Jayakrishna Ciafp

Background

About Jayakrishna Ciafp

As a healthcare and insurance operations professional with 12+ years of experience, I specialize in claims adjudication, fraud and abuse detection, process optimization, and cross-functional team leadership. My core strength lies in driving accuracy, efficiency, and risk mitigation across high-volume health insurance claim environments. Currently serving notice period, I’m open to challenging leadership roles in claims operations, fraud investigation, or risk analytics across health/general insurance, TPAs, or insurtech firms. Domain Expertise: • End-to-end Claims Management (Cashless & Reimbursement) • Risk & Fraud Analysis (FWA Prevention, Investigation, CIAFP Certified) • Process Improvement & SLA Monitoring • Internal Audits, Team Training & SOP Development • Stakeholder Coordination – Providers, Insurers & Legal Education: BHMS (JSPS Govt. Homoeopathic Medical College)| Certified Insurance Anti-Fraud Professional (CIAFP) Let’s connect if you’re seeking someone who blends medical insight with operational leadership to enhance cost-efficiency, compliance, and customer satisfaction.