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gamal mottawee, Medical Claims Auditor

gamal mottawee

Medical Claims Auditor·GlobeMed Saudi

Saudi Arabia

Bachelor's degree, طب وجراحه

Work experience

Total years of experience: 25 years, 7 months

Medical Claims Auditor

February 2011 - January 2014

GlobeMed Saudi

Saudi Arabia

February 2011 - January 2014

Medical Claims Auditor - GlobeMed Saudi (14/02/2011: till now)
Company industry:
Insurance & TPA
Job role:
Medical, Healthcare, and Nursing

Medical Claims Auditor - SANAD

February 2009 - February 2011

Insurance & Reinsurance Company

February 2009 - February 2011

-Medical Claims Auditor - SANAD for Insurance & Reinsurance Company (14/02/2009: 13/02/2011) 2 years.
-Manager of Investigation & Follow up and Quality Assurance - Fayha Medical Group Riyadh (2004:2008) 4 years.
-Medical Insurance Manager - Fayha Medical Group (2004:2008) 4 years.
Company industry:
Insurance & TPA
Job role:
Other

Human Resource Manager

February 2008 - February 2009

Fayha Medical Group

Riyadh, Saudi Arabia

February 2008 - February 2009

-Human Resource Manager - Fayha Medical Group -Riyadh (2006:2008) 1.5 years.
Company industry:
Other Healthcare Services
Job role:
Human Resources and Recruitment

Operation Manager

November 2003 - September 2004

Fayha Medical Group

Buraidah, Saudi Arabia

November 2003 - September 2004

-Operation Manager of Fayha Polyclinic Buriydah (15/11/2003 - 1/9/2004) 1 year.
-Doctor belongs to the sector of basic care units - ministry of health - Egypt (1/3/1985:13/11/2003) 18.5 years.


Computer (hardware - software): excellent.-
Internet: excellent.-
English language: excellent.-
Good command and ability for improvement. -
Special experience in investigations and fraud cases.-
Company industry:
Medical Hospital
Job role:
Management

طبيب وقائي

March 1985 - November 2003

وزاره الصحه

Alexandria, Egypt

March 1985 - November 2003

طبيب وقائي بوحدات وزاره الصحه القطاع الريفي والحضري
Company industry:
Other Healthcare Services
Job role:
Medical, Healthcare, and Nursing

Education

كليه الطب

November 1983

November 1983

Bachelor's degree, طب وجراحه

Egypt

GPA (percentage): 72%

GPA (percentage): 72%

Skills

CASES
Expert
CASES
Expert
CLAIMS
CLAIMS
MEDICAL CLAIMS
MEDICAL CLAIMS
MEDICAL INSURANCE
Expert
MEDICAL INSURANCE
Expert
QUALITY ASSURANCE
Expert
QUALITY ASSURANCE
Expert

Languages

English

Expert

Training and Certifications

Certifications
Project to develop the system of family planning
Ain Shams University-Cairo
Jan 1993 - Feb 1993
LOMA 280 exam. ( Score 95 % ) & LOMA 290 exam. ( score 100%)
LOMA
Jun 2012 - Dec 2013
Primary health care project –DANIDA (Danish body) Edfu - Aswan
DANIDA
Jan 1993 - Feb 1993
Applications of the system of health insurance cooperative
Council of Cooperative Health Insurance-Riyadh
Jun 2005 - Jun 2005
Claims Automation workshop at MedNet Lebanon
MedNet
Jul 2011 - Jul 2011
The basics of total quality management and continuous improvements in health authorities
Institute SBAI- Riyadh
Feb 2005 - Feb 2005
ICD10 AM course
Globemed Saudi
Jun 2012 - Aug 2012