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Naif Alhajaj, Medical insurance supervisor ( production-operation- underwriting)

Naif Alhajaj

Medical insurance supervisor ( production-operation- underwriting)·Trade union cooperative insurance company

Saudi Arabia

Diploma, Medical insurance

Work experience

Total years of experience: 4 years, 9 months

Medical insurance supervisor ( production-operation- underwriting)

November 2018 - December 2019

Trade union cooperative insurance company

Riyadh, Saudi Arabia

November 2018 - December 2019

Supervision over issuing policies with the needed documents and information

Company industry:
Insurance & TPA
Job role:
Administration

insurance manager

February 2017 - October 2018

Zarka Alyamama

Riyadh, Saudi Arabia

February 2017 - October 2018

1 - reviewing contract and adjust them to company benefits 2- reviewing claims before submitting them to insurance companies 3- developing the insurance process to avoid rejection 4- responsible for employees medical insurance ( adjust benefits and classes to reduce the cost and keep the claim experience at reasonable rate) 5- train salesmen on using insurance websites for approval 6- keeping copy of insurance claims so it can be reviewed during settlement with insurance companies 7- negotiations with insurance companies regarding renewed contracts 8- monthly reports to management regarding the amount 9- reviewing amount and deductibles 10 daily meetings with sales manager to discuss salesmen's mistakes regarding insurance and avoiding them in the future 11- quarterly reports to management on profits percentage and increasing the networks if the company can afford to raise the discount percentage 12- responsible for motor insurance policy

Company industry:
Manufacturing
Job role:
Administration

medical production assistance ( medical insurance specialist )

August 2015 - July 2016

AXA insurance company

Riyadh, Saudi Arabia

August 2015 - July 2016

additions, deletions, upgrades
issuing policies
cchi uploading

Company industry:
Insurance & TPA
Job role:
Administration

complaints officer

September 2014 - June 2015

medgulf insurance company

Riyadh, Saudi Arabia

September 2014 - June 2015

handle complaints regarding medical, motor and general insurance to resolve them or escalate them to the regulatory agency

Company industry:
Insurance & TPA
Job role:
Administration

Education

King Saud University

January 2012

January 2012

Diploma, Medical insurance

Saudi Arabia

GPA (point): 4 out of 5

GPA (point): 4 out of 5

Insurance

Skills

Insurance
Expert
Insurance
Expert
Health Insurance
Expert
Health Insurance
Expert
Insurance Law
Expert
Insurance Law
Expert
Underwriting
Expert
Underwriting
Expert
Claims Management
Expert
Claims Management
Expert
Microsoft apps
Expert
Microsoft apps
Expert
attention to details
Expert
attention to details
Expert
contracts negotiating
Expert
contracts negotiating
Expert

Languages

Arabic
Native Speaker
English
Expert

Training and Certifications

Certifications
الدورة التأهيلية لمنصة نفيس
anti money laundering and corruption

Hobbies

  • Video Gaming