Medical Representative ( Medical Educator)
Almarai Company
Total years of experience :5 years, 1 Months
Assessing clients needs and present suitable promoted products.
Educating mothers on breast feeding.
Liaising with and persuading targeted doctors to prescribe our products utilizing effective sales skills.
Providing product information and deliver product samples.
Assess clients needs and present suitable promoted products.
Liaise with and persuade targeted doctors to prescribe our products utilizing effective selling skills and performing cost-benefit analysis.
Provide product information and deliver product samples.
Attend sales meetings, conference calls, training sessions and symposium circuits.
Work with sales team to develop strategies and implement brand strategies to ensure a consistent marketing message.
Build positive trust relationships with medical representatives to influence targeted group in the decision making process.
Monitor and analyze data and market conditions to identify competitive advantage
Keep accurate records and documentation for reporting and feedback
Pursue continuous learning and professional development and stay up-to-date with latest medical data
Processing life claims for clients and initiating financial payment. in addition processing credit life claims and initiating payments to the banks
CryoSave Dubai, UAE. \{Stem Cell Laboratory\}
Job description
Responsible for working with new leads and prospective clients.
Educate the clients about the product and the companies strength in view of competitors through enthusiastic
phone or face to face conversations.
Enter and update customer information's in the database.
Reply to customer questions through phone calls and emails.
Establish productive, professional relationships with key personnel in assigned customer accounts.
Go the "extra mile" to meet the sales quota.
To keep updated about the latest developments related to the product and keep abreast with the competitors'
products and their strategies.
Supports the success of an assigned team of salespeople, including account managers, and Business development
sales representatives. ·
Provides coaching and professional development to team-member sales associates in order to enhance their
product knowledge and sales skills.
Lead demand-generating marketing activities in the assigned market for the assigned product specialty. ·
Achieves assigned product sales quota. · Supports initiatives that ensure product profitability.
Maintains high customer satisfaction ratings that meet company standards.
Establish and maintain positive work relationships and works productively with support groups within the
business.
Continuously review industry trends and client feedback to anticipate future market needs.
Consistently meets assigned deadlines to ensure client satisfaction.
Meets assigned targets for profitable sales growth in assigned product lines.
Major Achievement
Strong personal organization skills.
Superior written and verbal communication skills.
Enthusiasm for learning and supporting.
Exceptional interpersonal and customer service skills.
Ability to identify problems, mediate issues, develop solutions, and implement a course of action.
Deadline- and detail-oriented, with the ability to juggle multiple user needs and projects simultaneously.
Ability to handle challenging situations with diplomacy and be cool under pressure.
Ability and desire to perform in a fast-paced work environment.
A demonstrated team player.
A “can do” attitude with strong follow-through habits, and a willingness to take on whatever tasks are needed to
complete the job.
Medical Reviewer (Office work) job description
Evaluating (auditing) paper Claims (international + local), E-claims, Re-imbursement claims (international + local).
In Patient / Outpatient pre-approval evaluation (international + local).
Email correspondence to insurance companies and brokers (appropriate delegation of emails to meet SLA of addressing the queries).
Abusive trends from respective providers are noted during
Identifying high claimant profiles and escalating details to Technical department for renewal terms.
Notifying respective insurance company with the necessity of card retrievals (exhausted special limits, exhausted aggregate limits, over utilization..etc).
Correlation of the claimed ICD and CPT codes as per the providers contracted tariff.
Driving cost containment approaches for elective cases referral to home country or Governmental facilities.
Second level customer service management (in case of failure of being managed by the call center team).
Translation documents from English to Arabic/french
Managing and supervising the Medical Call center team and advising on the Outpatient pre-authorizing.
Managing and supervising the claims processing team.
Major Achievement Fraud /Abusive claiming reporting
Excellent team work Management /outcomes
Excellent Customer service Management /outcomes
Cost Savings is achieved across all audit categories
Significant improvement in cash flows.
Roaming Medical Reviewer
_______________________________________________
Policy and procedures are fully abided, coordination with the medical team for escalation of cases.
Abusive providers are identified and audit action is planned.
Visit report is drafted and shared with the management on regular basis.
Successful cooperation with the provider’s representative.
Capable of managing clients and resolving any conflicting situation (Client is basically the NW physician while the concurrent review).
90 % of admissions for SME policies or prolonged confinement beyond 48 days are audited.
Proactively driving of operational initiatives or sharing proposals for operational enhancement.
Leading up and down to prioritize client’s needs and promote the service level of MedNet.
Actively involved in training new comers and sharing guidelines.
Being flexible with corporate changes AND collaborative team work.
Active participation in resolving any operational conflicts within the team.
Major Achievement Fraud claiming detection
Excellent team work outcomes
Cost Savings is achieved across all audit categories
Significant improvement in cash flows.
Project Management 2013 _______________________________________________
Lead the planning and implementation of project. Facilitate the definition of project scope, goals and deliverables. Define project tasks and resource requirements. Develop full scale project plans. Manage project resource allocation. Plan and schedule project timelines. Quality assurance. Constantly monitor and report on progress of the project. Present reports defining project progress, problems and solutions. Implement and manage project changes and interventions to achieve project outputs.
Project evaluations and assessment of results.
Major Achievements
Projects planning and analysis
Implementation of projects output.
Group life underwriting Executive /Credit life underwriting Executive/ Life claims
Assessing background information on the client.
Studying insurance proposal.
Negotiating Terms.
Laising with professional and specialists to help judge risk assessment.
Calculating the risk.
Selecting appropriate and competitive premium based on information and judgment.
Deciding whether the risk should be shared with re-insurer.
Writing policies and added special requirement when needed.
Major Achievements
Drafting Policies & Procedures
Negotiating Terms.
Risk Assessment
Medical Claims (Processing & Auditing claims)
Oman insurance company - From 20/05/2012
• Processing different varieties claims.
• Processing GHC claims.
• Processing E-claims.
• Processing direct billing claims.
• Processing Re-imbursement claims.
Education Bachelor Degree of Science in Pharmacy Excellent Degree 2006-2010 The University of Greenwich