LEEMA ROSARY
Sharjah
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
INSURANCE TEAM LEADER - CUSTOMER SERVICE
Delta Insurance Services
08.2023 - Current
- Maintained the team to achieve the service level and customer satisfaction.
- Met with clients to assess their insurance needs and provide guidance on coverage options.
- Processed insurance applications, issue policies and facilitate policy renewals for clients.
- Conducted risk assessments and evaluations to identify potential risks and exposures for clients.
- Maintained high standards of customer service by building relationships with clients.
- Followed up on denials, late payments, extensions and other special circumstances.
SENIOR MEDICAL OFFICER
MedNet UAE FZ LLC
06.2021 - 08.2023
- Handled Insurance queries, policy investigation, customer calls, emails, chat, etc.
- Handled Outpatient and Pharmacy approvals, claim reimbursement queries..
- Processed GOP (Guarantee of Payment) for customers under travel insurance.
- Handled primary insurance company emails and Complaint log (including Regulatory complaints).
- Generated monthly reports as requested by TL.
- Provided training for new staffs and Client presentations.
- Traveled to other organizations to provide trainings.
INSURANCE EXECUTIVE
MedCare Women and Children Hospital
11.2019 - 05.2021
- Checked member eligibility and applied for pre-authorizations via e-claim (DHPO) portal.
- Handled outpatient, day care and inpatient requests.
- Coordinated with doctors for query response to facilitate the approval process.
- Ensure compliance with insurance laws, regulations, and industry standards.
INSURANCE COORDINATOR
Dr. Majdi El Halik Pediatric Centre, DHCC
08.2018 - 09.2019
- Prepared insurance claims for submission to insurance companies.
- Filed and tracked insurance claims and communicated claims status to patients.
- Achieved revenue goals by managing collections and accounts receivables, referral process and insurance billing.
- Verified insurance and communicated coverage to staff and patients.
- Handled the over all submission, resubmission, reconciliation and denial management.
Senior Clinical Data Analyst
COVANCE (Chiltern Clinical Research)
07.2016 - 07.2018
- Enforced strict data validation rules to maintain accuracy and completeness of clinical data.
- Created data management plans and provided input on study designs.
- Built complex data analysis reports and provided timely feedback to stakeholders.
- Participated in quality assurance reviews to verify accuracy and reliability of data.
CLINICAL DATA COORDINATOR
IQVIA (Quintiles Clinical Research)
07.2015 - 06.2016
- Upheld critical security standards when managing user access actions such as setting up and removing accounts.
- Managed system for secure storage, transmission and manipulation of clinical data.
- Minimized manual system errors with streamlined data entry process.
- Developed comprehensive data dictionary for efficient and accurate data tracking.
Education
Master of Science - Microbiology
Brindavan College
Bangalore2014
Bachelor of Science - Chemistry, Zoology, Biotechnology
MES Degree College
Bangalore2012
Skills
- Health Insurance Expert
- Customer Service Expert
- Account Management
- Leadership and Team Management
- Clinical Research
- Quality Improvement
- Medical Education and Training
- Diploma in Computer Applications
- Expert in MS Office tools (Word, Excel, Powerpoint)
- ILETS (Overall Score Band 7)
Languages
English
Bilingual or Proficient (C2)
Tamil
Bilingual or Proficient (C2)
Hindi
Upper intermediate (B2)
Malayalam
Upper intermediate (B2)
Additional Information
Nationality : Indian
D.O.B : 08/04/1991
Gender : Female
Marital Status : Married
Visa status : Spouse visa
Timeline
INSURANCE TEAM LEADER - CUSTOMER SERVICE
Delta Insurance Services
08.2023 - Current
SENIOR MEDICAL OFFICER
MedNet UAE FZ LLC
06.2021 - 08.2023
INSURANCE EXECUTIVE
MedCare Women and Children Hospital
11.2019 - 05.2021
INSURANCE COORDINATOR
Dr. Majdi El Halik Pediatric Centre, DHCC
08.2018 - 09.2019
Senior Clinical Data Analyst
COVANCE (Chiltern Clinical Research)
07.2016 - 07.2018
CLINICAL DATA COORDINATOR
IQVIA (Quintiles Clinical Research)
07.2015 - 06.2016
Master of Science - Microbiology
Brindavan College
Bachelor of Science - Chemistry, Zoology, Biotechnology
MES Degree College
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