Dr Khalid Baloch
Dubai
Summary
Results-driven Clinical and Health Insurance Management Professional with 20 years of experience across UAE, Malaysia, and Pakistan. Led initiatives that drove growth and enhanced customer loyalty while optimising operational processes. Specialised in quality control management, financial analysis, and health compliance, effectively resolving complex operational challenges to improve business outcomes.
Overview
23
23
years of professional experience
1
1
Certification
Work History
CASE MANAGER
NAS Neuron (TPA)
Dubai
2019.09 - Current
- Delivered client care by assessing treatment needs, developing and evaluating treatment plans, facilitating interdisciplinary collaboration, and overseeing staff performance.
- Coordinated and provided care that is safe, timely, effective, efficient, equitable, and client-centered.
- Monitored cases by reviewing therapist evaluations and treatment objectives, verifying client attendance, assessing treatment responses, advocating for services and entitlements, and providing crisis intervention and personal support.
- Handled case assignments, drafted service plans, reviewed case progress, and determined case closure.
- Determined clients' requirements by completing intake interviews and determining the need for therapeutic medical, psychosocial, and psychiatric evaluations.
- Facilitated communication of client progress by conducting weekly interdisciplinary meetings to share evaluations, identify treatment barriers, and engage therapeutic teams and families.
- Established and coordinated treatment programs by setting schedules and routines.
- Maintained clients' records by reviewing case notes, and logging events and progress.
- Prepared clients' discharge by reviewing and amplifying discharge plans, coordinating discharge and post-discharge requirements, orienting and training family members, and providing resources.
- Met budget goals by monitoring expenses and implementing cost-saving actions.
- Prepared reports by summarizing treatment and results data and trends, compiling statistics, and completing grant and subsidy applications.
MANAGER HEALTH INSURANCE CLAIMS, NETWORKING, APPROVALS, AND MEDICAL PROFESSIONAL
E-Care International (TPA)
Dubai
2013.03 - 2019.08
- Oversaw claims and billing responsibilities, scrutinising hospital bills for ailments and modes of approvals and rejections while fostering networking relationships.
- Managed team administering portfolio by establishing treatment guidelines, monitoring billing rates of various panel hospitals, and optimising workflows and processes.
- Delivered strategic planning for reimbursement cases, validating deductions and supporting budgeting requirements to align with organisational goals.
- Maintained discounts issued with proper documentation, and approved OP close, professional, and efficient relationships with provider settlement for outpatient cases.
- Maintained a working sheet for common negotiated arrangements with panel hospitals, implemented policies and procedures in line with business requirements and to meet demand, and documented business decisions and processes in a professional way.
- Developed relationships periodically, raising requirements with key brokers and clients.
- Oversaw operations of health business profit centre to ensure efficiency.
- Investigated and identified new distribution channels to enhance market reach.
- Assessment and underwriting also fell under Dr. Khalid's responsibilities.
- Provided by Dr. Khalid included e-claims, paper claims, PBM, real-time reimbursement, helpline.
SENIOR MEDICAL OFFICER
Maroof International Hospital
Islamabad
2011.05 - 2013.01
MEDICAL OFFICER
Hospital Queen Elizabeth
Sabah
2010.08 - 2011.04
CASUALTY MEDICAL OFFICER
Ali Medical Center
Islamabad
2004.09 - 2010.08
HOUSE PHYSICIAN
Chandka Teaching Hospital
Larkana
2004.02 - 2004.07
HOUSE SURGEON
Chandka Teaching Hospital
Larkana
2003.08 - 2004.01
Education
Bachelor of Medicine and Bachelor of Surgery (MBBS) -
Liaquat University of Medical & Health Sciences
Pakistan2003-01
Skills
- Case management and clinical expertise
- Crisis intervention and treatment planning
- Case assessments and documentation
- Discharge planning and program coordination
- Insurance claims management
- Compliance monitoring and risk assessment
- Complex case handling
- Healthcare laws familiarity
- Client relationship management
- Decision-making and problem-solving
- Conflict resolution skills
- Effective communication
- Organisational skills
- Patient advocacy
Affiliations
Pakistan Medical and Dental Council, 44262-S
Websites, Portfolios and Profiles
Drkahmedkoraibaloch
Certification
Microsoft E Certificate: Al Fluency (July 17, 2025)
CIGNA: Anti-Fraud (INT) Training (September 17, 2025)
CIGNA: Preventing Workplace Harassment (September 18, 2025)
CIGNA: International Privacy Awareness Training (September 18, 2025)
CIGNA: Information Security Training (September 18, 2025)
CIGNA: Economic Sanction Training (September 18, 2025)
CIGNA: Code Of Ethics Training (September 18, 2025)
CIGNA: Anti-Money Laundering Training (September 18, 2025)
CIGNA: Advanced International Privacy Awareness Training (September 18, 2025)
Timeline
CASE MANAGER
NAS Neuron (TPA)
2019.09 - Current
MANAGER HEALTH INSURANCE CLAIMS, NETWORKING, APPROVALS, AND MEDICAL PROFESSIONAL
E-Care International (TPA)
2013.03 - 2019.08
SENIOR MEDICAL OFFICER
Maroof International Hospital
2011.05 - 2013.01
MEDICAL OFFICER
Hospital Queen Elizabeth
2010.08 - 2011.04
CASUALTY MEDICAL OFFICER
Ali Medical Center
2004.09 - 2010.08
HOUSE PHYSICIAN
Chandka Teaching Hospital
2004.02 - 2004.07
HOUSE SURGEON
Chandka Teaching Hospital
2003.08 - 2004.01
Bachelor of Medicine and Bachelor of Surgery (MBBS) -
Liaquat University of Medical & Health Sciences