insurance manager , medical director
medical center
Total years of experience :0 years, 9 Months
providing advice on making a claim and the processes involved;
processing new insurance claims notifications;
collecting accurate information and documents to proceed with a claim;
analysing a claim made by a policymaker;
guiding policyholders on how to proceed with the claim;
contacting trades people from a network of approved professionals and arranging for them to make repairs on the policyholder's property;
monitoring the progress of a claim;
investigating potentially fraudulent claims;
indentifying reasons why full payment may not be made;
ensuring fair settlement of a valid claim;
building relationships with loss adjusters, forensic accountants and solicitors, as well as other legal/claims professionals;
ensuring the customer is treated fairly and that the customer receives excellent service in accordance with industry and company guidelines;
involvement in loss adjusting activities and in legal discussions relating to settlement;
seeking legal recovery of monies paid out;
managing a team of claims handlers (at managerial level);
taking responsibility for productivity and profit;
adhering to legal requirements, industry regulations and customer quality standards set by the company.
Support Medical Services initiative to grow the Patient Safety Services by:
Strengthening processes for a robust end-to-end global Pharmacovigilance programs for all stages of drug development with focus on post-approval safety operations and regulatory reporting
Managing safety data surveillance including signal detection tools, processes, and reports, literature search strategy and review and reporting
Managing on behalf of clients safety review of marketed products and providing clear recommendations based on evaluated data
Overseeing the preparation and submission of all periodic safety reports and ad hoc reports to health authorities
Leading efforts to enhance risk management evaluation and risk minimisation activities including authoring of Risk Management Plans