Medical Claims Officer

• Feb 2016 - Present

Medical Claims Processor

• Dec 2012 - Mar 2014

• Mentoring a team of 10 – 12 people • Rejection dealings with doctors • Handled the issues related to claims resubmission • Pivotal in managing the process claim forms adjudicate in relation to diagnose and deductibles • Dexterously involved in checking the Lab reports, Invoice and bills • Mentoring a team of 10 – 12 people • Rejection dealings with doctors • Handled the issues related to claims resubmission • Pivotal in managing the process claim forms adjudicate in relation to diagnose and deductibles • Dexterously involved in checking the Lab reports, Invoice and bills

Medical Claims Processor

• Jan 2009 - Dec 2012

• Looked after E- Claims and Paper Claims processing which included Basic, Enhanced and Thiqa Claims • Entered claims into system while interpreting codings • Analysed medical technology in relation to diagnose and procedures • Handled process claim forms adjudicate in relation to diagnose and deductibles • Followed up with adjudication policies and procedures to ensure proper and timely payments • Updated policies and benefits plans after regular intervals • Assisted in identifying and solving claim processing problems Show less