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sharjas Manakunnan, Claims Processor

sharjas Manakunnan

Claims Processor·Health Insurance

Saudi Arabia

High school or equivalent,

Work experience

Total years of experience: 4 years, 7 months

Claims Processor

February 2010 - March 2013

Health Insurance

February 2010 - March 2013

Claims Processor
Since Feb 2010 till now
Medivisa (Member of MedGulf Insurance & Re-insurance Co.)
Riyadh, Saudi Arabia
Company Industry: Health Insurance administration
Job Role: Claims Processing, Health division

Duties & Responsibilities
➢ Ensure the Information has been properly entered by medical information clerks and medical professionals to complete the claims process.
➢ Sorting the claims and organize them by date, type of claim
➢ Review claims made by health care facilities to ensure that they are encoded properly for the type of claim being made
➢ Review claims in light of a patient's past medical history to check for preexisting conditions that might not be covered by an insurance claim.
➢ Prepare reports regarding specific claims.
➢ Validate the information on all claims received
➢ Preparing Letter to concerned Hospitals.

Company industry:
Other Healthcare Services
Job role:
Medical, Healthcare, and Nursing

Medical Underwriting Assistant

September 2008 - January 2010

Al sagr cooperative Insurance Co. Jeddah

September 2008 - January 2010

Medical Underwriting Assistant.
Al sagr cooperative Insurance Co. Jeddah
Date: September 2008 - January 2010
Duties & Responsibilities
➢ Policy, Endorsement, Corresponding, Debit Note & Credit Note.
➢ Additions & Deletions of enroll.
➢ Preparing Medical Cards.

Working Experience in India.
Worked as a Dealer in ICIC Bank. (Period of March 2006 to September 2006)

Company industry:
Insurance & TPA
Job role:
Management

Education

Secondary School Board of Kerala

High school or equivalent,

SSLC (Secondary School Board of Kerala) Higher Secondary (Board of Kerala) DTP - Certification

Master's degree, Medical Claim Administration

Ms-Office, Ms-access, Medical Claim Administration, Working experience with much software, like Windows, Microsoft Office (Word, Excel, Power Point, ) internet related things. Adobe Photoshop, Internet and email.

Skills

Photoshop Elements
Expert
Photoshop Elements
Expert
Office Work
Expert
Office Work
Expert
Adobe Software
Expert
Adobe Software
Expert
Administration
Expert
Administration
Expert
D3
Expert
D3
Expert
CLAIMS
Expert
CLAIMS
Expert
CLAIMS PROCESSING
Expert
CLAIMS PROCESSING
Expert
CREDIT
Intermediate
CREDIT
Intermediate
LOANS
Intermediate
LOANS
Intermediate
MEDICAL UNDERWRITING
Intermediate
MEDICAL UNDERWRITING
Intermediate
PROCESSOR
Expert
PROCESSOR
Expert
PUNCTUAL
Beginner
PUNCTUAL
Beginner
SORTING
Expert
SORTING
Expert
UNDERWRITING
Intermediate
UNDERWRITING
Intermediate
Photoshop Elements
Expert
Photoshop Elements
Expert
Office Work
Expert
Office Work
Expert
Adobe Software
Expert
Adobe Software
Expert
Administration
Expert
Administration
Expert
D3
Expert
D3
Expert

Languages

English
Expert
Arabic
Intermediate

Memberships

Medivisa (Member of MedGulf Insurance & Re-insurance Co.)

Member