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$25 USD / hour
Flag of TURKEY
adapazarı, turkey
$25 USD / hour
It's currently 6:40 PM here
Joined November 27, 2021
0 Recommendations

Mahmoud S.

@Mahmoud0082

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$25 USD / hour
Flag of TURKEY
adapazarı, turkey
$25 USD / hour
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Insurance profession

customer service support, medical policies renewal consultations, data entry/audit, approval/rejection issues, reimbursement claims management.

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Experience

Account Executive

Groupmed insurance brokers
Nov 2010 - Aug 2018 (7 years, 9 months)
Responsible for existing account management and clients communications

Medical claims administrator

SIB
Oct 2008 - Oct 2010 (2 years)
• Coordinate insurance process across departments, tracking claims. • Support and mentor staff in insurance resources, standards, data, and contacts. • Review claim submissions and determine eligibility and level of coverage. • Prepare and monitor insurance budgets and report on exceptional circumstances. • File claims, enter data, and update databases with current daily information

Medical claims auditor

Carnow TPA / Arab german insurance
Jan 2007 - Mar 2008 (1 year, 2 months)
• Perform random quality audits of claims processed. • Conduct financial accuracy audits on all claims. • Maintains, communicates, track, and trend audit results and report findings Support the audit needs of the organization • Facilitates opportunities to develop and implement process improvement. • Provides feedback to Claims, Network, and Information System departments of findings to improve quality

Education

BSc in Nursing Science

Al-Jami'ah Al-Urdunia, Jordan 2002 - 2006
(4 years)

Qualifications

IFCE insurance foundation certificate exam

Saudi Arabia monetary agency
2015
A certificate from the Saudi agency to practice the insurance profession.

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