EXECUTIVE MEDICAL CLAIM ADMINISTRATER
century insurance company limited [LAKSON GROUP OF COMPANIES]
Total years of experience :10 years, 10 Months
1) VERIFYING ENROLLMENT STATUS OF CLAIM
2) INSPECTING ALL CLAIM DOCUMENTS
3) PREPARING AND MAINTAINING EXCELLENT RECORDS : DATA ENTRY, DIARY SYSTEM.
4) COORDINATING WITH MEDICAL PROVIDERS FOR VERIFICATION OF DOCUMENTS
5) FOLLOWING UP WITH INSURERS FOR SETTLEMENT
6) MONITORING THE DIRECT BILLING CLAIMS, VOLUMES.
7) RECOVERING OF THE NON-COVERED EXPENSES FROM THE CLIENT AND SETTLEMENT OF THE SAME TO THE INSURER AGAINST THEIR DEBT NOTES
8) CONTACTING ALL PPO NETWORK PROVIDERS AND VERIFYING RECEPTION OF POLICY BRIEFING
9) OBTAINING CLAIM REPORT/ LOSS RATIO TO THE MANAGEMENT OR CONCERNED CLIENT MANAGER AS WHEN NEEDED
10) COORDINATING WITH DEPARTMENT HEAD, CLIENT MANAGERS, POLICY ADMINISTRATION AS AND WHEN NEEDED
11) PERFORMED OTHER DUTIES ASSIGNED
1) PSYCHIATRY AND BEHAVIOURAL SCIENCES DEPARTMENT:
3 MONTHS
can manage PSYCHIATRIC EMERGENCIES like ANXIETY DISORDERS, AFFECTIVE DISORDERS, SCHIZOPHRENIA, PERSONALITY DISORDERS, DEMENTIA and CASES OF DRUG DEPENDENCE.
2) DEPARTMENT OF PLASTIC SURGERY : 3 MONTHS
PERFORMED VARIOUS INVASIVE AND NON-INVASIVE PROCEDURES LIKE MAINTAINANCE OF IV LINE, NASOGASTRIC INTUBATION, URINARY CATHETRIZATION, MINOR GRAFTING.
3) DEPARTMENT OF MEDICINE : 3 MONTHS
can diagnose and treat ARF, CRF, CLD, CCF, CVA, COPD, DM, HTN, HEPATIC ENCEPHALOPATHY, INFECTIONS, METABOLIC DERANGEMENTS, ACUTE PULMONARY EDEMA, SHOCK, DKA and HYPERKALEMIA.
4) DEPARTMENT OF SURGERY : 3 MONTHS
can manage PRE and POST OPERATIVE PATIENTS.
performed ENDOTRACHEAL INTUBATION, CHEST INTUBATION, SUPRAPUBIC CYSTOSYOMY, TRACHEOSTOMY, CENTRAL VENOUS CATHETRIZATION, REMOVAL OF CYSTS AND INCISION AND DRAINAGE.
i did my research work in plastic surgery ward on topic of [ USE OF FOAM DRESSING FOR EXUDATIVE WOUNDS AND GRAFT RECEPIENT AREA AS COMPARED TO GUAZE DRESSING ] which published in PAKISTAN JOURNAL OF PLASTIC SURGERY VOLUME 2 NUMBER 2 JULY 2013