albasheer hamad alnile, Senior Claim Officer

albasheer hamad alnile

Senior Claim Officer

Abu Dhabi National Insurance Company

Location
United Arab Emirates - Abu Dhabi
Education
Bachelor's degree, Medicine
Experience
11 years, 1 Months

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Work Experience

Total years of experience :11 years, 1 Months

Senior Claim Officer at Abu Dhabi National Insurance Company
  • United Arab Emirates - Abu Dhabi
  • My current job since August 2016

processing Inpatient and Outpatient claims.

Live Audits.

Creating internal rules for Automation of claim processing.

Taking part in creating internal policy for the company

Medical Officer at NAS Third Party Administrator
  • United Arab Emirates - Abu Dhabi
  • October 2015 to July 2016

Authorizing Inpatient requests.

Occasionally consults on Outpatient requests

Referring insured members for second opinion in certain cases.

communicating with providers and insured members to insure smooth workflow,

Medical Officer at Al Khazna Insurance Company
  • United Arab Emirates - Dubai
  • June 2014 to September 2015

-Pre-Authoirzation of Outpatient and Inpatient Requests.

-Communicating with brokers and Insured Members.

- creating internal rules to improve workflow.

intern house officer at Dubai health authority
  • United Arab Emirates - Dubai
  • January 2013 to February 2014

i have worked in three different hospital, which is a part of my training. during the internship i have also rotated in different medical speciality. the purpose of the internship is train medical students to become independent physician

Education

Bachelor's degree, Medicine
  • at College of Medicine and General Surgery Tianjin
  • July 2012

Enrolled Bachelor of Medicine, College of Medicine and General Surgery Tianjin medical university. Graduation time is July 2012.

High school or equivalent, high school Diploma
  • at Al Falahiyah High School
  • June 2006

Specialties & Skills

Team Handling
Insurance Claims
Healthcare
Health Information Management
Health Insurance
Leadership
Research skill
communication skill
Teamwork

Languages

Arabic
Native Speaker
Chinese
Beginner
English
Expert

Hobbies

  • Reading
    reading about psychology, History, Religion, Autobiography and self-help books
  • swimming
  • refereeing football matching
    i was the referee on college tournaments during my undergraduate study.