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Saeed Ashkar, Operations & Policy Administration Executive

Saeed Ashkar

Operations & Policy Administration Executive·GIG Gulf

United Arab Emirates

Bachelor's degree, Pharmacuitical sciences

Work experience

Total years of experience: 8 years, 9 months

Operations & Policy Administration Executive

November 2024 - Present

GIG Gulf

Dubai, United Arab Emirates

November 2024 - Present

• Ensured compliance by validating 40+ onboarding documents monthly, adhering to underwriting and KYC regulations.
• Collaborated with cross-functional teams, including health pricing, sales, and underwriting, to effectively resolve onboarding discrepancies.
• Enhanced CRM workflow, leading to improved efficiency and reporting accuracy.
• Achieved a significant reduction in policy issuance turnaround time from 5 days to 3 days, streamlining operations.
• Developed strong administrative support skills, facilitating seamless onboarding processes and contributing to overall team success.
• Demonstrated expertise in insurance coordination, ensuring compliance and accuracy in all documentation and processes.
Company industry:
Insurance & TPA

Onboarding and contracting executive

October 2023 - Present

GIG Gulf

Dubai, United Arab Emirates

October 2023 - Present

• Oversee comprehensive onboarding processes for healthcare providers and corporate clients, ensuring a seamless experience across the UAE.
• Validate KYC documentation, guaranteeing adherence to internal policies and regulatory standards.
• Collaborate effectively with commercial, underwriting, and compliance teams to facilitate contract issuance.
• Maintain up-to-date contract files and CRM records, ensuring audit readiness and compliance.
• Manage CRM tickets efficiently, promptly escalating delays or risks to the appropriate departments.
• Support the execution of policy setup and approvals, contributing to operational efficiency and compliance.
• Leverage strong organizational skills to streamline onboarding processes and enhance client satisfaction.
Company industry:
Insurance & TPA
Job role:
Administration

medical claims processor

May 2022 - Present

Nas Neuron

Dubai, United Arab Emirates

May 2022 - Present

• Analyzed patient records and reviewed medical reports to ensure compliance with regulations.
• Determined eligibility for benefits, streamlining the onboarding process for new members.
• Resolved medical claims by meticulously analyzing medical records, billing statements, and insurance policies, ensuring timely and accurate payments to providers.
• Delivered exceptional customer service, significantly enhancing member satisfaction and retention rates.
• Collaborated with cross-functional teams to improve onboarding procedures and compliance measures.
• Utilized strong organizational skills to support administrative tasks and coordinate insurance processes effectively.
• Committed to maintaining high standards of accuracy and compliance in all aspects of medical claims processing.
Company industry:
Insurance & TPA
Job role:
Medical, Healthcare, and Nursing

Claims & Approvals Executive

April 2022 - October 2024

NAS Neuron

Dubai, United Arab Emirates

April 2022 - October 2024

• Streamlined the processing of 60-80 approvals daily, achieving over 95% SLA compliance to enhance operational efficiency.
• Implemented precise coverage checks, resulting in a 10% reduction in resubmissions and improving overall workflow.
• Conducted thorough audits of 250+ contracts, boosting data accuracy by 40% and ensuring compliance with industry standards.
• Effectively managed 350+ outpatient claims weekly, maintaining high accuracy and supporting timely reimbursements.
• Collaborated with cross-functional teams to facilitate onboarding processes and enhance administrative support for insurance coordination.
• Leveraged strong analytical skills to ensure compliance with KYC regulations and improve onboarding efficiency.
Company industry:
Insurance & TPA
Job role:
455

Documentation Specialist

June 2018 - April 2022

MedPharma

Sharjah, United Arab Emirates

June 2018 - April 2022

• Oversaw documentation management and compliance processes to ensure accuracy and adherence to regulations.
• Enhanced documentation workflows, significantly reducing risks associated with claims processing.
• Collaborated with QA and regulatory teams to facilitate seamless audits, ensuring compliance with industry standards.
• Developed and maintained organized records to support onboarding and KYC initiatives, improving operational efficiency.
• Provided administrative support in insurance coordination, streamlining communication between stakeholders.
• Actively participated in training sessions to stay updated on compliance regulations and best practices.
Company industry:
Pharmaceutical Manufacturing
Job role:
Administration

Medical Sales Representative

December 2018 - September 2020

Al Hayat Pharma

Dubai, United Arab Emirates

I found this job using Bayt.com

December 2018 - September 2020

• Analyzes existing and potential clients to tailor onboarding processes effectively.
• Ensures compliance with healthcare regulations, laws, and internal policies to mitigate risks.
• Develops and nurtures new leads and contacts to maintain a robust pipeline for seamless onboarding.
• Prepares and manages monthly and annual compliance reports, highlighting key performance metrics.
• Collaborates with cross-functional teams to streamline administrative support and enhance operational efficiency.
• Utilizes strong organizational skills to coordinate insurance claims and ensure timely processing.
• Implements KYC procedures to verify client identities and uphold regulatory standards.
Company industry:
Pharmaceutical Manufacturing
Job role:
Sales

quality managment officer

September 2017 - February 2018

Valeant Pharmacuiticals

Sharjah, United Arab Emirates

September 2017 - February 2018

• Reviewed and updated Standard Operating Procedures (SOPs) to ensure compliance and efficiency in processes.
• Developed a Kanban card system to streamline workflow and enhance productivity.
• Analyzed raw materials and assessed qualification criteria, ensuring adherence to quality standards.
• Generated comprehensive reports on approved vendors, contributing to informed decision-making.
• Obsoleted and cleaned outdated lists of materials and chemicals, maintaining accurate and current records.
• Revised annual reports of the plant, providing insights into operational performance and compliance.
• Leveraged analytical skills to support onboarding processes and ensure regulatory compliance in a medical claims environment.
Company industry:
Pharmaceutical Manufacturing
Job role:
Management

Trainee Executive

November 2015 - December 2015

Life Healthcare group

Dubai, United Arab Emirates

November 2015 - December 2015

• Assisted in merchandising healthcare products, ensuring alignment with patient needs and preferences.
• Provided exceptional support to patients, enhancing their experience and satisfaction with services.
• Analyzed patient conditions to make informed recommendations, improving health outcomes and compliance.
• Developed strong communication skills, facilitating effective interactions with diverse patient populations.
• Collaborated with healthcare teams to streamline onboarding processes, ensuring compliance with regulations.
• Gained experience in administrative support, contributing to efficient operations within the healthcare setting.
• Demonstrated attention to detail in documentation and claims processing, ensuring accuracy and timely submissions.
Company industry:
Sales Outsourcing
Job role:
Support Services

Education

University Of Sharjah

June 2015

June 2015

Bachelor's degree, Pharmacuitical sciences

United Arab Emirates

Learned all the basics of medical terms and specifically chemistry and math in additional to applied pharmaceutical skills.

University of Sharjah

January 2015

January 2015

Bachelor's degree, Pharmaceutical And Health Sciences

United Arab Emirates

Dubai International School

January 2010

January 2010

Bachelor's degree, Scientific And Technical Education

United Arab Emirates

Skills

Communications

Expert

Administration

Expert

Insurance

Expert

Microsoft PowerPoint

Expert

Microsoft Word

Expert

KYC

Expert

AML

Expert

Onboarding coordination

Expert

CRM Systems

Expert

Contract Administration

Expert

Compliance and documentation

Expert

Administration

Expert

Data Entry

Expert

Project Management

Expert

Management

Expert

Health Insurance

Expert

Insurance

Expert

Insurance Claims

Expert

CLIENT ONBOARDING

Intermediate

CONTRACT REVIEW

Intermediate

COORDINATING

Intermediate

EMPLOYEE BENEFITS

Intermediate

FINANCIAL UNDERWRITING

Intermediate

INSURANCE POLICIES

Intermediate

MEDICAL INSURANCE CLAIMS

Intermediate

OPERATIONS

Intermediate

PRICING STRATEGIES

Intermediate

SALES

Intermediate

Communications

Expert

Microsoft PowerPoint

Expert

Microsoft Word

Expert

Languages

English

Expert

Arabic

Native Speaker

Training and Certifications

Certifications
DHA Prometric, Pharmacy Colloquium, Medical Insurance Basics, First Aid Training
Training
First Aid Training
Dubai Ambulances
Jan 2016

Hobbies and interests

Fishing