Medical Insurance
Resume:
Leya Annie
Johnson
Medical Claim officer & Underwriter
Energetic, self-motivated professional exploring
the field of medical and life insurance
*************@*****.***
AbuHalifa, Kuwait City, Kuwait
WORK EXPERIENCE
Medical Claims Officer and Underwriter
United Insurance Company
SKILLS
Communication
Insurance
Patient care
05/2018 – Present Kuwait City, Kuwait
United Insurance Company K.S.C.C. established as a Kuwaiti national company in 2010 with a capital of 10 million Kuwaiti Dinars and holds an insurance license number 46. United Insurance Company is authorized and regulated by the Ministry of Trade & Industry in the State of Kuwait Achievements/Tasks
Key player in department achieving million-dollar businesses. Identify problems and proposed solutions to streamline the application process to improve the underwriting turn- around time.
Built strong, collaborative relationships with members of multidisciplinary medical team, resulting in improved operational efficiency and customer care.
Continually receive personal requests and
commendations from customers and family members.
Enrolled new customers into health benefits and verify all information in system.
Handled 40 to 60 inbound and outbound calls in a fast- paced environment.
Insurance Officer
Al Seef Hospital
Team player
Technical
Customer focus
PERSONAL PROJECTS
A study on Knowledge, Attitude and Practices among diabetic Retinopathy patients – prospective interventional study (08/2015 – 05/2016)
published in Research Journal of Pharmacy and Technology- ISSN Online: 0974-360X
Drug prescribing pattern in geriatrics - a prospective observational study of in-patient record
(08/2014 – 05/2015)
ACHIEVEMENTS
CPR training (05/2015 – 07/2015)
At Saveetha College, India
• Quality Pharmacy Practice Module Advanced Learning Series – II (02/2014 – 05/2014)
03/2018 – 05/2018 Salmiya, Kuwait Indian Association of Colleges of pharmacy and Sri Ramachandra Al Seef is a subsidiary of the United Medical Services Company (UMS)
- a Closed Kuwaiti Shareholding Company established in 2003 to invest in the healthcare sector in Kuwait
Achievements/Tasks
Supervise all insurance claims in line with insurance policies.
Reviewing patient records using medical coding
procedures.
University.
• International Conference on Child Neurology (CME) VELS University, Chennai, India.
LANGUAGES
Evaluates and processes claims in accordance with
insurance policy terms and conditions, company policies and procedures according to productivity and quality standards.
Ensures that targets are met for department Turnaround time, Quality and Productivity.
Identify and report back any type of claims observation or issues that may affect the process.
English
Native or Bilingual Proficiency
Arabic
Elementary Proficiency
Hindi
Limited Working Proficiency
Malayalam
Native or Bilingual Proficiency
French
Limited Working Proficiency
LEYA ANNIE JOHNSON
Analytic Business support Result Oriented
WORK
EXPERIENCE
Medical Underwriting
RR DONNELLY
04/2016 – 01/2017
Chennai, India
CERTIFICATES
RR Donnelley is a 150-year-old, $11.5 billion Fortune 500 company, and a global provider of integrated communications including pre media, printing, logistics and business process outsourcing services. Achievements/Tasks
Respond to underwriting medical inquiries of external customers.
Evaluate medical records according to the given SOP’s. Review applicant’s eligibility for Insurance Claims. Undertake Summarization of medical records.
CPR certification
INTERESTS
Music & Art
Reading-writing
Volunteer Work
Travelling
Clinical Pharmacist
ESI Hospital
06/2015 – 06/2016
Achievements/Tasks
Visa Status
Visa status: Article 18 (transferable)
Chennai, India
Primarily responsible to provide clinical and technical information to patients, nurses, and physicians regarding the contents, utilization, therapeutic actions, adverse reactions or interactions of drugs.
Evaluate the appropriateness and effectiveness of the patient’s medications
EDUCATION
Doctor of Pharmacy
VELS University - Chennai
07/2010 – 05/2016
CGPA - 7.18
HIgher Secondary School
India International School, Mangaf, Kuwait
02/2008 – 03/2010 Kuwait
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