Shady Ashraf, Customer experience excellence manager

Shady Ashraf

Customer experience excellence manager

Bupa Arabia

Location
Saudi Arabia - Jeddah
Education
Higher diploma, CII certificate of insurance
Experience
13 years, 6 Months

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Work Experience

Total years of experience :13 years, 6 Months

Customer experience excellence manager at Bupa Arabia
  • Saudi Arabia - Jeddah
  • My current job since April 2015

- Leading a full operational team in service providers across Saudi Arabia to achieve business strategic objectives.
- Customer journey mapping and design hassle-free customers transactions
- Leading focus improvement quality projects with hospitals senior management to improve customer satisfaction.
- Customer retention and loyalty.
- Responsible of voice of customer metrics e.g. NPS, CSAT survey
- Elimination of all service failures affecting customer experience by implementation of Kaizen ideas.
- Applying automation of medical guidelines in service providers
- Linking VOC tools to decision making through CRM approach

Supervisor of medical department (approvals & claims) at Medirisk for TPA and medical expenses management
  • Egypt - Cairo
  • September 2013 to July 2014

- Medical audit and quality check of approvals and claims to ensure cost effective management of medical services.
- Ensure the best quality of medical services is provided to our members according to policy coverage and exclusions.
- Establishment of effective communication channels with our members and service providers.

Senior specialist in medical preauthorization department at Bupa Arabia
  • Saudi Arabia - Jeddah
  • September 2011 to July 2013

- Ensure the high quality of the pre-authorization decisions and secure an internal quality check within the pre-authorization department.
- Participate actively in the coaching and capability building programs and activities of the pre-authorization department.
- Identify and report medical abuse, over-treatment, and fraud in all forms and report such behavior according to guidelines.

Primary care physician at Medicare Middle East
  • Egypt - Cairo
  • August 2010 to August 2011

- Examination and management of patients at our clinics and arrangement of consultants’ referral whenever needed.
- Preparation of statistical business analysis reports related to service utilization rates.
- Reporting of daily census of inpatient and outpatient cases to the higher management.

ENT & Phoniatrics resident at Faculty of medicine - Ain shams university
  • Egypt - Cairo
  • March 2010 to July 2010

- Management of patients in the outpatient clinic and assisting in surgeries.
- Reporting cases to the professors and arrangement of the weekly department meeting.

Education

Higher diploma, CII certificate of insurance
  • at Chartered insurance institute of London
  • October 2016
Bachelor's degree, MBBS
  • at Faculty of Medicine
  • December 2008

Bachelor of medicine & surgery from Ain Shams university

Specialties & Skills

Customer Experience
Insurance
Hospitals
Computer skills
French language
Communication
Leadership
Project management
Business orientation

Languages

Arabic
Expert
English
Expert
English
Expert
French
Expert