Midas Arcega

Experienced Insurance Customer Service professional with expertise in medical insurance, claims processing,
customer support, medical pre-authorization assistance and complaint handling.
Skilled in managing customer inquiries, claims registration, report preparation, dashboard updates, and coordination
with different departments to resolve issues efficiently.
Proficient in Praktora system, maintaining claims trackers, and providing timely client updates with strong
communication and organizational skills.

Experienced in medical claims processing, data verification, and claims auditing to ensure accurate and timely
payments.
Skilled in reviewing claim documents, verifying provider charges against contract rates, processing claim
adjustments, and maintaining high standards ofaccuracy and quality.
Adept at multitasking, identifying discrepancies, and coordinating with supervisors to ensure smooth claims
operations.

Cold Calling and introducing different Life Insurance product
Meeting and dealing with client
Preparing the client documents and Submitting the proper documents to Medical Department.
Maintain Excellent relationship with Client

Applying for Labour contract and Employment Visa ofall employees
Renewal ofTrade License and All Government documents.
Preparation ofall employee communications and attendance

- Ensures that insurance claims information is entered into the system correctly, to
ensure accurate processing and timely payment.
- Ensures that providers fees and service items charges coincide with their existing
contract price list with NextCare
- Ensures the accuracy of the entered data as per the existing standard steps and
procedures of direct claims processing.
- Compares data on claims application
- Screens claim documents and process claim adjustment.
- Ensures Payment Orders are properly created and forwarded accordingly for final
documentation and filing.
- Ensures Adaptability in various work-related tasks to be able to facilitate a multi-
tasking role.
- Ensures that a high-quality standard of work performance is achieved at all times.
- Makes sure that claims are properly audited of all data entered with accurate
medical claims details.
- Notes all discrepancies during the course of the system process and notifies
immediate supervisor.

Processing of employee allowances, payments, and deductions using SAP-HCM
system
- Testing and running a new system in SAP
- Creating a different report using different formulas in Microsoft Excel
- Communicating with all employees inquiry through Outlook
- Preparation of memos using the online system- Smart Documents.
- Processing of Employees’ children education fees allowance, Mobile Phone
allowance, and Shift Allowance
- Communicating with employee and schools coordinators regarding school
invoices.
- Tracking and updating of employee allowances through Microsoft Excel /
Spreadsheets.
- Validating and Checking records of all employees for processing Air passage
allowance.
- Calculating and running employees’ overtime.
- Checking of employees Final Settlement and End of Service requirements.
- Using of different formulas for easy calculation and validation through Microsoft
Excel
- Maintaining and updating employee record on SAP and manual file
- Consolidating all DEWA old files and creates a database. Establish and maintain
effective filing system.
- Provide HR support and advice to employees and managers.
- Provide back-up and assistance in times of vacation, leave, and absence in order
to ensure an uninterrupted flow of operations with regard to staff support, and
all office issues.
- Answer all phones promptly and in a pleasant and professional manner. Take
detailed messages and deliver them without delay to the intended party.

Processing Employee Benefits - School Education
Tracking and Updating employee records
Calculation ofMobile Phone allowance and Overtime
Other administrative support using Microsoft Excel and Microsoft Word

Arrange visa (work permit, tourist visa, visit visa etc.) application
and getting approval for the same.
- Schedule and coordinate medical exams for crew and staff visa
applications
- Submit documents to the Post Office Or Labour office - Visa
submission
- Typing and processing Labour Card & Labour Contract applications
and related Immigration documents.
- Record keeping & Monitoring of all application to avoid fines and
penalties
- Paying Labour Office Fees./ Change Of status Fees / Transfer Visa
Fees / Relative Labour Card Fees/ Paying Bank Guarantees
- Maintain petty cash for PR activities and work closely with
accounts department to settle advances in a timely manner
- Monitor and ensure sufficient quota is in place on relevant company
entities for new visa applications
- Liaise with relevant labour and immigration authorities to resolve
issues related to labour bans, absconding cases and blocked files
- Renewing of company Trade Licenses in Economic Department and
following its legal procedure.
- Responsible for company car registration and its renewal and all
other related task in RTA
- Assist in all general inquiries concerning labour and immigration
matters.
- Act as the