I am a highly organized, thorough, and motivated professional with solid experience in Insurance, and a background in customer service. I am currently employed with Naseem Al Rabeeh Medical Center as an Insurance Coordinator.
In my present role, I am responsible for managing, preparing, and assessing Insurance claims, and liaising with clients and loss adjustors to settle legitimate claims in a manner consistent with corporate guidelines and legislative requirements.
I possess an analytical mind and am very much a team player who thrives in a stimulating and dynamic environment. I possess excellent communication skills, verbal and written.
I am a Computer Engineer and also certified in ICD-10-AM 10th Edition, Australian Classification of Health Interventions(ACHI), and Australian Coding Standards(ACS). These qualifications, in addition to my customer service and claims management experience, have given me the industry perspective and technical expertise necessary for any future role in insurance. I am proficient in all Microsoft applications and various data management systems
My goal is to continue learning and developing my expertise in my future role. I believe that would be a perfect fit for Sure and that this is a role in which I could continue to exercise and broaden my claims skills and progress within the organization.
I’ve attached my resume and I look forward to talking more about the position with you.
Education
- 2008-2012
Bachelor of Engineering at Easa College of Engineering, Coimbatore (Affiliated to Anna University, Chennai, India).
B. E (Computer Science and Engineering)
- 15-11-2021
Certification on ICD-10-AM 10th Edition, Australian Classification of Health Interventions(ACHI) and Australian Coding Standards(ACS) at Australian Classification of Health Interventions(ACHI)
- 2015
Certification in ORACLE and Dot NET from Career Planters, Kerala, India. at Career Planters, Kerala, India
Certification in ORACLE and Dot NET from Career Planters, Kerala, India.
Experience
- Feb 2022- Present
Insurance Coordinator at NASEEM Medical Center
-Utilized knowledge of CPT and ICD-10CM to correctly translate performed services into numerical code for insurance company reimbursements.
-Processing claims by reviewing medical records, contacting providers regarding coverage issues, and negotiating with insurance companies on behalf of clients.
-Meeting with clients to discuss their insurance needs and recommend appropriate coverage options.
-Maintaining client information databases such as addresses, phone numbers, and birthdates.
-Coordinating with insurance carriers to ensure that policies are current, accurate, and compliant with regulations.
-Managing the claims department and communicating with claimants about their cases.
-Handled customer complaints with empathy and composure.
-Answered calls, responded to emails, and spoke with clients face-to-face.
-Trained, coached, and supervised new staff members.
-Pitched ideas on how to improve performance and efficiency.
-Helped management identify workflow issues and find solutions.- Jun 2015- Jun 2017
Receptionist at CONCEPT INTERNATIONAL W.L.L
-Greet and welcome guests in person and on the phone; answer and direct inquiries to the designated department and field calls from outside
sources such as vendors and customers.
-Demonstrated proficiencies in telephone and front-desk reception within a high-volume environment.
-Maintain log books, including sign-in/out logs, front desk expenditures, and calls received.
-Pick up and sort daily incoming correspondence and deliver sorted mail to addressees.
-Develop and utilize effective filing and retrieval systems, and maintain office supplies by placing orders and evaluating new products.
-Calculated bills for services rendered and collected and processed customer payments.
-Restored organization to personnel, financial and operational records and accelerated data input, processing, and retrieval times.
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