategic decisions. The ability to transform complex data into understandable insights is crucial for making informed decisions. Actuaries document their methodologies, assumptions, and results to maintain transparency and comply with regulatory standards. Detailed documentation is crucial for upholding the integrity of their work. Monitoring economic indicators, regulatory changes, and industry developments to ensure their models and assumptions are accurate. Let’s connect and discuss #ActuarialScience #RiskManagement #DataAnalysis #FinancialModeling #Insurance #PensionPlans #CareerInsights

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Anand Roy Starhealth Insurance being a standalone Health Insurance company, we expect better Service from you. Alas ,your call centre aces in giving the lame excuses in delaying the claim process and does not have any view on the claim status. synopsis - All the documents were provided for reimbursement claim on 9th Aug in person at one of the branch. To my surprise after one month's TAT which is breached , I am informed that one of the X- Ray films were provided on 24th Aug to the medical team. Not sure how come 1 X ray gets missed by your team after giving all the documents in the first place. Is that one of the tactics to furthe delay the process and give me a months TAT again? #insurancegrievances

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Unlocking the Power of Technology 🌟 Bharti AXA Life Insurance அறிவு தொழில் இசையறிந்து செய்யும் நன்மைகளை கொண்டு அதிக வேலைசெய்வார்கள் அனைத்தும் திறனால் தாழ்மை பெறுகின்றனர். Understanding the Power of Technology is key in today's corporate landscape. It's not just about gadgets; it's about leveraging knowledge and innovation to drive meaningful change. Technology empowers businesses to streamline processes, enhance productivity, and adapt to evolving market demands swiftly. From AI-driven analytics to cloud computing, it's reshaping industries and opening doors to new possibilities. Embrace Technology to stay competitive, foster growth, and deliver value to stakeholders. Let's harness its potential to innovate, collaborate, and create a brighter future for businesses and society alike. #Technology #Innovation #DigitalTransformation #BusinessStrategy 💻🚀🌐

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#Hiring I'm looking for an Assistant Product Manager to join our team! If you're passionate about data-driven decision-making, improving conversion rates, and enjoy collaborating with cross-functional teams, this role is for you. 📍 Location: Mumbai & Bangalore 📧 Interested candidates can send their resumes to [email protected] About the Role: Are you ready to be a changemaker? At the crossroads of innovation and impact, we’re seeking an Assistant Product Manager to transform how leads become customers in the health insurance industry. This isn’t your typical 9-to-5 role—think of it as a launchpad for your career. You’ll combine creativity, strategy, and cutting-edge tech to redefine our Lead-to-Sales (L2S) process. From empowering telesales agents to creating seamless customer journeys, you’ll play a pivotal role in driving success. If you’re a self-starter with an entrepreneurial mindset, love solving real-world problems, and thrive in fast-paced environments, we want to hear from you! What You’ll Do: 1. Shape the L2S Experience: Reimagine and optimize the L2S funnel to deliver results that matter. Dive into data to uncover trends, solve bottlenecks, and power up conversion rates. Collaborate with teams across marketing, sales, and tech to ensure flawless execution. 2. Enable Telesales Agents to Shine: Empower agents with AI tools, real-time feedback, and performance dashboards that simplify their lives. Craft and refine scripts that are dynamic, empathetic, and customer-focused. Drive continuous learning through innovative training programs and growth-centric coaching. 3. Innovate with Technology: Be the bridge between strategy and execution by introducing automation, CRM enhancements, and workflow innovations. Explore cutting-edge solutions to enhance lead prioritization, response times, and follow-up efficiency. 4. Collaborate Like a Pro: Work closely with marketing to optimize lead targeting and segmentation. Bring agent and customer feedback to the table to refine processes and improve outcomes. Who You Are: A problem-solver with a growth mindset and a drive to make things happen. Tech-savvy with a knack for learning new tools and systems like CRMs and dashboards. A data whisperer who loves turning raw numbers into actionable insights. An excellent communicator who thrives in collaborative, high-energy environments. Passionate about sales and customer experiences, with an eye for innovation. Why You’ll Love This Role: 1. Real Impact: Your work will directly influence our bottom line and help real people access the health insurance they need. 2. Growth Opportunities: Fast-track your career with a role that challenges you to think big, execute smart, and innovate constantly. 3. Culture of Innovation: Be part of a future-focused team that values creativity, agility, and collaboration. 4. Work That Excites You: No day will be the same—you’ll tackle new challenges, brainstorm big ideas, and drive measurable results.

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People involved in Policy Life cycle to make the process Effective #Guidewire #PolicyCenter #People #Roles In PolicyCenter, various roles and individuals are involved in the insurance policy lifecycle. Here are the key definitions: 1. **Underwriter**: - An underwriter evaluates insurance applications to determine the risk of insuring a person or asset. They decide the coverage terms and pricing based on risk assessment. 2. **Agent/Broker**: - An agent or broker acts as an intermediary between the insurance company and the policyholder. Agents typically represent one insurance company, while brokers may represent multiple insurers. They assist clients in finding and purchasing suitable insurance policies. 3. **Policyholder/Insured**: - The policyholder is the individual or entity that owns the insurance policy and is responsible for paying premiums. The insured is the person or entity covered by the policy. 4. **Claimant**: - The claimant is the person or entity making a claim under the insurance policy, seeking compensation for a covered loss or event. 5. **Claims Adjuster**: - A claims adjuster investigates insurance claims to determine the extent of the insurer's liability. They assess damage, review reports, and negotiate settlements. 6. **Customer Service Representative (CSR)**: - A CSR provides support to policyholders, answering questions, addressing concerns, and assisting with policy changes and renewals. 7. **Actuary**: - An actuary uses statistical and mathematical methods to assess risk and determine insurance premiums. They analyze data to forecast future claims and ensure financial stability. 8. **Risk Manager**: - A risk manager identifies, assesses, and prioritizes risks to minimize the impact of potential losses. They develop strategies and policies to manage and mitigate risks. 9. **IT/Systems Administrator**: - The IT or systems administrator manages the technical infrastructure of PolicyCenter, ensuring system stability, security, and performance. 10. **Product Manager**: - A product manager oversees the development and management of insurance products, ensuring they meet market demands and regulatory requirements. 11. **Regulator/Compliance Officer**: - Regulators and compliance officers ensure that the insurance company adheres to industry regulations and standards. They oversee compliance with legal requirements and internal policies. 12. **Policy Administrator**: - A policy administrator manages the administrative tasks associated with insurance policies, such as issuing policies, processing renewals, and maintaining policy records. These roles collaborate to ensure the effective functioning of the PolicyCenter system and the overall insurance process, from policy issuance to claims handling.

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🔹 Top 5 Most Profitable General Insurers in FY 2024 🔹 The financial performance for FY 2024 is in, and here are the top 5 general insurance companies, ranked by their Profit After Tax (PAT). 🚀 The general insurance sector rebounded strongly in FY24, posting a total profit of ₹6,417 crore, up from a net loss of ₹5,928 crore in FY23. 📈 #GeneralInsurance #Finance #Profitability #FY2024Results #InsuranceIndustry

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Per Project and Per Location Endorsements differences: *Key Differences* 1. *Scope*: Per Project Endorsement covers a specific project, whereas Per Location Endorsement covers a specific location. 2. *Duration*: Per Project Endorsement typically covers the project duration, whereas Per Location Endorsement covers the location for a specified policy period. 3. *Risk Focus*: Per Project Endorsement addresses project-specific risks (e.g., construction, design), whereas Per Location Endorsement addresses location-specific risks (e.g., natural disasters, crime). *Application Differences* 1. *Per Project*: Suitable for large-scale construction, engineering, or infrastructure projects. 2. *Per Location*: Ideal for commercial properties, industrial facilities, or locations with unique risk profiles. *Coverage Differences* 1. *Per Project*: May include coverage for project-specific risks like delay, disruption, or design errors. 2. *Per Location*: May include coverage for location-specific risks like flood, earthquake, or environmental hazards.

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What is the AI Role in Insurance industry in india ?? AI plays a crucial role in the insurance industry in India by improving many things like Claims Processing: AI can accelerate the processing and payout of claims, reducing the time it takes to settle claims. Risk Management: AI models can analyze data to identify trends and potential risks, enabling insurers to adjust their strategies and pricing. Customizable Coverage: AI algorithms can create personalized coverage based on individual customer data, enabling insurers to offer tailored products and pricing. Customer Service: AI-powered chatbots and virtual assistants can provide 24/7 customer support, enhancing customer satisfaction and reducing the workload for human agents. Fraud Detection: AI-enabled systems can detect fraudulent claims, helping insurers prevent losses and improve their bottom line. Automation: AI can automate manual tasks, freeing up human underwriters and claims processors to focus on complex and high-value work. #insurance #India #Insurancecompany #Generalinsurance #ImportanceofAI

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🙏 Developer Post - 6th October 2024 (last post 1st Sep 2024) Its been a while since my last post. In continuation, putting it on the table the idea behind the logo of "Sri & Sri EduServ" which provides "Business and Education Support Services". The key drivers in our case is "sharing" and "support". 1. The idea is to "share" the knowledge we had acquired over the period of time to those in need. 2. To "support" the people in growing their wealth and be part of their success stories. 3. All the knowledge anyone acquire comes from "Books" (including e-books) and competent teacher(s) who dedicate themselves and their time. 4. The knowledge we acquired are represented in the "pages". 5. Finally, we see ourselves as "ladder" for our clients' rise to success. Welcoming all to explore our page https://lnkd.in/gxbpm5HX 🙏

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