غدير السلمان

• Responsible for establishing and verifying 100% adherence to
the insurance authority rules and regulatory guidelines.
• Communicating and developing strong and long-term
clients/patients relationship with insurance companies and
the medical healthcare providers on the other hand.
• Effectively negotiating for reconciliation and communicating
in order to resolve issues and supporting an efficient
cooperation with insurance companies.
• Managing more than 100+ employees. And utilizing strong
leadership skills and promoting effective and efficient
teamwork, supervising, supporting, and guiding the claims
team through the whole process.
• Supervising/handling and auditing all procedures related to
medical claims processing, reimbursement, data
management and generating the useful and needed reports
for the insurance companies, healthcare providers and the
higher management.
• Responsible for developing and updating policies and
procedures.
• Establishing a strategic plan based on the mission, vision, and
objectives of the company.
• Providing training and guidelines for employees.
• Adhering and ensuring the teams adherence to all policies
and procedures of TCS, including its code of
conduct/ethics, client service procedures and handling any
conflict of interest as per the company policy. Anti-Fraud Insurance Section Cybersecurity practices Combating money laundering
• Orchestrating and leading a dynamic team of 10+
employees, fostering a collaborative environment to
streamline operations and enhance efficiency in managing
international claims.
• Facilitating seamless communication channels between the
company, Healthcare providers, MSH international and the
Ministry of Health (MOH), in order to ensure a cohesive and
synchronized approach to handle all national and
international medical claims.
• Processing and reviewing medical claims received from
health care providers in UK, EU and USA.
• Implementing a rigorous process to investigate potentially
fraudulent claims.
• Monitoring and following closely the entire life cycle of UK, EU
and USA claims, maintaining a keen eye on progress.
• Creating weekly comprehensive reports and upon request
for management review, contributing to informed decision
making.
• Establishing effective communication channels with patients
and their families by providing support and information
regarding treatment status, fostering positive relationships.
• Developing and updating policies and procedures upon
regulations.

• Instructing 225+ students across multiple science subjects in
laboratory settings.
• Designing and implementing, engaging laboratory
experiments, workshops, and teaching materials in
collaboration with facility members to enhance student
understanding and practical skills.
• Demonstrating innovative leadership by supervising and
guiding students in the proper usage of laboratory
equipment to ensure a safe and conductive learning
environment.
• Actively engaged with students by offering support and
clarification and facilitating an inclusive and conducive
learning atmosphere.
• Implementing specialized instruction on quality assurance,
safety procedures, and panic response in order to ensure
that students are well-equipped with the knowledge and skills
necessary for responsible laboratory practices.
• Adapted to the challenges of the COVID era by successfully
teaching the subject online. Utilized video demonstrations to
effectively convey laboratory experiments, ensuring a
seamless transition to remote learning during the pandemic.