Rakhi Anna Kurian

Mob. : +965-********

Email: ade1t7@r.postjobfree.com

Objective

Seeking a challenging job in your reputed firm with the scope for career advancement and growth. I bring a set of talents that I believe will be valuable for the organization. In my role, I honed my abilities in insurance approvals, policy administration, and approvals m justifications in order to decrease the rejection percentages, finalizing the work cycle by reconciliation and analysis report to focus on the growth opportunities and corrective actions, providing a solid foundation for the insurance process. Transferring these expertise by training medical & non-medical staff (customer service, approval desk agents, doctors and nurses), initiating proper handling for claim along its trip. Given an opportunity, I shall discharge my duties diligently to the best of my abilities.

Technologies Known

Computer Proficiency

Windows, Microsoft Office- Word, Excel, PowerPoint, Presentation Graphics

Work Experience

From 1st February 2020 to Till date : Medical Insurance Manager

From 1st May 2014 to Till date : Senior Medical claims auditor, Insurance Coordinator

Dar Al Baraa Medical Center, Kuwait

Nature of duties

-Processing monthly insurance claims ensuring timely submission with proper documentation.

-Approval Desk: Preauthorization procedure is strictly implemented to ensure and avoid delays.

-Policy administration: Checking all the invoices charged correctly (company, scheme, and class).

- Medical Claims Auditing: Monthly medical verification of all claims as per medical guidelines.

-Adding new schemes to billing system according to TOB.

- Archiving: All medical claims are properly archived and maintained for future purpose-resubmission

-Giving training for receptionists on insurance companies on online approvals.

- Reconciliation: Analysis of payment details & detect rejection reasons

-Resubmission : negotiating with companies on rejected claims with justifications by doctors

-Sending EDI excel format statements to the corporate/insurance companies.

From 1st September 2012 to 30th April 2014:Insurance Coordinator

International Clinic, Kuwait

Nature of duties

- Claims Processing.

-Resubmission of claims.

-Giving training for receptionists on insurance companies on online approvals.

- Analyze the claim and decide whether it is covered by the policy.

- Make sure all enquiries and payments are dealt with quickly.

From January 25th 2008 to August 31st 2012 : Insurance Officer

Alia Medical Center, Kuwait

Nature of duties

- Analyze the claim and decide whether it is covered by the policy.

- Make recommendations for the settlement of claims.

- Inform clients if claims are accepted and how they will be allocated

- Organize payments to clients.

- Make sure all enquiries and payments are dealt with quickly.

- Keep clients' files updated.

From January 1st 2003 – December 24th 2006 : Pharmacist.

M.G.D.M Hospital, Kangazha, Kerala-State, India

Nature of duties

- Dispenses medications by compounding, packaging, and labeling pharmaceuticals.

- Controls medications by monitoring drug therapies; advising interventions.

- Make sure there is no dispensing error

-Advice customers on health issues and medications

- Maintain inventories of medications and prescription records of pharmaceutical products;

Compound oral solutions, ointments and creams

From November 19th 2001 - December 31st 2002: Marketing Executive.

Rexcel Pharmaceuticals Ltd. (A RANBAXY Group Company)

Educational Qualifications

Graduation

B. Pharm, Department of Pharmaceutical Sciences, M G University, Kerala, India

80 %

1996-2000

12th

C.B.S.E, Marian Junior College, Kerala, India

82 %

1996

10th

S.S.L.C, Mount Carmel G.H.S, Kerala, India

89 %

1994

Personal Details

Date of Birth, Age

16 August 1978, 42 Yrs.

Sex

Female

Nationality

Indian

Passport No

N9718587

Civil ID No

278*********

Type of Visa

No. 18

Marital status

Married

I here by declare that all the information given here is true to the best of my knowledge and belief.

Date: 03/08/2020

Place: Kuwait

Rakhi Anna Kurian

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