Mohamed Amine Sallah
Head of Claims Services at DKV Luxembourg S.A.- Claim this Profile
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Allemand Native or bilingual proficiency
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Français Native or bilingual proficiency
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Anglais Full professional proficiency
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Arabe Limited working proficiency
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Luxembourgeois Elementary proficiency
Topline Score
Bio
Experience
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DKV Luxembourg S.A.
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Luxembourg
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Insurance
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1 - 100 Employee
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Head of Claims Services
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Aug 2022 - Present
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Senior Claims Manager
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May 2016 - Sep 2022
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Insurance Claims Processing Officer
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May 2013 - Apr 2016
- Handle claims of in- and outpatient care in the areas of classical-, travel- and full-value-health- insurance - Review operational procedures and examine the requirements regarding the claims-settlement system within the framework of a project work aiming to improve the efficiency of the system - Develop workflow procedure and documentation for a cooperation with a new third-party administrator - Supervise and coordinate processes of third-party administrators in Assistance-claims - Calculate and analyse key figures of travel-insurance claims
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Foyer Group
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Luxembourg
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Insurance
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400 - 500 Employee
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Insurance Claims Processing Officer
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May 2009 - May 2013
- Investigate on eligibility of claims, calculate reimbursement amounts and refund in- and outpatient care, dental prosthesis, orthodontics, etc. according to the Foyer Santé Health Insurance tariffs - Created new work flow for “Assistance” cases adjusted to Foyer Santé company profile - Sole responsible for “Assistance” claims, decision authority about cost guarantees and medical repatriation - In charge of training insurance agents and new employees - Develop new procedures and general conditions compliant to new legislation and market requirements - Participate in developing new IT-system for claim-processing - Perform quality control on processed claims
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AllianceBernstein
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United States
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Investment Management
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700 & Above Employee
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Transaction Processing Representative
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Sep 2007 - May 2009
- In charge of the processing of incoming transactions - Performed cash and securities reconciliations - Established, maintained and updated shareholder accounts - Resolved missing items through corrective processing and analyzing incoming account information for fraud purposes - Responsible for quality customer services and proper legal documentation - Acknowledged and confirmed Fundsettle and Vestima transactions - Input Clearstream transactions in Creation on line - Assured Quality control of placed transactions and new accounts set up - Maintained good relationship with external clients and other business units
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ÖRAG Service GmbH
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Région de Düsseldorf, Allemagne
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Deutsche Assistance Versicherung AG
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Oct 2001 - Sep 2007
- Assisted 20 insurance companies in a wide range of everyday situations: travel, home, car, leisure andprofessional activities, expatriation, and health - Worked closely with the team manager and other departments in order to accelerate the procedure in unforeseen difficult cases - Met customer needs effectively in real time - Took swift and reliable action using the network of contacts around the world - Resolved exceptional crisis with medical repatriation and automobile-related stress situations
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Education
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University of Applied Sciences, Düsseldorf, Germany
Master of Business Administration (MBA), International Business Administration, Controlling -
Ecole Supérieure de Commerce, La Rochelle, France
Certificate of Specialisation in European Management, European Management -
Gymnasium Gerresheim (High School), Düsseldorf, Germany
Graduation (Abitur) -
Vinita High School, Oklahoma, USA
High School Graduation