Experience

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  Prime Insurance Brokers

  • United Arab Emirates

  • Senior Insurance Coordinator

    • May 2022 - Present
    • United Arab Emirates

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  Damas Jewellery

  • Dubai

  • Senior Executive - HR & Insurance

    • Nov 2015 - Jan 2021
    • Dubai

    • Advocated a high quality and effective day to day administrative HR support to business and functional leaders by application of company HR policy and procedures.• Responsible for new employee onboarding and exit process, compensation and benefit, orientations, recruiting, HRMS system data updating, letters, certificates, probations & contracts, staff grievance, performance appraisal, miscellaneous reports.• Formalized health insurance coverage of more than 3,000 employees such as end to end contract renewal process with the broker, premium payment, underwriting and acted as point of contact to all insurance related concerns.• Facilitated reports and assessment in insurance risk and audit, budget monitoring, insurance programs and policies.• Directed employee physical wellbeing programs and awareness

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  Prime Insurance Brokers

  • Abu Dhabi, United Arab Emirates

  • Senior Medical Insurance Coordinator

    • Mar 2009 - Oct 2015
    • Abu Dhabi, United Arab Emirates

    • Ensured to process and solved all issues related to medical complex claims adjudication.• Obtained approvals for surgeries, medical procedures and investigations as per different insurance policies.• Acted as liaison between the client and insurance companies regarding insurance claims, member eligibility and resolving billing, payments and reimbursements accuracy.• Fulfilled excellent customer service with internal and external customers.

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  Dubai Properties (DP)

  • United Arab Emirates

  • Insurance and HR Employee Services Executive

    • Dec 2007 - Dec 2008
    • United Arab Emirates

    • Administered HR support in operations and business activities• Mobilized health insurance coverage of Dubai Properties Group employees which constitutes end to end renewal process, addition & deletion, claims auditing, premium management, policy review and compliance.• Collaborated in new hire inductions and pre-employment assessment to prospective candidates• Managed employment certificates, contracts, letters, HR system update onboarding and exit interview, filling and all HR employee services related concerns.

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  MedNet Global Healthcare Solutions LLC

  • United Arab Emirates

  • Medical Reviewer

    • Jun 2006 - Nov 2007
    • United Arab Emirates

    • Managed pre-authorization request of hospital in-patient and out-patient treatment, medicine approvals from hospitals, clinics and pharmacies.• Evaluated medical claims reimbursement as per the day quota• Assisted clients, stake holders, doctors through 24hour helpline call center.• Meet performance goals in areas of efficiency, accuracy, quality and member satisfaction.

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  AIG

  • NCR - National Capital Region, Philippines

  • Business Processor Specialist

    • May 2005 - Jun 2006
    • NCR - National Capital Region, Philippines

    • Delivered financial and accounting process outsourcing services and solutions to commercial customers• Supervised processing of dental and medical insurance claims• Supported various business units with their day-to-day target requirements, including but not limited to proposal generation and quota

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  NICPHIL Insurance Inc.

  • ncr - national capital region, philippines

  • Senior Claims Processor

    • Dec 2003 - Apr 2005
    • ncr - national capital region, philippines

    • Serviced over 200 defined clients plans and participants.• Analyzed and worked on medical and personal accident claims of respective clients• Provided optimum service to policyholders and clients, fair settlement of the claims• Identified pricing errors and provide timely and effective resolutions

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  Aetna

  • NCR - National Capital Region, Philippines

  • Claims Assistant

    • Oct 2001 - Nov 2003
    • NCR - National Capital Region, Philippines

    • Audited and processed hospital billings and payments• Handled data entry, pricing identifications and management.• Update customer concerns via phone and email correspondences