Accomplished professional with extensive expertise in group insurance risk, claims handling, and network contracting. Demonstrates proficiency in pricing and negotiation, relationship management, and business development. Adept at strategy implementation and legal & regulatory compliance, ensuring seamless payer & provider issue resolution. Known for keen attention to detail, efficient decision making, and project leading capabilities. Exhibits proactive & transparent leadership with a collaborative approach, backed by extensive analytical skills and adaptability. Committed to maintaining a sense of accountability while being resilient & flexible in dynamic environments. Career goals include leveraging interpersonal skills to drive innovative solutions in the insurance sector.
Overview
18
18
years of professional experience
2
2
years of post-secondary education
Work History
Manager - Claims Handler - Group Insurance Risk
NMC Group
Abu Dhabi, United Arab Emirates
02.2025 - Current
Improved claim processing efficiency by implementing streamlined workflow strategies.
Developed team skills, resulting in a more productive work environment.
Handled high volume of claims to ensure timely settlements.
Negotiated favourable settlements for policyholders in contentious cases.
Processed outstanding claims to reduce backlog and improve efficiency.
Achieved efficient claim processing with meticulous attention to detail.
Ensured customer satisfaction by promptly resolving claims disputes.
Implemented robust systems for tracking progress of ongoing claims, improving overall efficiency of the department.
Conducted thorough investigations into suspicious or fraudulent claims.
Handled sensitive client information, maintaining confidentiality at all times.
Kept up-to-date on current market trends, contributing to sound decision-making processes in the company's interest.
Managed complex insurance claims for successful resolution.
Resolved numerous claim disputes, promoting a fair outcome for all parties involved.
Collaborated closely with underwriters to ensure accurate risk assessment on new policies.
Fostered positive relationships with clients through excellent communication skills.
Adhered strictly to industry regulations during every stage of claim processing.
Maintained high levels of accuracy whilst reviewing and validating claims documentation.
Liaised with legal teams for effective claim settlement.
Handled all claims and communications within established service level agreements.
Determined insurance cover level and relevance for accurate claim assessments.
Escalated critical claims or complex situations to supervisor for review.
Recorded detailed, accurate claim particulars for reliable case notes.
Completed general claims administration, reviewing and distributing legal and evidentiary documentation.
Maintained detailed administration and office procedures to improve accuracy and efficiency.
Gathered, recorded, and distributed complete documentary evidence.
Achieved positive claim outcomes through careful case management.
Responded to telephone enquiries from clients, vendors and members of public.
Evaluated claims data and market trends for improved customer understanding.
Handled sensitive information discreetly maintaining client confidentiality at all times.
Coordinated with legal teams for accurate interpretation of policy terms.
Managed complex insurance claims for efficient resolution and customer satisfaction.
Obtained clear photographic evidence to support customer claims.
Documented details about property construction methods and materials to facilitate accurate assessments.
Streamlined communication channels, enhanced internal information flow.
Manager - Relationship, Contracting & Group Risk Insurance
ICA Certificate in Financial Crime Compliance for the Insurance Sector in the UAE
Research
Research: A study on assessment of knowledge and attitude regarding
cigarette smoking among final year engineering girl students in selected engineering colleges at Bangalore. Organized one and attended several workshops.
Timeline
Manager - Claims Handler - Group Insurance Risk
NMC Group
02.2025 - Current
Manager - Relationship, Contracting & Group Risk Insurance
Head of Information Technology at NMC Royal Hospital MBZ and Clinics (NMC Group)Head of Information Technology at NMC Royal Hospital MBZ and Clinics (NMC Group)