1. 112B, JG-III Block
Vikaspuri, New Delhi - 110018
Mobile: +91 9717040586
Email: raghav.bvijay@gmail.com
B. Vijay Raghav
Aspire for the challenging and responsible position in general and life insurance operation in an organisation
where best of my abilities are used for meeting professional as well as personal goals.
Professional Experience:
Organization: ICICI Lombard General Insurance Co Ltd.
Duration: January 2015 - till date
Designation: Manager, Internal control and Loss minimization (Motor Claims).
Job description: Manage overall motor theft and OD claims domain for Delhi/NCR
region
Responsibilities:
• Investigate, process and approval of motor total theft claims with-in stipulated time/TAT for in
Delhi/NCR portfolio.
• Manage and track the performance of claims investigation agencies and ICLM team members based
on there recovery, repudiation fraud identification figures and basis of QC of the claim file submitted to
branch provide timely feedback on the same.
• Co-ordinate with the head office team sits in Mumbai to manage the better disbursement of the claims
and also preparing and presentation of MIS report of overall disposal and intiumation of the claims
• To keep an eye over internal & external fraud and detecting fraud through analytical skills.
• Resolving clients query regarding claim settlement. Through different communication portals
• Ensure and manage the process of paid and unpaid recovery of the stolen vehicle through co-ordinate
with RTO, Police officials and district recovery coordinators and customers and also to ensure the
resale of the recovered vehicle too by co-ordinate with salvage team.
Organization: KPMG Global Services, Gurgaon (Delhi/NCR).
Duration: February 06
th
2012 to 15
th
December.
Designation: Senior Analyst: Corporate KYC and Customer due delligence:
Job Descreption: Deliver the periodic KYC investigative report of corporate and
politically exposed customers to our UK banking clients (RBS and
Barcleys bank).
Responsibilities:
• Initiate and process the periodic KYC screening report of corporate and PEP customers, based on the
independent internet research of there media and biography articles in order to get the information
2. particular to their source of income and negative news related to money laundering violation, tax
evasion, insider trading, terrorist financing, bribery and sanction violation and escalate it as a red flag
to the Bank compliance team.
• Conduct corporate due diligence check via research on sources viz: World-Check, Bloomberg,
Factiva, Bankers’ Almanac, Thomson Reuters, D&B, Company Search, RDC, World Check, One
source, Way back machine, Lexis Nexis etc.
• Complete all the required task list of the corporate customers in particular to there incorporation
details, nature of business, verification of risk rating, shareholding and connected parties, AML
documentation of the key principals.
• Determination of the customer's risk in terms of propensity to commit money laundering, tax evasion,
insider trading, terrorist financing, or identity theft.
Organization: Mercer India Ltd, Gurgaon (Delhi/NCR).
Duration: April 12
th
2010 to February 3
rd
2012
Designation: Process Developer: Group Health Benefits, (US Operations).
Job Description: Administrating Health insurance, HR file, welfare benefits
operation, transioning of VMS process for over 40 Clients of
Mercer.
Responsibilities:
• Deal with HR Files from the clients and Process the changes and other request through Analyze,
resolve, and close out the scheduled task assigned, within a defined turn around time, responsible for
handling and maintaining records of US clients that includes health insurance, medical coverage,
payrolls & deductions.
• Responsible for Keep the BW (Benefit Worksatation) updated as per the requirement. BW a software
to maintain the benefits, deductions, Employment and payroll records of employees of US clients.
• Handling the processes like HR Information system, Communication and Documentation, Payroll
process, Evidence of Insurability for Life insurance, Vendor management process and Premiums etc.
• Process and clean up with the data reporting to the Vendors of the clients for better disbursement of
the claims and premiums.
• Soliciting and compiling information and data related to processing activities.
Organization: Hewitt Associates, Gurgaon (Delhi/NCR).
Duration: January 07
th
2009 to November 05
th
2009.
Designation: Benefit Analyst: Health and Welfare Benefits (US operations).
3. Job Description: Administrating Health insurance, welfare benefits operation for
the employees of JPMorgan Chase Bank.
Responsibilities:
• Process participant/client request through Analyze, resolve, direct and close out internal/external
workflows assigned with defined turn around and responsible for handle and mantaining records of US
clients that includes health insurance, medical coverage, payrolls and deductions..
• Responsible for Keep the TBA updated as per the requirement. TBA (Total Benefits Administrator)
software designed by Hewitt itself to maintain the benefits and payroll records of employees of US
clients.
• Handling process related escilations from client team and process members.
• Created documentation – standard operating procedures for new processes and updates changes:
Viz: HR active data maintenance, Direct billing and payment processing, EOI for Life insurance, Death
claim processing etc.
• Actively participated in transitioning of JPMC-Washington Mutual acquisition.
Organization: Steria (Xansa) India Ltd, Noida (Delhi/NCR).
Duration: May 15
th
2006 to January 05
th
2009.
Designation: Process Executive: Anti Money Laundering (UK Operations).
Job description: Conduct AML and KYC checks for a Pension Provider Lloyds
Bank. One of the most recognized brands in the Insurance sector
of UK.
Responsibilities:
• Managing documentation regarding AML of various types of policies of Scottish Widows viz; Term
policies, Pension policies, Transfer policies, Increment to pension policies, Unit trust policies etc.
• Process premium billing related transactions, application/switching of money to the requested fund and
increment to the pension policies.
• Managing correspondation/documentation with policyholder or financial advisor firm regarding AML needs
and checking out for any Suspicious Activity related to Money Laundering.
• Generating Suspicious Activity Report to Financial Crime team of UK counterpart.
Rewards and Recognition:
• Promoted as a Process Developer in Group Health benefits domain within one year of joining Mercer
and led the transition of Vendor management system process for 17 Clients and had an ownership on that
for more than a year in Mercer with delivering excellent resulults
4. • Selected as a consultant for 10 months in a PEP screening project for Client: Barcleys Bank in KGS.
• Awarded as Star of the Month for the month of November 2010 and Augest 2011 in Mercer for
transitioning of VMS project over 40 clients of mercer
Trainings Attended:
• Personal Development, Developing Self-Excellence MS Excel, Plan to Perform, Protect the brand, Self
Management, Time Management/Stress Management.
Education:
Master of Commerce 2006 GGD University, Bilaspur
Bachelor of Commerce 2004 GGD University, Bilaspur
XIIth 2000 Board of Secondary Edu. Bhopal
Xth 1998 CBSE
Technical:
Adequate working knowledge and can manage the work on MS-Word, Excel, Power-Point, Lotus Notes, MS
outlook, SQL and Mainframe.
Personal Particulars;
Date of Birth: 30
th
November 1981
Marital Status: Married
Other Interests: Sports, Adventure travelling, Photography and Music.
Languages Known Hindi, English and Telugu
Father’s Name: Mr B. Rama Narasimham.
Current Address: 112B, JG3 Block, Vikaspuri New Delhi - 110018
Permanent Address: A-9, Rama Residencey. Near Vineet Petrol Pump
Masturi Road Bilaspur. Chattisgarh.
(B. Vijay Raghav)