Freelancers att anlita i Saudi Arabia
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Sponsrade frilansare
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MOHAMED HASHIM ALTAYEB ALKHALIFA SKILLS ● Insurance Platforms - - Proficient in utilizing Aman and Ibn Sina insurance platforms. - Efficiently process batch claims, ensuring precision on both platforms. - Navigate and employ specific functionalities for effective claims and data management. - Communicate...MOHAMED HASHIM ALTAYEB ALKHALIFA SKILLS ● Insurance Platforms - - Proficient in utilizing Aman and Ibn Sina insurance platforms. - Efficiently process batch claims, ensuring precision on both platforms. - Navigate and employ specific functionalities for effective claims and data management. - Communicate effectively for issue resolution and system updates ● Technical Skills – Microsoft office suite, Microsoft outlook, VBA, SPSS, SQL ● Soft Skills – Effective communication, Leadership, Adaptability, Problem-solving, Attention to detail, Customer service orientation, Time management, Collaborative mindset. EXPERIENCE ALNEELAIN Insurance Company, Sudan • ICC and operations department manager (06/2019) - Present • Revised batches of claims after they have been entered into the system. • Followed up on batches from registration to the issuance of payment cheques. • Organized work based on batches registration. • Coordinated the processing of reimbursement claims. • Monitored and managed the reimbursement process and communicate with clients. • Followed up on payments to providers and clients to ensure timely and accurate disbursement. Prime Health for medical services, Sudan • Data Entry Supervisor (11/2016) - (06/2019) • Received batch claims from the Coding Department. • Distributed batches among data entry groups. • Reviewed batch claims, including claim amounts and rejected claims (errors in addition, invalid insurance, or uncovered medications and investigations). • Ensured entered claims align with pre-authorizations; liaise with the Pre-authorizations Department when necessary. • Contacted the Operations Department to clarify unclear ID card numbers or obtain unattached ID card copies for claims. • verified claim amounts against network prices; communicate with the Medical Network Department to confirm price updates. • Forwarded batches to the Final Approval Department. • Reviewed batch claims with providers or send necessary revisions via email. Prime Health for medical services, Sudan • Data Entry Clerk (08/2014) - (11/2016) • Entered the medical procedures of the claim form. • Ensured the claim amount is right by revising it. mindre
Anlita MohamedAboDan
