Experience

Imedi L

• Georgia
• Insurance
• 100 - 200 Employee

• Head of Health Claims Analysis and Optimization Unit

  • Dec 2020 - Present

• Head of Providers Network Management Division

  • 2017 - Dec 2020

• Underwriting and Claims Optimization Manager

  • 2016 - 2017

• Health Claims Analyst

  • 2014 - 2016

  Health claims analysis (According to different parameters); Processes optimization; Claims cost managing; Provide recommendations and trainings for GP, CRM and for other divisions; Reporting, Fraud Detection, Internal Control and Monitoring; etc.



ALDAGI

• Georgia
• Insurance
• 200 - 300 Employee

• Outpatient and Pharmaceutical Claims Analyst

  • 2012 - 2014

  Outpatient and Pharmaceutical claims management; Claims cost optimization; Invoice processing; General Practitioner (GP) Control and Monitoring; Management of complex medical cases; Price matching; etc. Outpatient and Pharmaceutical claims management; Claims cost optimization; Invoice processing; General Practitioner (GP) Control and Monitoring; Management of complex medical cases; Price matching; etc.



Aldagi-BCI

• Georgia

• Health Claims Consultant

  • Sep 2009 - 2012



UNDP

• United States
• International Affairs
• 700 & Above Employee

• Project Officer

  • Sep 2008 - 2009

  Sanitation and Hygiene Promotion to prevention disease in IDPs (UNICEF, Oxfam). Sanitation and Hygiene Promotion to prevention disease in IDPs (UNICEF, Oxfam).