Juliana Mathias

Case Management Nurse at Cigna International
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Contact Information
us****@****om
(386) 825-5501
Location
United Arab Emirates, AE
Languages
  • English -
  • Hindi -
  • Kannada -
  • Konkani -

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Akila Balasubramaniyan

A great person to work with. Highly focussed and committed. She ensures that the targets are met at all costs. Great source of knowledge. It has been a pleasure to with Juliana

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Experience

    • United Kingdom
    • Wellness and Fitness Services
    • 100 - 200 Employee
    • Case Management Nurse
      • Jan 2018 - Present

    • United States
    • Insurance
    • 1 - 100 Employee
    • Claims Officer
      • Mar 2014 - Present

      Tracking records of all high value claims ( Global ) from time of admission to discharge Assisting elective and emergency treatments Coordination with all International providers for GOP Updating of various network to each enrolled member Key responsibilities including Medical GLPA, VGA and Medical Claims of various Corporates and Individuals. Sound and complete knowledge of entire Insurance products and process Assisting complete profile of Clients with their Policy benefits Ensuring claims settlements, TAT, International as well as local Insurance Managing network queries and handling medical queries on direct billings Assisting members on GOP on International Policy Holders Show less

    • Key Account Manager
      • Jan 2012 - Feb 2014

      Key responsibilities involving handling of End to End Health Insurance of 5 million worth portfolio One point contact for the entire GCC region, assisting the day to day related queries including approvals, claims, additions, deletions , invoicing and billings Key responsibilities involving handling of End to End Health Insurance of 5 million worth portfolio One point contact for the entire GCC region, assisting the day to day related queries including approvals, claims, additions, deletions , invoicing and billings

    • Hospitals and Health Care
    • 700 & Above Employee
    • AVP claims and insurance realtions, Medical managment
      • Jan 2009 - Apr 2010

      looking after all operations and adminstrations of claims, liasion, authorizastion of credit note to hospitals and handling end to end claim process looking after all operations and adminstrations of claims, liasion, authorizastion of credit note to hospitals and handling end to end claim process

    • Manager claims
      • Jul 2006 - Mar 2009

      One point contact with all the insurance companies , Set up process of claims and putting system and process for claims management One point contact with all the insurance companies , Set up process of claims and putting system and process for claims management

    • India
    • Insurance
    • 700 & Above Employee
    • Health Underwritter
      • Aug 2005 - Dec 2005

      Mainatining Competitive Quotes and Underwriting Health Products as per the policy Guidelines Mainatining Competitive Quotes and Underwriting Health Products as per the policy Guidelines

    • Executive - Medical Social Worker
      • Jan 2004 - Dec 2004

      Putting process flow of Home Care Services Handling Charity funds Putting process flow of Home Care Services Handling Charity funds

  • United Healthcare Pvt.Ltd
    • Mumbai Area, India
    • Claims Administrator
      • Sep 1997 - Dec 2002

      Tracking of insurance claims, Claims Assessment , Supervisor call centre , Tracking of insurance claims, Claims Assessment , Supervisor call centre ,

  • Breach Candy Hospital
    • Mumbai Area, India
    • Staff Nurse
      • Jan 1996 - Aug 1997

      Nursing Functions Mostly in the Cardiac and Orthopedic operation theater Nursing Functions Mostly in the Cardiac and Orthopedic operation theater

    • Staff Nurse
      • Mar 1993 - Dec 1995

      Responsible for Psychiatric Nursing initially and was later involved in the general medical nursing functions . Responsible for Psychiatric Nursing initially and was later involved in the general medical nursing functions .

Education

  • St .Johns Banaglore
    3 year GNM and 1 year maternity, Nursing
    1989 - 1993
  • Mangalore University
    Secondary Education
    1987 - 1989

Community

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