Medical Insurance
Resume:
Rakhi Anna Kurian
Mob. : +965-********
Email: *******@*****.***
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
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
Contact this candidate