Fegin Johny
Policy Administrator
Dubai
Summary
Dynamic professional with over 11 years of experience in insurance and third-party production operations, specializing in business database management across diverse segments. Recognized for a results-oriented approach and a well-established network, fostering strong inter-departmental relationships and enhancing customer engagement. Proven ability to identify needs and deliver innovative solutions within specified parameters, complemented by extensive experience in managing payer channels and business relationships. Eager to leverage expertise for continued impactful contributions in a new opportunity.
Overview
12
12
years of professional experience
Work History
Production Manager
Starz Health Insurance Claims Managements LLC
05.2025 - Current
- Processed and issued new insurance policies, renewals, and endorsements per company procedures.
- Reviewed policy applications, verified data accuracy, and input details into systems.
- Communicated with clients, underwriters, and brokers to resolve discrepancies.
- Ensured compliance of all documentation with company policies and regulations.
- Generated reports on policy status, performance metrics, and compliance.
- Provided administrative support to underwriting and compliance teams as needed.
- Handled confidential information with integrity and discretion.
- Coordinated with service providers to meet SLA standards for investigations.
Client Administrator-People Solutions
Lockton Insurance Brokers LLC
08.2024 - 04.2025
- Managed the endorsement process for clients, ensuring changes to insurance policies were correctly documented and reflected in client accounts.
- Handled the full endorsement lifecycle, including reviewing policy changes.
- Handled client inquiries via phone, email, and chat, providing prompt responses and issue resolutions.
- Worked closely with insurance carriers to secure approvals for policy modifications and endorsements.
- Processed high volumes of endorsements, including policy cancellations, reinstatements, and coverage adjustments, within set timelines.
Business Support - Policy Admin
National General Insurance Company (P.J.S.C)
06.2022 - 08.2024
- Processing assigned Endorsement in system within in the day.
- On a daily base coordinating with the TPA’s for the medical card copy, Emirates ID updating, premium amendments etc.
- Successfully managed corporate policies confirmations for New/renewal policies as well as endorsements such as Additions/Deletions and Corrections at a stipulated time.
- Coordinating with the UW team for the diagnosed condition mentioned on the HDF to avoid a high-risk claim. Calculating the HAAD fine and providing the HAAD fine calculation to the sales team.
- Co-ordinate with Technical Department on validated quotations, Table of benefits and loadings.
- Providing active members list to high end client weekly basis.
- Calculating DOH fine & sharing the DOH fine receipt with the assigned branch coordinator.
- Uploading Northern Emirates & Abu Dhabi members in ICP.
- Coordinating with various Insurance Company for COC matching & updating the members under Shafafiya portal.
- Respond to business queries from participating Insurance brokers or clients effectively and efficiently.
Policy Administrator
Sehteq Medical Billings Services LLC
07.2020 - 03.2022
- Receive and review new business proposals, endorsements and renewals within authorized underwriting limits.
- Adherence to guidelines, processes and quality checks Internal/external customer feedback.
- Resolving TPA Enrolments queries with reference to discrepancies in age, gender and proposed ailments/declared diseases by the insured as per policy to Claims/Approvals team with our POS confirmation.
- Actively interacting with Medical Underwriting and Campaign renewal retention team for enrollment issues for processing cashless request.
- Coordination with Internal and External stake holders for claim/approval status and escalations.
- Follow up/Coordination with service providers to complete investigation as per agreed SLA and making them to submit reports in specified standard investigation format as per DHA/DOH.
- Manage inclusion of new members into the client scheme and database system.
- Preparing Active Members list, updated list & Member register to payer.
- Maintain high quality of card-printing to satisfy clients’ present standards of service.
Network Assistant
Vidal Medical Services LLC
04.2016 - 05.2020
- Empaneling new providers in the system (Clinics, Pharmacy & Hospital).
- Training provider about the network coverage and eligibility.
- Solving provider related issue about insurance card & network coverage.
- Training provider how to use an online portal to check the eligibility and to get approval through portal.
- Coordinating with Claims team for the necessary document from the provider to process their claim.
- Adding new pharmacy and keeping a track record of Pharmacy added on PBM every month (Pharmacy Benefit Management).
- Reconciling with the provider and settling the due payment.
Assistant Accountant
Global Net TPA LLC
04.2014 - 04.2016
- Streamlined insurance collections by tracking invoices and updating weekly statuses.
- Ensured monthly preparation and review of Bank Book and BRS.
- Processed and dispatched invoices and debit notes to insurance companies efficiently.
- Managed petty cash and conducted cash verifications with finance staff weekly.
- Communicated daily with clients regarding invoices and endorsements.
Education
Bachelor of Commerce - Accountancy
University of Mumbai
Mumbai, IndiaSkills
- Supportive team participant
- Clear verbal communication
- Support and service delivery
- Expert in policy validation
- Strong insurance knowledge
- Adaptability to changing environment
- Willing to take on challenges
LANGUAGES
English - Fluent
Hindi - Fluent
Malayalam - Elementary
Tamil - Beginner
DECLARATION
I do hereby declare that all the information provided above is true and accurate and references available upon request.
Timeline
Production Manager
Starz Health Insurance Claims Managements LLC
05.2025 - Current
Client Administrator-People Solutions
Lockton Insurance Brokers LLC
08.2024 - 04.2025
Business Support - Policy Admin
National General Insurance Company (P.J.S.C)
06.2022 - 08.2024
Policy Administrator
Sehteq Medical Billings Services LLC
07.2020 - 03.2022
Network Assistant
Vidal Medical Services LLC
04.2016 - 05.2020
Assistant Accountant
Global Net TPA LLC
04.2014 - 04.2016
Bachelor of Commerce - Accountancy
University of Mumbai