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Ayman Zaaqoq, Health Director

Ayman Zaaqoq

Health Director·AXA

Egypt

Higher diploma, Health Care and Hospital Management

Work experience

Total years of experience: 24 years, 2 months

Health Director

July 2021 - Present

AXA

Cairo, Egypt

July 2021 - Present

• Part of the team that drafted the new strategy of Health LOB.
• Helped transforming LOB to improve its profitability by 90% in less than a year.
• Oversaw the restyling of the SME plans & their pricing methodology together with the necessary regulatory, operational, technological, marketing updates.
• Member of UW, Portfolio Management, Assumptions, Distribution, TTM, & other relevant LOB committees.

Company industry:
Insurance & TPA
Job role:
Management

Technical Instructor

November 2018 - September 2022

Insurance Institute of Egypt

Cairo, Egypt

November 2018 - September 2022

As part of the Diploma of Medical Insurance, I teach topics related to utilization management, provider management & payment, health insurance history & types of managed care organizations & integrated delivery systems.

Company industry:
Training & Education Center
Job role:
Teaching and Academics

Lecturer

December 2002 - September 2022

Department of Forensic Medicine & Clinical Toxicology – Ain Shams University

Cairo, Egypt

December 2002 - September 2022

Teaching undergraduate medical students
Research

Company industry:
Higher Education
Job role:
Teaching and Academics

Head of Health Quality Assurance, Fraud Detection & Prevention

May 2017 - December 2021

AXA

Cairo, Egypt

May 2017 - December 2021

• Built the HQA unit from scratch & put in place processes, guidelines, plans, & KPIs.
• Designed & conducted periodic FDP training to, at least, 70% of the Health LOB staff.
• Conducted yearly open & closed file reviews that resulted in minimizing leakage to less than 2%.
• Put in place the utilization reporting framework for internal & external stakeholders.
• Established a monthly utilization committee.
• Grew savings YOY by an average of 280% through enhancing fraud detection & prevention controls.

Company industry:
Insurance & TPA
Job role:
Quality Control

Product Owner - Global Health

October 2020 - July 2021

AXA

Cairo, Egypt

October 2020 - July 2021

• Lead the product revamp that helped business grow by more than 50% YOY.
• Contributed to the training of the S&D.

Company industry:
Insurance & TPA
Job role:
Management

Product Owner - Local Individual Health

April 2019 - July 2021

AXA

Cairo, Egypt

April 2019 - July 2021

• Conducted training for S&D & brokers.
• Created the product’s first dashboard.
• Helped improve quality & reduce complaints in different areas through improving reporting, validating numbers, creating feedback loops.
• Increased customer retention by more than 100%.

Company industry:
Insurance & TPA
Job role:
Management

Senior Medical Advisor

July 2016 - April 2017

MetLife

Cairo, Egypt

July 2016 - April 2017

• Helped establish a more efficient pricing strategy & process which saved 13.5% of projected cost.
• Raised electronic claims submission by nearly 5%.
• Prepared an operation manual for service providers in Arabic language.
• Prepared an internal handbook for Medical Network team.

Company industry:
Insurance & TPA
Job role:
Purchasing and Procurement

Claims Manager

July 2014 - February 2016

Med-Right for Medical Services

Cairo, Egypt

July 2014 - February 2016

• Reformed claims operations through both short- & long-term plans.
• Lead the team to catch up on backlog claims within the first 4 months of assignment.
• Built physical archiving & started digital archiving.
• Linked compensation to performance.
• Created TPA-Insurer reconciliation cycle to minimize losses, improve collection, & build trust.

Company industry:
Insurance & TPA
Job role:
Management

Provider Relations Manager

February 2013 - October 2014

Med-Right for Medical Services

Cairo, Egypt

February 2013 - October 2014

• Expanded network of service provider by 110% within the first year.
• Built a Provider Relationship team.
• Built a reliable team of doctors on-site through selection & training.
• Updated Provider’s Manual.
• Establishes strong provider relationships through good communication, providers’ follow up & orientation, in addition to monitoring & optimization of reimbursement.

Company industry:
Insurance & TPA
Job role:
Management

Toxicologist

January 2003 - May 2012

Poison Control Center of Ain Shams University (PCCA)

Cairo, Egypt

January 2003 - May 2012

Management of acute and chronic intoxication patients whether in the ER, inpatient ward or ICU.
Instruction and guidance to manage intoxicated patients through PCCA Information unit.
Training under- and postgraduate students.
Toxicology laboratory processing
Research

Company industry:
Medical Hospital
Job role:
Medical, Healthcare, and Nursing

Intern

April 2002 - December 2002

Giza Ophthalmology Hospital

Cairo, Egypt

April 2002 - December 2002

Ophthalmology intern

Company industry:
Medical Hospital
Job role:
Medical, Healthcare, and Nursing

Education

The American University in Cairo

December 2016

December 2016

Higher diploma, Health Care and Hospital Management

Egypt

GPA (percentage): 95%

GPA (percentage): 95%

Faculty of Medicine, Ain Shams University

May 2012

May 2012

Doctorate, Clinical Toxicology

Egypt

Faculty of Medicine, Ain Shams University

November 2006

November 2006

Master's degree, Forensic medicine

Egypt

GPA (point): 3 out of 5

GPA (point): 3 out of 5

Faculty of Medicine, Ain Shams University

December 2000

December 2000

Bachelor's degree, Medicine and Surgery

Egypt

GPA (point): 4 out of 5

GPA (point): 4 out of 5

Skills

Leadership
Expert
Leadership
Expert
Learner
Expert
Learner
Expert
Responsibility
Expert
Responsibility
Expert
Communicator
Expert
Communicator
Expert
Analysis
Expert
Analysis
Expert
Communication skills
Expert
Communication skills
Expert
Teaching skills
Expert
Teaching skills
Expert
Research
Intermediate
Research
Intermediate
ICU
Intermediate
ICU
Intermediate
Lecturing
Expert
Lecturing
Expert
Statistics
Intermediate
Statistics
Intermediate
Public Speaking
Expert
Public Speaking
Expert
Communication
Expert
Communication
Expert
Healthcare
Expert
Healthcare
Expert
Management
Expert
Management
Expert
Higher Education
Expert
Higher Education
Expert
Hospitals
Intermediate
Hospitals
Intermediate
Emergency Medicine
Intermediate
Emergency Medicine
Intermediate
Medical Education
Expert
Medical Education
Expert
Data Analysis
Intermediate
Data Analysis
Intermediate
Microsoft Office
Expert
Microsoft Office
Expert
Computer skills
Expert
Computer skills
Expert
Training
Expert
Training
Expert
Leadership
Expert
Leadership
Expert
Learner
Expert
Learner
Expert
Responsibility
Expert
Responsibility
Expert
Communicator
Expert
Communicator
Expert
Analysis
Expert
Analysis
Expert

Languages

Arabic

Expert

English

Expert

Training and Certifications

Certifications
Associate, Life Management Institute (ALMI)
Nov 2021

Training
Research Competency
Ain Shams University
Dec 2006
Quality Standards in the Teaching Process
Ain Shams University
Jun 2011
Skills of Effective Presentation
Ain Shams University
Aug 2012
Evaluation and Measurement
Faculty of Medicine – Ain Shams University
Nov 2012
Local and Global Competitive Research Projects
Ain Shams University
Oct 2010
Ethics of Academic Work
Ain Shams University
Jul 2012
Management of Medical Records
Faculty of Medicine – Ain Shams University
Apr 2007
Thinking Skills
Ain Shams University
Dec 2006
Skills of Effective Teaching
Ain Shams University
Jan 2007
Quality Management System Internal Auditor Training Course
Bureau Veritas
Nov 2013
Academic Teacher Preparation
Ain Shams University
Aug 2005
Skills of Effective Communication
Ain Shams University
Feb 2007