Experienced health insurance professional skilled in Medical/life Insurance, Risk Management, Customer Service, Pre-authorization and Team Building. Strong military and protective services professional with a diploma in General Nursing and Midwifery from India .
Hi, I’m
Shahana Ebrahim Safiya
Dubai,United Arab Emirates
Summary
Overview
16
years of professional experience
2
years of post-secondary education
Work history
SANTECHTURE DMCC
Senior Business Rules Analyst
2022.10 - 2023.05 (7 education.months_Label)
Job overview
- Developed and executed a business rules management system for a multinational corporation, yielding a 30% boost in operational efficiency and a 20% decrease in error rate
- Spearheaded a team of analysts in conducting in-depth business rules analysis, resulting in the identification and resolution of critical issues, elevating decision-making processes and ensuring regulatory compliance
- Collaborated seamlessly with cross-functional teams to convert intricate business requirements into concise and precise business rules, fostering data integrity and mitigating risk exposure
- Conducted regular audits and evaluations of existing business rules, identifying optimization opportunities and recommending strategic changes that yielded a 15% cost reduction and streamlined business operations.
SUKOON
Senior Claims Officer
2014.02 - 2022.09 (8 education.years_Label & 7 education.months_Label)
Job overview
- Assessed and processed complex insurance claims, demonstrating exceptional attention to detail and accuracy in evaluating policy coverage, documentation, and claim settlements
- Led a team of claims adjusters, providing guidance and support to ensure consistent and efficient claims processing, resulting in a 20% reduction in average claim handling time.
- Developed and implemented innovative strategies to streamline claims procedures, resulting in improved customer satisfaction scores and a 15% decrease in average time to close claims.
- Collaborated with legal and fraud investigation teams to identify and mitigate potential fraudulent claims, resulting in a 30% reduction in fraudulent payouts and significant savings for the company.
NEXTCARE
Claims processor
2010.10 - 2014.01 (3 education.years_Label & 3 education.months_Label)
Job overview
- Processed an average of 350 claims per day, ensuring accuracy and adherence to companypolicies and guidelines
- Investigated and resolved complex claims, successfully identifying potential fraud andminimizing financial risks for the company
- Collaborated with internal departments and external stakeholders, such as medicalprofessionals and legal advisors, to gather necessary evidence and documentation for claimsprocessing.
Government Medical college HospitalThrissur
Staff Nurse
2007.03 - 2010.09 (3 education.years_Label & 6 education.months_Label)
Job overview
- Designed and executed nursing care plans for surgical patients.
- Prepared operating room for specific surgery requirements.
- Delivered exceptional care to boost patient healthoutcomes. Administered medication with meticulous attention to detail.
Education
Jawahar Navodhaya VidyalayaKerala, India
from Science with Maths
2001.03 - 2003.03 (2 education.years_Label)
University overview
Government School of Nursing
Pre-degree from Nursing and Midwifery
03.2007
University overview
RISC Institute DMCCDubai
from cert.CII- Award in customer care and Award in General Insurance.
2019.10 - 2020.03 (5 education.months_Label)
University overview
Skyline Medical coding Training CenterDubai, UAE
from Cert. in Professional Medical Auditing (CPMA)
University overview
Skills
- MS office
- Data analysis
- Claims
- Reporting skills
- Prior authorization processing
- Data entry experience
- Billing cycle expertise
- Key Performance Indicator (KPI) management
- Team supervision
- Client support
- Customer relationship management
Languages
English
Fluent
Hindi
Fluent
Malayalam
Native
Tamil
Fluent
Arabic
Upper intermediate
Timeline
Senior Business Rules Analyst
SANTECHTURE DMCC
2022.10 - 2023.05 (7 education.months_Label)
RISC Institute DMCC
from cert.CII- Award in customer care and Award in General Insurance.
2019.10 - 2020.03 (5 education.months_Label)
Senior Claims Officer
SUKOON
2014.02 - 2022.09 (8 education.years_Label & 7 education.months_Label)
Claims processor
NEXTCARE
2010.10 - 2014.01 (3 education.years_Label & 3 education.months_Label)
Staff Nurse
Government Medical college Hospital
2007.03 - 2010.09 (3 education.years_Label & 6 education.months_Label)
Jawahar Navodhaya Vidyalaya
from Science with Maths
2001.03 - 2003.03 (2 education.years_Label)
Government School of Nursing
Pre-degree from Nursing and Midwifery
Skyline Medical coding Training Center
from Cert. in Professional Medical Auditing (CPMA)