Shashikala Shrestha Pradhan

Clinical Case Manager at CIGNA LIFE INSURANCE COMPANY OF EUROPE SA NV SUCURSAL EN ESPAÑA
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Contact Information
us****@****om
(386) 825-5501
Location
United Arab Emirates, AE

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Experience

    • Clinical Case Manager
      • Jun 2019 - Present

    • Hospitals and Health Care
    • 700 & Above Employee
    • Medical Claims Analyst
      • Nov 2017 - May 2019

    • Medical Claims Manager
      • Dec 2016 - Oct 2017

      • Responsible for providing leadership, training, guidance and support to the medical claims and approval teams. • Monitor the claims functions to maintain the target loss ratios. • Coordinate with the General Manager regarding general claims policy, procedures and system. • Identify and initiate training needs for the claims and approval teams. • Work with the Operations Manager with regards to loss experience of various clients and suggest ways for improvement, imposition of better control etc. • Work with the Network team for developing and maintaining a service provider network conducive to serve clients and match competitors. • Attend meetings with medical professionals, service providers, hospitals and clinics and ensure well-coordinated service relations at all times. • Assist Underwriting team with new quotes and business. Show less

  • Al Khazna Insurance Company
    • Dubai, United Arab Emirates
    • Senior Claims Adjudicator (Team Leader)
      • Oct 2013 - Nov 2016

    • United Arab Emirates
    • Insurance
    • 200 - 300 Employee
    • Managed Care Executive
      • Oct 2011 - Sep 2013

Education

  • Guangxi Medical University
    Bachelor of Medicine, Bachelor of Surgery - MBBS, Medicine

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