Let $V$ be a connected real manifold with a fixed basepoint $q$. For a $d$-fold connected covering $\pi:\tilde{V}\to V$, its monodromy representation is defined as follows: Let $\pi^{-1}(q)= \{x_1,\dots,x_d\}$. For $[\gamma]\in \pi_1(V,q)$, let $\tilde{\gamma}_i$ be the lift of $\gamma$ with $\tilde{\gamma}_i(0)=x_i$. Then $\tilde{\gamma}_i(1)=x_{\sigma(i)}$ for some $\sigma(i)\in \{1,\dots,d\}$. Define $\rho:\pi_1(V,q)\to S_d$ by $[\gamma]\mapsto \sigma$. Using homotopy lifting property we can see that this map is well-defined. Also, if we define the group structure of $\pi_1(V,q)$ by $\alpha *\beta : =\beta\cdot \alpha$ (where $\beta\cdot \alpha$ is the usual concatenation of paths), then $\rho$ becomes a group homomorphism.
Conversely, suppose we are given a homomorphism $\rho:\pi_1(V,q)\to S_d$. Let $H$ be the subgroup $\{[\gamma]\in \pi_1(V,q):\rho([\gamma])(1)=1\}$ and let $\pi:(\tilde{V},\tilde{q})\to (V,q)$ be the covering corresponding to $H$ (so that $\pi_* \pi_1(\tilde{V},\tilde{q})=H$). Then why is the monodromy representation of $\pi$ equal to $\rho$ (up to conjugation)? This is asserted in p.89 of Miranda's book Algebraic Curves and Surfaces. I see that $H$ is an index $d$ subgroup, and thus $\pi$ is a $d$-fold covering, but I can't see why its monodromy is $\rho$.
Edit. Fix a basepoint $p\in \tilde{V}$ with $\pi(p)=q$. The group $\pi_1(V,q)$ acts on $\tilde{V}$ as follows: for $[\gamma]\in \pi_1(V,q)$ there is a unique deck transformation $\varphi_{\gamma}:\tilde{V}\to \tilde{V}$ such that $\varphi_{\gamma}(p)=\tilde{\gamma}(1)$ where $\tilde{\gamma}$ is the lift of $\gamma$ with $\tilde{\gamma}(0)=p$. For a point $x\in \tilde{V}$, define $[\gamma]\cdot x=\varphi_{\gamma}(x)$. This defines a well-defined action of $\pi_1(V,q)$ on $\tilde{V}$.
For a subgroup $H\subset \pi_1(V,q)$, the covering corresponding to $H$ is defined to be the orbit space $V_0/H$ where $V_0$ is the universal cover of $V$.