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Pooja Pothu

Pooja Pothu

Finance and Risk Management specialist

Bangalore, India
80
Profile Score

About

A Finance and Risk Management specialist with a focus on health insurance operations at Go Digit. I thrive on finding the "why" behind operational delays and enjoy turning raw claims data into clear, actionable MIS reports. Having recently earned a Spotlight Award for my performance in high-pressure corporate account management, I am now looking to apply my analytical mindset and process-improvement skills to a dedicated risk or analytics role where I can drive backend efficiency.

Skills & Expertise (15)

Health Insurance Operations Intermediate
7.3/10
1
Years Exp
Corporate/Group Health Claims TAT/SLA Monitoring Operational Risk identification Process Gap Analysis Root Cause Analysis (RCA) Compliance Quality Checks MIS Preparation Claims Pendency Analysis Trend Analysis Data Validation MS Excel MS PowerPoint SPSS Foundational R Programming

Work Experience

Executive Trainee – Health Insurance Operations

Go Digit General Insurance Ltd

May 2025 - Present

Awarded "Spotlight Award" (2025): Recognized for exceptional performance in managing corporate health claims and maintaining 100% adherence to SLAs during peak volume periods. Manage end-to-end backend processing of corporate group health claims while ensuring strict adherence to operational guidelines. Track claims pendency, approvals, and rejections to proactively flag delays and operational bottlenecks. Liaise with medical underwriting, claims investigation, and finance teams to facilitate accurate claim decisions. Maintain comprehensive MIS reports and dashboards to track volume, compliance, and escalation trends. Identify recurring documentation gaps and process deviations to support operational risk management.

Summer Intern – Sales Operations Support

Nippon India Mutual Funds

Jun 2024 - Aug 2024

Supported backend distribution operations and assisted with client documentation verification. Gained exposure to operational compliance and internal investment workflows.

Education

PGDM (Finance and Risk Management) - Institute of Insurance and Risk Management (IIRM)

2023 - 2025 · Afghanistan

Bachelor of Commerce (B.Com) - Osmania University

- 2023 · Afghanistan

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Profile Score Breakdown

📷 Photo 10/10
📄 Resume 10/10
💼 Job Title 10/10
✍️ Bio 10/10
🛠️ Skills 20/20
🎓 Education 10/10
⏱️ Experience 5/15
💰 Rate 0/5
🏆 Certs 0/5
Verified 5/5
Total Score 80/100

Profile Overview

Member sinceMar 2026

Skills (15)

Health Insurance Operations Corporate/Group Health Claims TAT/SLA Monitoring Operational Risk identification Process Gap Analysis Root Cause Analysis (RCA) Compliance Quality Checks MIS Preparation Claims Pendency Analysis Trend Analysis +5 more