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سعيد الأشقر, Operations & Policy Administration Executive

سعيد الأشقر

Operations & Policy Administration Executive·GIG Gulf

الإمارات العربية المتحدة

بكالوريوس, Pharmacuitical sciences

الخبرة العملية

مجموع سنوات الخبرة: 8 سنوات, 9 أشهر

Operations & Policy Administration Executive

نوفمبر 2024 - حتى الآن

GIG Gulf

دبي، الإمارات العربية المتحدة

نوفمبر 2024 - حتى الآن

• 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.
مجال الشركة:
التأمين

Onboarding and contracting executive

أكتوبر 2023 - حتى الآن

GIG Gulf

دبي، الإمارات العربية المتحدة

أكتوبر 2023 - حتى الآن

• 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.
مجال الشركة:
التأمين
الدور الوظيفي:
إدارية

medical claims processor

مايو 2022 - حتى الآن

Nas Neuron

دبي، الإمارات العربية المتحدة

مايو 2022 - حتى الآن

• 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.
مجال الشركة:
التأمين
الدور الوظيفي:
الطب والرعاية الصحية والتمريض

Claims & Approvals Executive

أبريل 2022 - أكتوبر 2024

NAS Neuron

دبي، الإمارات العربية المتحدة

أبريل 2022 - أكتوبر 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.
مجال الشركة:
التأمين
الدور الوظيفي:
455

Documentation Specialist

يونيو 2018 - أبريل 2022

MedPharma

الشارقة، الإمارات العربية المتحدة

يونيو 2018 - أبريل 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.
مجال الشركة:
صناعة الدواء
الدور الوظيفي:
إدارية

Medical Sales Representative

ديسمبر 2018 - سبتمبر 2020

Al Hayat Pharma

دبي، الإمارات العربية المتحدة

وجدت هذه الوظيفة عبر بيت.كوم

ديسمبر 2018 - سبتمبر 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.
مجال الشركة:
صناعة الدواء
الدور الوظيفي:
المبيعات

quality managment officer

سبتمبر 2017 - فبراير 2018

Valeant Pharmacuiticals

الشارقة، الإمارات العربية المتحدة

سبتمبر 2017 - فبراير 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.
مجال الشركة:
صناعة الدواء
الدور الوظيفي:
الإدارة

Trainee Executive

نوفمبر 2015 - ديسمبر 2015

Life Healthcare group

دبي، الإمارات العربية المتحدة

نوفمبر 2015 - ديسمبر 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.
مجال الشركة:
الاستعانة بالمصادر الخارجية للمبيعات
الدور الوظيفي:
الخدمات المساندة

التعليم

University Of Sharjah

يونيو 2015

يونيو 2015

بكالوريوس، Pharmacuitical sciences

الإمارات العربية المتحدة

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

University of Sharjah

يناير 2015

يناير 2015

بكالوريوس، Pharmaceutical And Health Sciences

الإمارات العربية المتحدة

Dubai International School

يناير 2010

يناير 2010

بكالوريوس، Scientific And Technical Education

الإمارات العربية المتحدة

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

اللغات

الانجليزية

متمرّس

العربية

اللغة الأم

التدريب و الشهادات

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

الهوايات والاهتمامات

Fishing