ABDUL KADER
Dubai,UAE
Overview
13
13
years of professional experience
1
1
Certificate
Work history
SENIOR INSURANCE EXECUTIVE
ASTER DM Healthcare
Dubai, UAE
05.2012 - Current
- Thoroughly knowledgeable in RCM process
- Managed daily insurance claims Submission and Resubmission for 200+ retail units
- Coordinated audits with health authorities and Payers
- Analyzed data to identify revenue opportunities and trends
- Responsible for claims reconciliations with all Payers
- Prepare MIS report
- Detailed study on Claims Rejection and analyzing trends in denials
- Analyzes and reports on data related to Revenue opportunities and Revenue leakage
- Analyses of Doctor Utilization Report
- Responsible for insurance price list coding process with drug codes.
- Handled 24/7 helpline support for 200+ retail units (Pharmacy and Optics)
- Have conducted training session for Retail units to streamline process
- Follow up with IT department for any technical issues in day-to-day insurance transactions
- Coordination with inter-department queries
- Assigning duties to team members.
- Maintain and make updates to process documentation.
- Supported efficient claims processing by adhering to established processes.
FINANCIAL ANALYST
ACCENTURE
01.2011 - 01.2012
- Handling Process
- Financial Commercial Mortgage Banking Services
- Re-Keying Process
- Sub-servicer uploading
- Understand end-to-end processes, contribute to process improvements, and maintain the entity at the right level of operational excellence
- Assigning work for my team members for the day
- Training the team on the process
- Shift allocation for the whole team
- Processing of Loans in Bank of America
- Specification of financial servicing.
Education
Bachelor of Commerce - Commerce
Bharadhidhasan University
TN, India06.2010
Skills
- Data Analyst
- Data mining
- Multi-tasking
- Dependable
- Proficiency with Excel
Additional Information
Power BI
Timeline
SENIOR INSURANCE EXECUTIVE
ASTER DM Healthcare
05.2012 - Current
FINANCIAL ANALYST
ACCENTURE
01.2011 - 01.2012
Bachelor of Commerce - Commerce
Bharadhidhasan University
Summary
I am a highly experienced professional with over 10 years of expertise in insurance RCM, MIS, data mining, and reports. My energetic and upbeat personality, coupled with strong communication skills, allows me to effectively engage with clients and consultants while maintaining excellent relationships with all levels of management. With my exceptional management skills, I am capable of planning and delivering impactful presentations to individual clients or groups. I am a loyal and responsible individual, making me a valuable asset to any employer. Throughout my career, I have successfully tracked claims progress and generated analytical reports for service managers. I am eager to join your team and contribute my skills and experience.
Certification
What is Data Science, IBM
Languages
English
Fluent
Tamil
Native
Malayalam
Advanced
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