Senior Medical Officer
Claims And Risk Services LTD
Total des années d'expérience :29 years, 1 Mois
2007-present: C.A.R.S (Claims And Risk Services LTD / NAS comp.) Insurance TPA
SMO (Senior Medical Officer) - Pre-Authorization Dept.
1- Managing all pre-authorization requests ( IN & OUT patient)
2- Coordinating with technical departments to follow major and high claim amount cases
3- Reporting all non-declared pre-exiting cases and following up with the insurance companies (payer)
4- Visiting hospitals as a roving doctor to follow up and discuss with the treating doctor the admitted cases.
2006 - 2007: AL SAQR & MEDEX Insurance Companies
1- Roving, auditing and pre authorization duties
2- Appointed as general inspector of in-house clinics in Medex
2000 - 2006: Private Business
1. Worked in the position of General Manager of a private general trading enterprise in the field of marketing and sales
2. Designed and implemented marketing plans
3. Followed up with the sales team through customers feed back and revenues attained.
4. Coordinated between sales, accounting, marketing and advertising departments
5. Established contracts with supplier companies, local and abroad
1985- 2000: Saudi Ministry of Health
1- Worked in various pediatrics departments in Maternity and Children hospital
2- Supervised and instructed the junior staff
3- Jeddah International Airport Clinics: Attended to all sorts of emergencies and coordinated the efforts between medical departments in the Airport in cases of major accidents
2010: Acquired Insurance Fundamental Certificate (IFCE) from Saudi Arabian Monetary Agency, SAMA
1980 -1981: Internship (Required for Licensure) Ministry of Health and Cairo University hospitals - Cairo, Egypt
1973 - 1980: Bachelor Degree of Medicine and Surgery ( MB BCh Kasr Alaini, Cairo University - Cairo, Egypt
1961- 1973: St. George's College Primary, preparatory, and secondary school - Cairo, Egypt