Summary
Overview
Work history
Education
Skills
Custom
Languages
Personal Information
Affiliations
Accomplishments
Certification
Timeline
Generic
Juliet Nazareth

Juliet Nazareth

Summary

  • To be part of ever growing organization
  • To get a challenging position and utilize my experience in the medical insurance field which the organization offers.
  • To update myself on the knowledge of medical insurance UAE regulations and medical coding.

Polite and professional person with strong communication and multitasking skills. Experienced in resolving customer complaints within company guidelines and using own initiative.

Implements customer follow-up to uphold service standards and guarantee customer satisfaction. Flexible customer service team member focused resolving customer concerns and enquiries. Skilled at accurately documenting call details, preparing reports and organising documentation. Offers helpful answers and relevant information to retain business.

Motivated customer service team member eager to streamline operating procedures to maximise team efficiency and customer satisfaction. Specialises in quality, speed and performance improvements Passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support.

Proficient in customer service best practices and related options. Attentive administrative team member organised in managing enquiries and documents. Prompt in handling communications and developing resolutions for diverse concerns. Thorough and detail-oriented in following procedures.

Accomplished Customer Service Representative of 8 years, consistently maintaining customer satisfaction and contributing to company success. Motivated professional capable of building productive relationships, resolving complex issues and winning customer loyalty. Takes on challenging new role harnessing interpersonal skills, collaboration and problem-solving. Driven to deliver high-quality service and consistent results. Loyal employee with solid understanding of training and mentoring employees.

Dedicated team player, proactive and hands-on in task completion. Focused Customer service advisor with impressive track record in collaborative, cross-functional teamwork within high-pressure environments. Adept at project planning and managing multiple accounts at once. Dedicated to improving company sales goals and meeting business objectives.

Dedicated highly effective in undertaking administrative and programme management tasks. Manages complex data with excellent organisation. Motivated to achieve outstanding success through prompt communication and helpful approach.

Focused claims processor with impressive track record in collaborative, cross-functional teamwork within high-pressure environments. Adept at project planning and managing multiple accounts at once. Dedicated to improving company sales goals and meeting business objectives.

Overview

13
13
years of professional experience
3
3
years of post-secondary education
1
1
Certification

Work history

Staff Nurse

St. Philomena's hospital Bangalore, India
Bangalore
  • Attending patient needs and following doctors' orders
  • Maintaining patients records and reports
  • Maintaining emergency trolley and dug stock reports
  • Providing medical and clinical care during day and night shifts to the patients
  • Injecting medication (Insulin, IV fluids, IV canula) and advising proper intake on medication, fluids
  • Monitoring on the patients by maintaining vitals chart, fluids, post ICU patients care, suction, I/O charts and Oxygen SPO2 chart
  • Providing emergency care by CPR, first AID and shifting the patients to ICU
  • Maintaining doctor's advice and updating accordingly
  • Informing the doctors on the patient's condition on daily basis
  • Assisting the patients in dressing, Radiology, OGD and Colonoscopy Procedures
  • Providing pediatric patient care, post-surgical care, pre surgical care, blood sugar monitoring
  • Medical Billing and post death procedures
  • Handling MLC cases and legal procedures
  • Doctors Rounds and assisting the doctors in SOS orders.

Medical Customer Service Advisor

AXA AGH(GIG) INSURANCE
DUBAI, UNITED ARAB EMIRATES
05/2016 - Current

Providing support to the manager in implementing the team's daily work plan
Processing direct billing, resubmission, reimbursement and reconciliation claims within turnaround time and as per policy terms and conditions
Processing DHPO, manual inpatient and outpatient approvals within turnaround time
Attending calls 24/7 customer service base from the members, clients and providers
Providing assistance on PBM approval, OP, IP approvals
Assisting on emergency evacuation services
Customer survey feedback
Dispatching cheques for reimbursement claims payment
Maintaining reports on claims processing, Recon reports, complaints sheet, savings reports, high value claims report, wire transfer policy reports
Enrolling the members, deletion, editing details of the policy holders as per Damani, DHA and HAAD regulations
Printing medical policy cards and dispatch with notification to the clients
Assisting the UK and local policy holders in their direct billing in UAE and worldwide via third party assistance
Replying Emails with queries from the members, clients, brokers and providers
Policy set up and renewals, invoicing, debit note, credit note.

Senior Claims Executive [Assistant Supervisor]

Neuron LLC
Dubai
01.2012 - 01.2016
  • Meets quotas in terms of quantity and quality of e-claims and paper claims processing standards
  • Follow adjudication policies and procedures to ensure proper payment of claims
  • Take notice of any special cases or instructions provided for certain members/clients
  • Keeps track of all policies and protocol updates and ensure that these are followed
  • Coordinates with other department or healthcare providers any needed confirmation/documentation regarding a claim, on patient's behalf, to promote a quicker processing
  • Answers phone and email queries from insurers, brokers, and members regarding claims submitted and policy benefits
  • Audits and reports claims on a daily basis, keeping track of errors made and informing the team to prevent recurrence.

Education

Diploma of Higher Education -

ST PHILOMENAS COLLEGE OF NURSING
BANGALORE
09.2005 - 02.2009

Skills

  • MS office
  • Winsoft
  • Citrix
  • MS excel
  • Windows XP intranet
  • Microsoft
  • Customer Service
  • Problem-solving
  • Team Leadership
  • Microsoft Office
  • Regulatory compliance
  • Complaint handling
  • Customer experience
  • Customer care
  • Invoicing and receipts
  • Basic computer knowledge
  • Customer data management
  • Problem solver
  • Call centre experience
  • Team building
  • Time management
  • Pre approvals
  • Claims management
  • Policy Admin

Custom

I solemnly declare that all the above information furnished by me is true to the best of my knowledge and belief. I will be grateful to you if I get a chance to serve in your organization. Thanking you in anticipation.

Languages

English
Fluent
Hindi
Fluent

Personal Information

  • Citizenship: Indian
  • Title: DHA Registered Nurse
  • Date of birth: 01/09/87
  • Gender: Female
  • Marital status: Married
  • Visa status: Residence

Affiliations

  • reading
  • sports

Accomplishments

Awarded as fast eclaims processor in Neuron

Employee of the month in AXA

5 years service completion in AXA


Certification

DHA RN License

Excel training

CPT coding

Email skill

Nano system, Citrix


Timeline

Medical Customer Service Advisor

AXA AGH(GIG) INSURANCE
05/2016 - Current

Senior Claims Executive [Assistant Supervisor]

Neuron LLC
01.2012 - 01.2016

Diploma of Higher Education -

ST PHILOMENAS COLLEGE OF NURSING
09.2005 - 02.2009

Staff Nurse

St. Philomena's hospital Bangalore, India
Juliet Nazareth