Barea Al Jaouni
Summary
Dedicated and experienced professional with a proven track record in operations management, compliance, and process improvement. Seeking a challenging role as an operations Manager to contribute expertise in operational efficiency, team leadership, and customer satisfaction within the insurance industry.
Overview
24
24
years of professional experience
Work History
Healthcare Audit Manager
GIG
7 2022 - 6 2024
- Led and managed healthcare audits to ensure compliance with industry regulations, internal policies, and quality standards
- Conducted comprehensive audits of medical records, financial transactions, and operational processes to identify areas for improvement and risk mitigation
- Collaborated with cross-functional teams to implement corrective actions and preventive measures based on audit findings
- Developed and maintained strong relationships with key stakeholders, including healthcare providers, regulatory agencies, and internal departments.
- Maintained up-to-date knowledge on accounting standards and best practices to ensure high-quality audit results were delivered consistently
- Reduced financial discrepancies through thorough analysis of company financial statements and records
Senior Auditor | Fraud Waste and Abuse - Supervisor
Alico_MetLife
2015.01 - 2022.07
- Executed audits of healthcare facilities, focusing on financial transactions, billing accuracy, and adherence to regulatory requirements
- Assessed internal controls and recommended improvements to enhance efficiency and reduce the risk of non-compliance
- Prepared detailed audit reports, highlighting findings, recommendations, and risk assessments.
Quality & Audit Assurance Supervisor – Gulf
Alico_MetLife
2013.01 - 2015.01
- Managed quality and audit assurance activities, ensuring compliance with internal and external standards
- Led a team of auditors and provided ongoing support in the implementation of development plans and performance objectives.
Medical Claim Adjudicator
Alico_MetLife
1999.01 - 2013.01
- Progressed from Medical Claim Adjudicator to Claims Officer and then to Quality and Audit Assurance Supervisor
- Led various teams, providing training, performance reviews, and development goals to ensure alignment with department objectives
- Managed network provider reconciliations and internal audits of adjudicated claims
- Supported the implementation of e-claims systems and provided training to network providers.
Education
Bachelor's Degree - Biology Science
Yarmouk University
2001.04 - 1993.04
High Diploma - Medical Laboratory
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Skills
Operations Management
Regulatory Compliance
Risk Management
Process Improvement
Team Leadership
Communication Skills
Data Analysis
Report Writing
Relationship Building
Customer Satisfaction
Strategic Planning
Financial Management
References
Available upon request
Timeline
Senior Auditor | Fraud Waste and Abuse - Supervisor
Alico_MetLife
2015.01 - 2022.07
Quality & Audit Assurance Supervisor – Gulf
Alico_MetLife
2013.01 - 2015.01
Bachelor's Degree - Biology Science
Yarmouk University
2001.04 - 1993.04
Medical Claim Adjudicator
Alico_MetLife
1999.01 - 2013.01
Healthcare Audit Manager
GIG
7 2022 - 6 2024