Client Relationship Manager
Neuron LLC
Total years of experience :11 years, 3 Months
Neuron LLC, April 2011 - till date
Client Relationship Manager (Dubai World / DP World / Palm Utilities)
Job responsibilities
• Manage a team which includes one medical personnel and one client service executive.
• Attend meetings with the client to assist them with queries and training.
• Interact with the group HR's.
• Interacting with Neuron inter departmental managers.
• Liaising and following up with the helpline doctors in regards to insured members medical pre-approval requests.
• Investigating fraud member reimbursement cases that are submitted to group HR.
• Ensuring timely processing of medical insurance cards within the stipulated SLA's.
• Providing group HR with the member reimbursement claims processed reports on a monthly basis.
• Interacting with group HR and Neuron finance department for service fees and premiums.
• Assisting members with their general insurance policy queries and regarding their reimbursement claims.
• Conducting quarterly medical review presentation with the management of Dubai World / DP World & Palm Utilities on the performance of the group medical scheme.
NEURON LLC, May 2008 - March 2011
Manager - Client Services
Job responsibilities
• Managed a team of 12 team members including one team leader and two supervisors.
• Establishment and maintained a daily task sheet for the team members which showed the daily incoming additions / deletions / new groups and renewals and what has been processed by each individual.
• Training of staff with the table of benefits of self-insured and insured clients.
• Liaising with inter departmental managers to discuss self insured and insured client table of benefits before being set up on the system.
• Providing insurance companies and self insured groups with pre-printed card designs by liaising with the card manufacturing company.
• Designing of medical cards on Datacard machines such as SP 55 / 75 and the MX6000 using Datacard card designing software.
• Ensuring client table of benefits are correctly set up on the system.
• Running of reports of groups that are due for renewal and forecasting.
• Prioritizing of medical card issuance to meet insurance companies' expectations and deadlines.
• Ensuring that all requests received are processed and delivered within the SLA's and time lines stipulated by the client.
• Attended meetings with self insured and insured clients to assist them with queries and training.
• Involved in the company's system demonstration for prospective clients.
• Reconciling of client membership listing at the time of renewal.
NEURON LLC, January 2007 - April 2008
Team Manager - Provider Claims
Job responsibilities
• Managed a team of approximately 20 team members including one team leader and 3 supervisors.
• Establishment and maintaining log / record of incoming provider claims on a daily basis.
• Processing of authorized provider claims up to AED 25, 000.
• Attended meetings with hospital and clinics for claims reconciliation
• Ensured timely dispatch of provider reconciliation reports.
• Running of claims processed reports and analyzing claims received versus amounts processed / paid per month for a provider and furnishing the details to the chief operating officer.
• Ensuring priority provider claims are processed within the SLA's and timelines stipulated.
NEURON LLC, January 2006 - December 2006
Team Leader - Reimbursement Claims
Job responsibilities
• Led a team of 5 team members including one supervisor.
• Training of team members with the insurance policies.
• Organizing of reimbursement claims to be processed by the individual team members.
• Swift processing of self-insured / insured clients member reimbursement claims.
• Ensuring the claims is within the SLA's stipulated by the client.
• Maintaining a daily report of member reimbursement claims that have been received and which are being processed and reporting to the claims manager.
• Coordinating with the clients / brokers on a daily basis and providing them with status of claims and payment details.
NEURON LLC, June 2004 - December 2005
Supervisor - Claims
Job responsibilities
• Supervised a team of 5 team members.
• Training of the claim processing system.
• Training of the insurance policies of self-insured / insured clients.
• Processing of provider and member reimbursement claims.
• Designing and running of client reports using Sybase Infomaker reporting tool.
• Furnishing of member reimbursement claims reports of the claims that have been processed to the client and assisting them with their queries.
NEURON LLC, February 2001 - May 2004
Data Entry Clerk
Job responsibilities
• Setting up of the company database with the providers' information.
• Setting up of the company database with the hospital / clinics / provider network information.
• Setting up of self-insured / insured groups on the database and maintaining their records.
• Designing of medical cards on Datacard machines using ID Works software.
• Issuance of medical cards and creation of membership packs.
• Coordinating with the self-insured / insured clients and assisting them with their queries.
• Second Year BCom affiliated with Delhi University from the International Educational Institute in the year 2000.
• Completed All India Senior Secondary School (AISSCE) from The Central School, Dubai in the year 1997.
• Completed Secondary School Certificate (SSCE) from The Central School, Dubai in the year 1995.