Mohammed Aloni
Recovery Manager at MEDGULF Saudi Arabia- Claim this Profile
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Bio
Experience
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MEDGULF Saudi Arabia
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Saudi Arabia
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Insurance
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300 - 400 Employee
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Recovery Manager
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Jan 2023 - Present
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Recovery Supervisor
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Aug 2019 - Jan 2023
Supporting the overall success of the MEDGULF Motor,Medical claims departments by prompting and systematic collection of claim recovery amounts from Insurance Companies, Third Party individual and MEDGULF clients.Ensuring effective and efficient management of enhancement of the recovery system, procedures and resources.
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Quality Development Senior
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Feb 2017 - Aug 2019
To ensure that the dealings with the clients are fair and transparent as per the SAMA regulations by abiding by the procedures and suggestions outlined by the Compliance and Internal Audit departments.Conducting Monthly review on motor claims to ensure that all units are complying with SAMA regulations.Following All of SAMA cases & Customer complaints with the related departments and work to minimize it.Manage ongoing outstanding claim review and standard follow-up process and Develop any necessary nonstandard actions.Manage the claims guidelines and procedures to ensure compliance with local principles, legal & regulatory requirements.Following & Updating Motor claims projects status. Show less
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Malath Cooperative Insurance Co.
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Insurance
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1 - 100 Employee
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Group Leader
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Jul 2016 - Jan 2017
To ensure that the dealings with the clients are fair and transparent as per the SAMA regulations by abiding by the procedures and suggestions outlined by the Compliance and Internal Audit departments. To select, direct, develop, coach and motivate staff within the Claims Service team in order to optimize skills, performance and potential.
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Senior Key Account Operation
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Jan 2016 - Jun 2016
To ensure maximum possible performance of the Motor Claims Settlement Section by distributing and re-distributing workload to the officers to ensure timely overall delivery.To monitor and manage the Settlement process so as to be compliant with the regulations by liaising with the compliance department.To produce and present monthly and on-demand reports and statistics for all performance measures and functions.
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Key Account Operation officer
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Jan 2015 - Dec 2015
process all insurance claims in line with insurance policies, communicate with Insurance brokers to obtain information necessary for processing claims and prepare monthly reports for the attention of the Group Leader.
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Provider officer
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Jun 2012 - Dec 2014
To ensure the validity of the claim settlements, ensuring all documentation is complete, calculation of all the estimates and invoices received from workshops and reviewing the validity of invoice particulars, spare parts and discounts against the policy terms and conditions.To prepare the claim approval note, organizing and storing the note in the system as per the set established pattern.To prepare the system generated Credit Note, attach it to the file and submitting the file to the Quality Assurance for the final signature. Show less
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Education
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King Saud University
Diploma of Business Insurance, Business Administration, Management and Operations