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Khalid Talib    Hussain , Network Manager

Khalid Talib Hussain

Network Manager·Medivisa for Medical Claims

Saudi Arabia

Bachelor's degree, Business Administration- Marketing

Work experience

Total years of experience: 14 years, 11 months

Network Manager

September 2015 - September 2018

Medivisa for Medical Claims

Jeddah, Saudi Arabia

September 2015 - September 2018

Handling the relation with Western area care providers.
. Monitoring and checking the care provider’s status: (average cost per claim, frequency, cost per claimant,
etc).
• Reviewing all current care provider’s contracts (specially the discounts).
• Creating periodical visits to care providers.
. Making sudden visits with the Fraud Detection Officer to care providers, checking files and see if there is any kind of abuse or fraud.
. Maintaining the relationship between MedGulf and care providers through continues official and friendly
visits to care provider’s managements.
•Handling part of the procedure that is related to new care providers contracts and following-up the issue with the Insurance Company to make sure that we have alternatives at all locations.
(Achievements)
Signing new contract with 18 providers.
Get additional Discount from providers on some services and some cases.
Signing the Volume discount agreement with more than 20 providers.
Signing the prompt payment agreement with more than 30 providers.

Company industry:
Insurance & TPA
Job role:
Management

Network Services Manager

June 2012 - August 2015

Saudi Enaya Cooperative Insurance

Jeddah, Saudi Arabia

June 2012 - August 2015

(Saudi Enaya Cooperative Insurance)
• Manage and apply superior service standards to ensure staff & overall department productivity.
Review and forward following reports to Head of Medical & Provider Relations (Prospective Providers &Turn Around Time Reports).
• Communicate with providers when required.
Develop, implement and manage the online portal training plan within budget and the guidelines of the
Company strategy.
• Manage the delegation of all daily activities and tasks in the Network Department.
• Seek to be involved in the resolution of major issues.
. Assist the Director Network in establishing ‘always prepared to go the extra mile for customers’ attitude in the Network team.
. Oversee and ensure effective and efficient handling of all providers through all means used at the
Company.
. Conduct provider’s satisfaction surveys & develop the process accordingly to ensure retaining satisfied
customers.
. Develop a feedback method for providers with the IT Manager and in liaison with the System Engineering teams to ensure continuous Providers satisfaction.
. Liaise closely with the IT team regarding ongoing activities and ensure effective communication and
sharing of knowledge between all related parties for high levels of customer satisfaction.
. Prepare reports and monthly results on the Online Portal aspects of integration • projects.
Evaluate subordinate work performance and conformance to regulations and make appropriate
recommendations in line with Company review process
(Achievements)
Contribute to Increasing the network providers by 50 % covered the entire kingdom.
Support and facilitate the provision of requirements of Provider Training & Retraining.
• Approve Provider training materials.
• Review Training Feedback Report.
Train all active providers in the 5 provinces on the use of the online portal.
Ensure 85% of the approvals we receive from providers are through the online portal by the 31st of
December 2014.
Identify providers that need to work with to add to the e-claims project.
work closely with the claims manager to evaluate the priorities of the project and put an action plan for the e claims project implementation
Communicate and visit providers to ensure they are implementing the e-claims project based on SE
requirements and ensure 75% of the claims received by the 31st of December 2014 are through e-claims

(Customer Service Manager)
Saudi Enaya Cooperative Insurance
• Built customer care department.
• Show and explain the functions of customer service to SAMA.

Company industry:
Insurance & TPA
Job role:
Management

Western Region Manager

June 2008 - February 2012

Waseel Applications Service Provider Ltd

Riyadh, Saudi Arabia

June 2008 - February 2012

Administration of daily operation of a full service branch office, including back operations, leading branch sales operations and customer care team.

(Achievement)
Built customer care department for the western regions which eventually covered the entire kingdom.
Promoted the sales and service culture through coaching, guidance and staff motivation.
Achieved individual and branch sales goals through new business sales, referrals, and account development.
Solving customer problems pertaining to account receivables health insurance, and claims management.
Continuous account development through support, education, and service enhancement.
Accumulate tremendous technical knowledge and experience related to IT, systems integration, and Hospital information systems.

( Marketing Executive)
Waseel Applications Service Provider Ltd.
• Assist in implementation of marketing campaigns to achieve high level of market awareness.
Assist in providing a positive organizational image to the general public, clients, shareholders and the
community.
• Help implement and monitor media plans to achieve high level of media presence and awareness.
• Draft marketing and press releases as required.
• Ensure all website related enhancements and administrative tasks are effected in a timely fashion.
Coordinate arrangements for attendance and setting up at external publicity events, seminars, trade shows or exhibitions.
• Prepare all necessary marketing materials for attendance at external events.
Write draft copy for promotional materials, mailings, and advertisements and work with agencies on
layouts.•
• Prepare and ensure a reliable stock of marketing materials within Company budget.
Support the development and distribution of marketing and sales materials. Assist in production of advertising, marketing brochures, sales kits or other promotional materials.
•Support the development and distribution of marketing and sales materials in keeping with the corporate
visual identity guide (VIG).

(Achievement )
Contributing to the increase, estimated at 96% of the number of clients.
Contributing to the proliferation of Waseel services in all regions of the Kingdom.
Organizing of three workshops in both the central, western region and eastern region.
Organizing a press conference in Riyadh.
Design and implementation of marketing research.
Completion of the insurance magnetic card project.
Writing and the issuance of 20 press releases in various newspapers.

Company industry:
Insurance & TPA
Job role:
Management

Expedition Supervisor

January 2001 - April 2005

Saudi Distribution

Jeddah, Saudi Arabia

January 2001 - April 2005

Saudi Distribution Co.

Manage all events from expeditions & bazaars, • for the company.
• Help sale Dep. For running marketing campaign for different products.
• Establishing a new point of sales to all Saudi Distributions publications & manage their visibility.
• Employ & Manage part time sampling & Sales staff in all major events.

Company industry:
Distribution, Supply Chain & Logistics
Job role:
Administration

Supervisor

July 2000 - January 2001

Savola Group

Jeddah, Saudi Arabia

July 2000 - January 2001

interact with customers & different departments
following some of the major key account for the company e.g .SEO ( savola sister company )

Company industry:
Sales Outsourcing
Job role:
Sales

Education

King Abdulaziz University

February 2008

February 2008

Bachelor's degree, Business Administration- Marketing

Saudi Arabia

GPA (point): 3.7 out of 5

GPA (point): 3.7 out of 5

Yanbu Industrial College

December 1999

December 1999

Diploma, Mechanical Engineering Technology

Saudi Arabia

GPA (point): 2.11 out of 4

GPA (point): 2.11 out of 4

Skills

Business Administration
Expert
Business Administration
Expert
Mechanical Engineering
Expert
Mechanical Engineering
Expert
ADVERTISING
Intermediate
ADVERTISING
Intermediate
CONTRACT MANAGEMENT
Expert
CONTRACT MANAGEMENT
Expert
CRITICAL THINKING
Expert
CRITICAL THINKING
Expert
ADMINISTRATION
Expert
ADMINISTRATION
Expert
CUSTOMER RELATIONS
Expert
CUSTOMER RELATIONS
Expert
ARABIC
Expert
ARABIC
Expert
CUSTOMER SATISFACTION
Expert
CUSTOMER SATISFACTION
Expert
ACCOUNT MANAGEMENT
Expert
ACCOUNT MANAGEMENT
Expert
BUDGETING
Intermediate
BUDGETING
Intermediate
COACHING
Expert
COACHING
Expert

Languages

English

Intermediate

Training and Certifications

Training
MEDICAL INSURANCE
CII
Dec 2015
Show credentials
Program for Advanced Leadership and management
Madinah institute for leadership & entrepreneurship
Oct 2016
Show credentials

Hobbies and interests

reading - diving - sporting