Anshumali Dixit
Reisterstown,MD
Summary
Results-driven professional with extensive experience in insurance claims management and regulatory compliance. Expertise in process automation and strategic planning, leading to enhanced operational efficiencies and successful project outcomes. Proven ability to collaborate with diverse stakeholders and implement effective solutions. Transitioning into an Insurance Underwriting role, leveraging industry knowledge, attention to detail, and strong analytical skills.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Executive Director
SureGo Administrative Services LLC
Reisterstown, Maryland
02.2021 - 08.2025
- Spearheaded onboarding of new carrier insurance programs into Claims system, ensuring full integration.
- Implemented entity setup, claims communication templates, activity reports, payment file structures, and insurance plan mapping.
- Oversaw program onboarding with internal stakeholders, achieving on-time and within-budget results.
- Executed PPO implementation with UnitedHealthcare Group, delivering operational and EDI solutions within five months.
- Managed contractual and regulatory requirements including MCAS, State KPIs, and Medicare reporting.
- Optimized business processes through automation of information review and customer outreach, reducing Claims Examiners' workload.
AVP Claims
ARCH INSURANCE GROUP INC
Hunt Valley, Maryland
06.2017 - 11.2020
- Supervised over 20 employees, enhancing efficiency in data entry and customer service operations.
- Implemented QA program, achieving 'no findings' for annual SOX claims audits through rigorous compliance monitoring.
- Executed CAT plan for COVID-19 claims and hurricane events, effectively addressing Department of Insurance inquiries.
Director of Claims
Generali Global Assistance
Bethesda, Maryland
01.2008 - 06.2017
- Achieved quarterly procurement project goals across North America consistently.
- Managed medical benefits under travel policy, optimizing performance for over 40 employees.
- Oversaw Customer Service representatives to provide 24/7 support and enhance customer satisfaction.
- Developed and implemented departmental policies and training to improve operational efficiency.
Education
Master of Science - Healthcare Administration
Southern New Hampshire University
Hooksett, NH10-2022
Skills
- Insurance program implementation
- Claims management and compliance
- Process automation and efficiency
- Data analysis and risk assessment
- Client services and relationship management
Certification
- CPCU - The Institutes (AICPCU), Philadelphia
- Associates in Claims - The Institutes (AICPCU), Philadelphia
- Project Management Professional (PMP#1931592)
- Independent Insurance Adjuster License (TX-DHS, Alaska, Hawaii & California)
- Insurance Provider License (Maryland) NPN 16299370
Languages
Hindi
Native/ Bilingual
Timeline
Executive Director
SureGo Administrative Services LLC
02.2021 - 08.2025
AVP Claims
ARCH INSURANCE GROUP INC
06.2017 - 11.2020
Director of Claims
Generali Global Assistance
01.2008 - 06.2017
Master of Science - Healthcare Administration
Southern New Hampshire University
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