East West Assist Insurance TPA
Dr. Mahesh Sharma has a diverse work experience in the insurance and healthcare industry. Dr.Mahesh started their career in 2006 as an employee of E-Meditek Solutions Ltd, where they worked in mediclaim insurance operations. In 2009, they moved on to Alankit Health Care TPA, where they managed mediclaim, networking, and corporate marketing.
From 2011 to 2016, Dr. Sharma worked as an Area Medical Manager at Star Health and Allied Insurance Co. Ltd. In this role, they were responsible for managing medical operations in their designated area.
In 2016, Dr. Sharma joined CYGNUS Medicare as a Group Vice President. Dr.Mahesh held this position until 2018, during which they contributed to the overall management of the organization.
After leaving CYGNUS Medicare, Dr. Sharma joined Gold Key Insurance Brokers as a Business Development & Services Consultant from 2018 to 2020. In this role, they were involved in developing business strategies and providing service support to clients.
Dr. Sharma then transitioned to Health India Insurance TPA Services, where they served as the Vice President of Operations and Business Development from 2020 to 2021. In this position, they played a key role in the growth and development of the company.
Most recently, Dr. Sharma worked at Connect and Heal - CNH Care from 2021 to 2023. During this time, they held leadership positions and was responsible for driving Pan India insurance, brokering, and TPA relationships. Dr.Mahesh also played a vital role in coordinating reimbursement claims and processes, as well as designing insurance products with OPD and IPD benefits.
Currently, Dr. Mahesh Sharma holds the position of Vice President at East West Assist Insurance TPA Pvt Ltd, a role they have occupied since 2023.
Dr. Mahesh Sharma completed their Matriculation from SD High School in Jagadhri, Haryana from 1978 to 1982. Dr.Mahesh then pursued a Higher Secondary degree in Biology from MLN School in Yamuna Nagar from 1983 to 1984. Continuing their education in the medical field, Dr. Sharma obtained a Bachelor of Ayurvedic Medicine and Surgery (BAMS) degree from SKGA College in Kurukshetra from 1986 to 1991.
In order to further their understanding of healthcare administration and management, Dr. Sharma pursued a Master of Business Administration (MBA) in Healthcare degree from Sikkim Manipal University through distance education, completing it in 2013. Dr.Mahesh also completed a Postgraduate Diploma in Public Health from Annamalai University in 2010, focusing on public health education and promotion. Additionally, Dr. Sharma obtained a Postgraduate Diploma in Journalism & Mass Communication from Kurukshetra University in 1996, emphasizing communication, journalism, and related programs.
East West Assist Insurance TPA
East West Assist TPA Private Limited (IRDA License No.18) is a dedicated Third Party Administrator (TPA) licensed by the Insurance Regulatory & Development Authority (IRDA) on May 16, 2002. It comes into the market backed by the vast experience and skills of the East West Group. The company provides third party administration in healthcare services, which include designing medical plans, administering healthcare claims and providing managed healthcare services to the Insurance Companies and Corporations. Some of the features: Cashless treatment at Networked Hospitals across the country. Access to a 24-Hour Alarm Centre Round-the-clock Ambulance Referral Service. Cost Containment, Control and Utilization Reviews. A Health Assist Photo ID Card provided to each insured member. Access to advice by our Experienced Medical Officers over the phone 24 x 7 x 365. Arranging for House Calls. Access to medical information and advice through the internet. Electronic Claims Processing on the tailor made iCLAIMS web based System . Follow up with the Care Providers at all times in order to ensure prompt processing of reports. Obtaining feedback from The Insured, The Insurance Agents & Brokers, and Insurance Company, pertaining to quality of service rendered by East West Assist and its Care Provider Network. Overall case management and Third Party Administration. Value Proposition:Doctor to Doctor Monitoring Concurrent Review Monitoring & Management of each claim at Network Hospitals across the country as it arises, by our in-house team of experienced Medical Officers (Doctors). Critical Care Monitoring Monitoring critical care patients on a daily basis by our in-house team of Medical Officers in order to monitor medical costs and to ensure optimal medical care. Retrospective Review Follow up of the each case with Network Hospitals and their doctors on presentation of bills in order to achieve higher degree of cost containment.