• Led product strategy and development for the End-to-End Claim Management Platform, reducing claim processing time by 35% and improving first-time claim resolution by 22% across health, life, and auto insurance products.
• Collaborated with actuarial, operations, and IT teams to digitize manual claim workflows using Salesforce Financial Services Cloud, Guidewire ClaimCenter, and internal REST APIs, improving operational efficiency.
• Designed and implemented Fraud Detection and Claims Risk Scoring models using Python + SQL + Power BI, identifying high-risk
claims and reducing fraudulent payouts by 18% annually.
• Worked with engineering teams to launch a self-service claim submission portal (React + Node.js + API Gateway), enabling customers to upload documents, track claim status, and receive updates in real-time.
• Defined product requirements (PRDs, user stories, wireframes) and managed agile sprints via Jira & Confluence, coordinating across development, underwriting, claims, and legal/compliance teams.
• Integrated OCR and document parsing systems (Azure Form Recognizer / Tesseract) to automate extraction of policy numbers, hospital bills, discharge summaries — reducing manual verification effort by 40%.
• Collaborated with database and API teams to unify policy, claim, and customer data across Oracle DB, MS SQL Server, and legacy AS/400 mainframes, ensuring a single source of truth.
• Implemented BPMN workflows and rule-based engines for claim approvals using Camunda + Drools, enabling configurable business rules based on policy type, geography, or risk score.
• Partnered with legal and compliance departments to ensure product workflows aligned with IRDA, AML/KYC, GDPR-like data privacy mandates, and generated audit-ready claims documentation.