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Insurance Underwriter Assistant Resume Sample

This resume is a sample for the post of Insurance Underwriter Assistant. Insurance companies hire an Underwriter to help them in making right policies for right person or a property or an organization. Underwriters use different software to determine the right amount of premium in order to provide same type of protection to all. As an assistant you are required to help your manager in every way. The resume for this post needs to be calculative. Your employer would want the applicant to be efficient with some past experience. Below we have designed a resume for you to help you create an impressive resume. Do add references from your past experiences.

THERE ARE FOLLOWING INSURANCE RELATED RESUMES

Life & Medical In charge Insurance Resume Sample
Insurance Underwriter Resume Sample
Health Insurance Manager Resume Sample
Admin Cum Insurance Executive Resume Sample
Insurance Claim Investigator Resume Sample
Accidental Insurance Officer Resume Sample
Insurance Agent Resume Sample
Insurance Coordinator Resume Sample
Entry Level Insurance Underwriter Resume Sample
Insurance Sales Manager Resume Sample

Insurance Underwriter Assistant Resume Sample


Name : xyz

Dubai, U.A.E.

Contact:00000

Email: xxxxxx

Targeting Position of Underwriter/ Insurance Officer with a company of repute

Industry Preference:

Banking / Insurance / Construction / Oil & Gas

CAREER RECITAL:

Sutherland Global Services, Cochin, Kerala 2012-2014

Career Path:         

Senior Consultant:

Assistant Underwriter – Arch Re Facultative.                                                    

Deliverable:

  • Supporting underwriters for appraising and evaluating a risk in a facultative reinsurance.
  • Processing includes submission/set-up/drafting and issuing certificates
  • Completing Multi Peril Tool, Quotes and special peril tools (Flood tool, Builders risk tool, etc) by collecting information from received documents.
  • Experienced in writing Builder’s Risk/ Contractor’s equipment/All Risk/ Auto physical Damage policies.
  • Review certificates of insurance for accuracy, noting deficiencies and requesting revisions.
  • Evaluating Statement of Values/Previous Loss Runs/ACCORD/Risk Reports and Underwriting Reports.
  • Prepare quotations on new and renewal business.
  • Review applications and supporting submission documents promptly and secure additional data as necessary to provide accurate terms and conditions of coverage.
  • Efficient underwriting assessment as per predefined benchmarks.
  • Strong computer skills and ability to work with multi-faceted systems.
  • Technical proficiency and analytically skills.
  • Sound knowledge of insurance terminology and insurance practices

Role:

  • Underwriting Assistant
  • Management Information System support
  • Trains, Coaches and educate fresher’s on the processes and underwriting philosophy

Rewards:

  • Awarded by the client for outstanding performance in productivity and quality.
  • Trained by the trainers from United States of America.

Afia Insurance Brokers, Dubai, U.A.E. 2008-2011

Career Path:         

Motor Claims Officer:                                            

Deliverable:

  • Claims Officer in the Motor Claims Department.
  • Working with Insurance companies agents & loss adjusters
  • Cross verification of Police reports and all other required documents and reports, check all the information being provided by the customer meeting the required fulfillment points to approve the claim.
  • Co-ordination with service centers/garages to ensure a smooth flow of claims procedures
  • Processing the entire life cycle of a claim (End to End) which includes lodging a claim in the work flow tool, reviewing the claim.

Atlas Group, Dubai, U.A.E. 200X-200X

Career Path:

Sales &Admin

Deliverable:

  • Looking into day to day operations of the office
  • Assisting in the Sales department of Gold and Diamonds
  • Media Relations.

Amrita Institute of Medical Sciences Cochin, India 200X-200X                            Career Path:

Public Relations Assistant

Deliverable:

  • Assist the marketing department in its PR events, exhibitions and potential opportunities.
  • Assists in the creation of newsletter, corporate brochures, program leaflets & other educational marketing material
  • Media Relations.

DOMAIN KNOWLEDGE:

  • Commercial Insurance.
  • Motor Insurance.
  • Public Relations

ACADEMIA:

  • G.Diploma In Public Relations Bharatiya Vidya Bhavan Trichur 2002
  • A. (English) from Sree Kerala Varma College, Trichur. Calicut University 2001.
  • XII from S.N.Vidya Bhavan, Trichur 1997.
  • X from S.N.Vidya Bhavan, Trichur 1995.

IT SKILLS:

  • Proficient in Microsoft Office & Internet Applications.

PERSONAL VITAE:

Nationality                                                     Indian

Address                                                            Dubai,Dubai,U.A.E.

Date of Birth                                                  01 September 1980.

Contact Number                                             00000000

Driving licence                                                U.A.E. and India

Visa Status                                                        Visit Visa

Linguistic Skills:

English, Hindi, Malayalam

References: Would be provided on request.

DECLARATION:

I hereby that the information furnished above is true to the best of my knowledge and belief.

Insurance Underwriter Resume Sample

This resume is a sample for the post of Insurance Underwriter. Insurance companies hire an Underwriter to help them in making right policies for right person or a property or an organization. Underwriters use different software to determine the right amount of premium in order to provide same type of protection to all Now why Insurance Underwriter Resume Sample is necessary? Resume play an important in taking your part in the recruitment, they are your first introduction. Insurance Underwrite Resume Sample is calculative. The template is created keeping in mind the crucial points. Your employer would want the applicant to be efficient with some past experience. Below we have designed a resume for you to help you create an impressive resume outline. Do add references from your past experiences.


Insurance Underwriter Resume Sample


Name: XYZ
Email: xxxxxx
Mobile #:  000000000
Residence:
Visa:

OBJECTIVE

Seeking career enrichment in Financial Services Industry and strive to take my organization to newer heights by aligning personal objectives with the organizations with utilization of the acquired knowledge, experience & skill sets.

PROFESSIONAL SUMMARY

  • 5 years in the Financial Services field has given me great sense of fulfilment and professional expertise. It has added quite a significant value to my personal growth as well as to others growth. It made me a precise and concise decision maker. Fully open to receive, develop and share ideas to the interest of any company I work for.

Profile of Expertise:

  • Insurance-Life/Non Life
  • General Accounting
  • Currently working as General Insurance Underwriter in Prominent Insurance Brokers LLC
  • Worked as Sr. Analyst Claims-(Commercial Lines) for ARGO US , Sutherland Global Services.
  • Strong understanding of the insurance operations particularly the area of claim policies including what each policy covers.
  • Excellent communication, negotiating & report writing skills with strong abilities in analysing and interpreting information including legal documents.
  • Ability to support and sustain a positive work environment that fosters team performance with strong communication and relationship management skills.

KEY SKILLS

  • Good Interpersonal, Communication & Negotiation skills.
  • Quick to assimilate new concepts & learn new skills.
  • Work efficiently under pressure.
  • Able to build & maintain particular strength in customer relationship.

ORGANIZATIONAL EXPERIENCE

  General Insurance Underwriter at Prominent Insurance Brokers LLC

  • Deals in Fire, Marine And Miscellaneous Classes of Insurance
  • Looking after the accounts of existing clients to serve them the best in their needs with timeliness
  • Building relationships with your underwriters to obtain great  at competitive prices for your Clients.
  • Building up a price up from scratch, considering the information you have and be able to justify it.
  • Solving the queries of the clients and advising them the products  on their insurance needs.
  • Understanding how a particular risk will affect overall book of business of the client and

Advising them on the coverage.

            Senior Insurance Analyst Argo Group International Holdings, Ltd.

Job Responsibilities:

  • Handling the activities pertaining to Claim Documentation.
  • Processing new insurance claim notification
  • Collecting accurate information & documents to proceed with a claim
  • Analysing the claim made by policyholder
  • Guiding policyholder on how to proceed with the claim
  • Contacting trades people from a network of approved professionals and arranging for them to make repairs to policyholder’s property.
  • Monitoring the progress of a claim.
  • Investigating potentially fraudulent claims.
  • Identifying reasons why the full payment may not be made.
  • Taking initiatives for minimizing cycle Time of Claim.
  • Ensuring fair settlement of valid claim
  • Building relationship with loss adjusters as well as legal/claims professionals
  • Identifying the reasons why full payment may not be made.
  • Involvement in loss adjusting activities and legal discussions relating to settlement.
  • Tracking the payments made by insurance company/adjusters on daily basis
  • Processing the pay outs to the vendors as and when required
  • Managing the long-term claims & reassessing them regularly.
  • Keeping shoulder to shoulder with latest in insurance sector.

Associate Health Assurance Manager   ICICI Prudential Life Insurance

Job Responsibilities:

  • Doctor Empanelment-Getting into tie-up with doctors to generate leads who can be the prospective buyers of health insurance products
  • Managing the team of doctors and promoting health insurance products of the company
  • Conducting a study of competitor products, so as to answer the client queries in an efficient way.
  • Rendering advice to the customers on the interaction, of the product.
  • Establishing interaction with the existing and new customers.

         Accountant                                                                                                                           

Job Responsibilities:

  • Maintenance of cash book and ledgers
  • Ensuring the daily collection
  • Recording of transactions in tally
  • Finalisation of accounts
  • Assisting the proprietor in administration activities

ACADEMIC QUALIFICATION

  • MCOM from Madras Christian College in 2011
  • BCOM from Mar Ivanios College, Trivandrum 2007

PROFESSIONAL ACCREDITATION

  • Post Graduate Diploma in Insurance from Chennai Business School in 2008
  • Licentiate from Insurance Institute Of India. Working Towards Associateship

ACADEMIC PROJECTS

  • TNPL: Project on Tamilnadu Newsprint & Paper Ltd, the bagasse based paper mill, bringing out the core competencies, the main channels of income, the contribution made by the main line of business to the total income. Based on the current product portfolios, suggestion were made on product diversification & better treatment of effluents
  • ICICI Prudential Life Insurance: Prepared a marketing communication strategy using creative briefs for the company to increase awareness of insurance among public and promote the brand. Implementation, control plans and future marketing activities were also formulated for campaigns performance. Prepared total marketing campaign analysis for ICICI Prudential
  • Pepsi Vs Coca Cola: Studied the brand identities of two competitive brands from potential customer’s perspective and developed a marketing strategy and promotional campaigns to reposition and enhance Coca Cola’s brand image.

IT SKILL SET

  • MS Office, Tally

PERSONAL DETAIL

Date of Birth                                        :                               3rd Jan. 1988

Marital Status                                     :                               Single

Linguistics                                           :                               English

Address                                               :                               Al Madina Plaza.Bur Dubai

Health Insurance Manager Resume Sample

This resume is a sample for the post of Health Insurance Manager. A Health Insurance manager works to make sure that the company is providing right services to the right person i.e. he checks after that there is enough money available from the company for the customer’s specified insurance agreement.  A resume pays a vital role in representing you and your expertise before the employer. It must be build in the right manner. Below we have given as example of an impressive and convincing resume. We do hope that it should help you in creating a good resume.

Life & Medical In charge Insurance Resume Sample
Insurance Claim Investigator Resume Sample
Insurance Agent Resume Sample
Insurance Coordinator Resume Sample
Insurance Underwriter Resume Sample
Insurance Sales Manager Resume Sample

Health Insurance Manager Resume Sample


Name:  XYZ
Place:   United Kingdom.
Contact : 00000
Email id:xxxxx

 Career Objectives:

Looking forward for a challenging & rewarding career in sales, where my knowledge flourishes and my skills are useful for organization. I emerged as a hardworking sales & marketing professional and proved myself as an important part of organization by achieving the given targets with confidence and positive attitude.

Work Experience:

 Working as Asst unit Manager  

The company is active in sales of life & health insurance.

Role & Responsibilities:

  • Responsible for generating business from various segments
  • Responsible for generating business from market survey ,referred lead cold call,
  • Responsible for contacting client on telephone,
  • Responsible for financial analytically process & custom made solutions with various flexibility offers to customers.
  • Proficiency in generating new customers with sourcing business from various channels such as referred leads, cold calls & data collection.

worked as Agency Associate

Role & responsibilities:

  • Responsible for generating business from various segments.
  • Responsible for generating business from corporate segment.
  • Responsible for contacting client on telephone, direct walk-in & cold call.
  • Existing client’s base is 900 plus with Max New York Life Insurance Co Ltd with volume of Approximate 65 million INR.
  • Expertise in financial analysis, identifying customer’s long-term / short term needs and providing custom made solutions to their financial needs to their satisfaction.
  • Well experience in understanding customer’s & need base selling.
  • Responsible for financial analytically process & custom made solutions with various flexibility offers to customers.
  • Proficiency in generating new customers with sourcing business from various channels such as referred leads, cold calls & data collection.
  • Well experienced in handling customers with various profiles such as businessmen, professionals, software engineers.
  • Business conversion ratio 70 to 80%.
  • Reviewing existing client’s portfolios for resale.
  • Maintaining the records and performances reports on weekly and monthly basic of team members for effective functioning for better business.
  • Responsible to build and develop and improve the quality of business relationship with new and existing clients and corporate deals.
  • Well experienced in executing marketing strategies and marketing campaigns for business activities.
  • Well experience in resolving customers issues regarding sales and services & monitor customers preferences to determine focus on sales efforts.
  • Strengthen the relationship between individual & corporate deals.
  • Quick learner and self motivated highly enthusiastic and energetic and handle pressure very well.
  • Well experience in handling corporate presentation in highly professional manner.
  • Good leadership quality and business planning skills.
  • Responsible for conducting training for the new joiners in the team.

Achievements:

  • Recognized 7 times as high flier (maximum applications logged in single month in the branch office by an individual executive.
  • Recognized as centurion 1time (100 application logged in a calendar year)
  • Recognized 25 to 30 times for higher premium award applications logged in a single month by an individual.
  • Recognized for 10 a month award 20 to 25 times.

 worked as PERSONAL LOANS sales executive  .

  • Interacting with corporate clients and sourcing proposals for personal loans.
  • Highest 57(PL) application logged in a single month, promoted as a Team Leader within 6 months.
  • Handling individuals & corporate presentation all alone in highly professional manner.
  • Handling a team of 5 executive and motivating them to generate PL business.

Skills / strength:

Hard working, sincere, energetic, innovative, open to learning

  • Effective communication skills and has excellent work ethics
  • Good leadership & communication skills.
  • Self motivated and passion to succeed.
  • Flexible, adoptable to atmosphere.

Educational qualification:

Bachelor of commerce’s (B.COM Graduate from Bangalore University Karnataka India.)

Computer skills: Basic, Ms Word, Excel.

Summary:

  • Profile                      : Male
  • Date of birth           :  0000
  • Nationality              :  Indian
  • Current location     :  UK
  • Current position     : Certified financial planner

COMMUNICATION SKILLS:  English, Hindi, Kannada.

Declaration:

I hereby declare that the above furnished information is correct and true to the best of my knowledge and records.

Front Office Executive Resume Sample

This resume is a sample for the post of Front Office Executive. A Front Office Executive plays a vital role for the progress of a company as all the clients or customers come in contact with the company through this. He/She has to confront people with a smiling face, helping and handling the flow of people coming for various purposes in the office or the organisation as well as introducing the company to them. Style and body language is another feature that can favor you in the job win. Your resume is your first meeting with the employer, pay considerable attention to it. Entail all the necessary information with your previous experiences. Highlight your communication skills. Below we have given you an example of such a resume that should help you to create an impressive resume. Finally adding (verified) references to your resume is definitely going to add to the worth of your resume.

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Front Office Executive Resume Sample


Name :XYZ

Hor Al Anz, Dubai

C.P. No.: 0000000

PASSPORT NO: 00000

E-mail: xxxxx

CAREER OBJECTIVE:

To be able to contribute in achieving institution’s goal through developing and integrating skills, professional judgments and good attitudes.

Working Experience:

January 2, 2011 –  DEC. 05, 2013 based on LABOR CARD

Kims Medical Centre

Deira, Dubai

FRONT OFFICE EXECUTIVE CUM INSURANCE COORDINATOR

  • Confirm and input insurance or non- insurance patient, demographic information and registration in the Hospital Information System.
  • Answering multi-line phone system
  • Greet patients and families in a professional manner.
  • Triage patient telephone calls to clinical staff; obtain necessary information for the return call; initiate emergency procedure when necessary.
  • Advocate for the patient/family by locating appropriate staff to address concerns.
  • Exhibit maturity, reliability, composure and stability under pressure in order to handle on-the-job challenges.
  • Communicates and enforces billing and payment policies of the clinic.
  • Collect payments
  • Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements
  • Responsible for filing and tracking insurance claims and informing patients of their claims status
  • Process insurance and disability claims in a timely manner
  • Prepares insurance forms and associated correspondences
  • Entertains patients’ queries regarding unpaid balances
  • Liaise with patients regarding their eligibility and entitlements
  • Maintains strict confidentiality related to medical records and other data.

MEDICAL ASSISTANT AND SECRETARY

  • Coordinate with the President/ Coordinator in terms of scheduling time and place and paraphernalia needed in the mission.
  • Coordinate with the Optometrists for the patients data record.
  • In charge with the proper distribution and educate the people with the use of eye glasses.

COMPANY NURSE

  • Performed physical Examination for all the applicants and endorsed to Company Doctor.
  • Educate the employees in line with the Medical Services Program.
  • Performed first aid to all the employees or non employee, if it is in emergency cases immediately bring the patient to the hospital.
  • Maintained daily treatment consultation and record.

STAFF NURSE VOLUNTEER

  • Proven record of reliability and responsibility.
  •  Develop rapport with patients, family, staff and physicians.
  • Interact with departments regarding patient care.
  • Performed clinical tasks according to hospital policies.

Skills

Excellent and Strong communication skills are required
o Able to relate to people from different cultural backgrounds
o Knowledge of Computer Programs and applications
o Excellent Customer Service Skills
o High Degree of Motivation and Self-Discipline
o Able to maintain strong relations with Physicians, employees, patients and Insurance companies
o Multi taker
o Knowledge of medical terminology and insurance practices

TRAINING:

NOV. 19-21, 2009        3-Day Basic IVT (Nursing Standards on Intravenous Practice)

Cong. Rogaciano M. Mercado Memorial Hospital

Bulacan

June 2007 – Febrauary 2008              Comprehensive Dermatology Center  

Quezon City, Philippines

DERMA NURSE (MEDICAL ASSISTANT/SECRETAY)

  • Assisted and/or observed dermatologists with patient care procedures that included fungal cultures, and treatment of acne and rashes.
  • Efficiently managed the front desk in areas of utilizing the Medical Manager to handle scheduling, billing and collections, and medical records.
  • Prepared patients/rooms; interviewed patients to obtain medical histories; explained treatment procedures; sterilize equipment and properly dispose of contaminated supplies.

SPECIAL EDUCATION TEACHER

  • A full time teacher that taught students with Special Needs such as Autism, ADHD, and Learning Disability. An effective and patient teacher that has the capability and skills needed to work with individuals with special needs.
  • Set short-term and year-long goals for curricular Individual Educational Plans based on sound principles and practices of learning.
  • Assess students learning styles and academic functioning.

PERSONAL DATA:      

Birth Date                   :           0000000

Birth Place                  :           Sta. Cruz, Manila

Sex                              :           Female

Religion                       :           Roman Catholic

Nationality                  :           Filipino

Language/s Spoken     :           English and Tagalog

Civil Status                    :           Single

Skills                              :           Good Communication skills, computer literate,

Has passion with dealing people

Good interpersonal skills, adaptable and willing to learn/be train.

EDUCATIONAL ATTAINMENT:

Elementary:   Pinagbuhatan Elementary School                  

High School:  Pasig Catholic College                                   

College:          De Ocampo Memorial College

Course: Bachelor of Science in Nursing

Admin Cum Insurance Executive Resume Sample

This resume is a sample for the post of Executive Admin Cum Insurance. It is a higher level of job. An Admin Cum Insurance Executive has to perform double duty of not only ensuring and securing people’s future loss and to administrate the staff while making sure the smooth flow of the official work. He has to make future policies and motivate his staff ensuring relative perfect and consecutive performance. The resume for this post must be proper.It must manifest that you are able to work under pressure and a multiple task manager. Below we have given you an example of such a resume that should help you to create an impressive resume. Finally adding (verified) references to your resume is definitely going to add to the worth of your resume.

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Admin Cum Insurance Executive Resume Sample


Name              : XYZ

Email              : xxxx

Contact No    :   000

CAREER OBJECTIVE:

To serve the organization better with integrity, honesty and confidence; to make use of the opportunities and facilities for the development of organizational and individual goals; and ensure better performance with my technical and managerial skills.

EDUCATIONAL QUALIFICATION:

  • Master’s in Hospital Administration from Amrita School of Arts and Science with 89% aggregate.
  • Graduation in Economics with 78%aggregate
  • Plus Two in Commerce with 75% aggregate

SOFTWARE PROFICIENCY:

  • Operating System: MS DOS, Windows 98, 2000, XP
  • Social Media Awareness.

PROFESSIONAL EXPERIENCE:

Sl.no Organisation Place Position Period
1 Pharmalink Group Sharjah, UAE Insurance Coordinator 2014
2 International Radiology Center Sharjah, UAE Insurance Coordinator 2013
3 KIMS Hospital & Surgical Center Cochin, India Insurance Coordinator 2011
4 Lakeshore Hospital and Research Center Ltd, Cochin Cochin, India Insurance Executive 2009
5 Amrita Institute of Medical Sciences and Research Centre Cochin, India Admin & Insurance Executive 2007

JOB PROFILE – INTERNATIONAL RADIOLOGY CENTRE, SHARJAH, UAE:

  • Attend Insurance customers in the Clinic.
  • Obtain authorizations from respective Insurance providers for Healthcare services in the clinic.
  • Maintain files and records of all insurance cases.
  • Attend to the customer queries related to Health Insurance.
  • Prepare monthly and weekly and Quarterly MIS of the department.
  • Responsible for assisting patients with the processing of insurance claims and coordinating with insurance companies and TPAs for getting the required claims approval and keeping its proper record. Contacts insurance companies and patients regarding outstanding balances. Researches and resolves insurance billing issues.
  • Assists and reviews claims and E-claims pre and post submission to determine completeness, accuracy and collection of unpaid and denied claims.
  • Facilitate the processing of unpaid and denied claims and receipt of payments from insurance companies.
  • Examine remittance advice to ensure the collection of applicable third party reimbursements.
  • Determine the reason for denied claims and resubmits or follow up with insurance companies to propriety and medical necessity of services by the facility.
  • Verifies new patients insurances and re-verifies that of patients coming back on service.
  • Submits pre-determinations for clinical medical necessity.
  • Review all claims for accuracy.
  • Works closely with Patient Relations Manager, Customers Care Representatives, Nursing Staff, Insurance Manager and providers to ensure claims accuracy and processing.
  • Completes proper tracking and reporting for Finance Department regarding collection and error rates.
  • Interact with insurance companies to research and resolve complex claims billing problems/issues.
  • Prepare, and/or maintain reports on billing and collection activities.
  • Establish working relationships with insurance carriers and third party payers
  • Enters data into the computer as needed
  • Maintains frequent phone contact with case managers at third party insurance companies.
  • Participate and contribute to departmental quality initiatives.
  • Perform any job/task as and when assigned by the superior.

JOB PROFILE IN ORGANISATION’S INDIA:

  • Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements.
  • Taking approvals from Insurance Companies for Inpatient procedures
  • Responsible for filing and tracking insurance claims and informing patients of their claims status.
  • Process insurance and disability claims in a timely manner.
  • Prepares insurance forms and associated correspondences.
  • Dealing with all the famous health insurance companies.
  • Rejected claims to be rectified by providing the requirements needed by the insurance company.
  • Collecting deduction and co insurance from insurance patient.
  • Develop good relationship with various insurance companies.
  • Preparation of IP Insurance Bills.
  • Taking prior approval for lab investigations and other procedures, in case required as per the agreement with the Insurance companies.
  • Giving clarifications to the concerned person in Insurance companies regarding the sent claims.
  • Entertains patients’ queries regarding unpaid balances.
  • Liaise with patients regarding their eligibility and entitlements.
  • Corporate marketing – emplacement of corporate for various medical services
  • Coordinating camps, workshops, awareness programs, exhibitions etc.
  • Internal marketing which includes conducting different programs for employees especially for nurse’s day, special packages for employee referrals.
  • Assists with the development and administration of various departmental programs and prepares reports.
  • Processes invoices and other miscellaneous payments for the department.
  • Responds to department inquiries (mail, phone, email)
  • Develop and maintain good working relationships with all relevant local governmental bureaus, agencies and authorities
  • Interacting with customers, senior-level executives, and all other levels of employees.
  • Provide general administrative support including but not limited to: phones, distributing mail, and preparing expense reports.
  • Organize and maintain file and records.
  • Media Activities – press release, events etc.
  • Preparing monthly and annual reports
  • Day to day operations
  • Inviting International patients from UAE, Oman, Nigeria etc. for treatment.
  • Communicating with international agencies for referrals of patients.
  • Transportation arrangements for the patients.
  • Providing necessary help for the patient for their stay, OP consultation, admissions etc.
  • Make the patients aware about the hospital policies and procedures and also providing financial information to the patients.
  • Handling of Corporate, Executive checkups etc.
  • Administering the day to day operations of the department.
  • Handling insurance related activities.

MAJOR ACHIEVEMENTS in KIMS Hospital:

  • Corporate Tie ups: Tied up with Apollo Tyros, Binani Zinc Limited, Carborundum (CUMI), Cognizant Technologies, UST Global Services, Idea Cellular Limited, State Bank of Travancore, Corporation bank, SUDchemie, Ultratech Cements, Najath School, SCMS College, Aries Telecasting Limited.
  • Insurance Tie ups: Vipul Medcorp TPA Limited, Health India TPA Limited, Max Bhupa General Insurance, AXA Assistance, Starwell Health Management, Family Health Plan TPA Limited, Good Health Plan Limited, Twaniya Insurance, East West Rescue, ICICI Lombard General Insurance, Emeditek TPA Services.

MAJOR ACHIEVEMENTS in Lakeshore:

  • Corporate tie up: Tied up with Indian Oil Corporation, Air India, RBI, Canara Bank
  • Insurance Tie ups: Vipul Medcorp TPA Limited, Health India TPA Limited, Starwell Health Management.

PERSONAL SKILLS:

Comprehensive problem solving abilities, organizing and coordinating skills, good verbal and written communication skills, ability to deal with people, willingness to work in a team, work under pressure.

PERSONAL PROFILE:

Name                                   :        xyz

Husband’s Name                     :        xyz

Nationality                              :        Indian

Date of Birth                          :       000

Marital Status                         :        Married

Passport No                            :        00000

Visa Status                            :        Husband Visa

Visa Expiry                             :        21.02.2016

License                                  :        UAE Driving License

Hobbies                                 :        Reading, Traveling, Hearing Music

Languages Known                   :        Malayalam, English, and Hindi

Insurance Claim Investigator Resume Sample

This resume is a sample for the post of Insurance Cum Claim Investigator. For an Insurance Claim Investigator, the applicant requires rich experience and multiple skills. Because a Claim Officer’s major responsibility is to study all the claim cases, finding all hidden truth and assessing the customer loss along with real reason. The insurance company hires a person for this post who has previous experience, versatile and quick judgement skill. Because every company wants to find out actual reason of the loss and to satisfy the customer also with his investigator report. So to meet the needs of an Insurance Claim Investigator we have created a sample resume that should give you better guidance in building a better resume.

The Insurance Claim Investigator CV template has it all what takes to make a really convincing resume. All you need to do is to copy the the text and paste it onto your word document. Edit it according to your requisites. Finally adding references to your resume is going to stand your resume out among other applicators.

Tips For Editing Insurance Claim Investigator Resume Sample:

All you need is to Ctrl C (copy) the entire text of the resume sample and Ctrl V(paste) it on to your Word document. Having trouble with formatting the text when you Ctrl V (paste)? Click here to resolve!

  1. Add in your personal information as per our guidelines just like fill-in-blanks.
  2. Adhere the most recent, fresh picture of yours.
  3. Enlist your address and available contact information.
  4. Enlist you references and their contact numbers.
  5. Make sure to have the print out on the best quality of paper.
  6. Click here to see more resume sample…

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Insurance Coordinator Resume Sample,
Health Insurance Officer Resume Sample,
Insurance Underwriter Resume Sample,
Fresh Insurance Officer Resume Sample.


Insurance Claim Investigator Resume Sample


Name: XYZ

Dubai: UAE

Mobile: 000-00-000

Email: xxxxxx@xx.com

OBJECTIVE:-

Seeking a position as a Claims Processor or Customer Service – Medical Call Centre with a reputed organization /Insurance Company / TPA where my professional and personal skills can be utilized to achieve their goals which in turn enhance my career growth as well.

PROFILE:-

  • Understanding of medical terminology in relation to diagnoses and procedures.
  • Knowledge of verifying unrecognized characters and flags quality issues as they arise
  • Demonstrated ability of communicating to customers in a timely, polite manner
  • Independent self-motivated, able to take responsibilities and work well under pressure, quick learn and flexible team player
  • Resourceful with an ability to organize and prioritize multiple tasks
  • Provide high level customer service, excellent communication skills, able to interact with customers of different nationality and culture
  • Excellent MS Office skills.

PROFESSIONAL EXPERIENCE:-

  • Daman national insurance Abudhabi .claims processor in international patient care and E claims May 12-2013 -till now.
  • Clouds Stationery Trading – Customer Service and Sales Assistant (May 15th, 2009 July 31st, 2012)
  • School Nurse Al Sadique School, Al Qusais, Dubai – (May 2008 to October 2008)
  • Staff Nurse – Philip Memorial Hospital, Kerala, India (January 2003 to July 2005)
  • Staff Nurse – Vijay Hospital, Chennai, India (November 2000 to May 2002

RESPONSIBILITIES:-

Nursing related Skills

  • Management of multiple trauma patients, neurological patient care including use & interpretation of GCS, care of adult incubated and ventilated patient
  • Knowledge of paediatric and neonatal intensive care concepts
  • Initiate and maintain Basic Cardiac Life Support, working knowledge of other specialized equipment’s.
  • Basic knowledge of tropical diseases and their management
  • Care of pregnant women, monitoring patients during labor, conducting delivery (with and without episiotomy), post-natal care etc.

RESPONSIBILITIES:- Others – Call Centre – Sales

  • Handle general administration tasks for the organization.
  • Provide administrative support to the Management for Operations including scheduling of business meetings and appointments and arrangement of department functions
  • Maintain office facilities including procurement processing of necessary office supplies and equipment requirements, petty cash management, prepare & maintain expenses
  • Prepare office supplies and equipment purchase requisitions, coordinate and monitor maintenance services and serve as liaison between departments, management and staff.
  • Assists the Manager during the employment processing of job applicants by collecting the initial document requirements and scheduling of interview appointments.
  • Interdepartmental coordination; responsible for annual maintenance contracts.
  • Review, organize and distribution of incoming/outgoing mail.
  • Input data and compile report information into a database.
  • Maintain and update accounts status of clients on computer software program.
  • Communicate & prepare necessary office correspondence.
  • Handling Conference calls / discussing process specific changes, process improvements
  • Appraising team members jointly with the manager on the basis of the quality parameters, job knowledge, communication skills and production targets achieved attendance and an overall performance evaluation.
  • Marketing over the phone and at times, meeting clients.

Academic Qualification:

  • Registered Nurse (G N M) from the University of Karnataka, Bangalore in the year 2000

Personal Details.

Date of Birth               :           2nd June, 1977

Religion                       :           Christian

Marital status              :           Married

Driving License           :           UAE Driving License

Language known         :           Fluent in English, Hindi, Tamil and Malayalam

Medical Claims Coordinator Resume Sample

This resume is a sample for the post of Medical Claims Coordinator. A medical claim coordinator is a person who supervises and manages all the approved accidental and casual cases of the clients. The medical claim requires case solutions on urgent basis. A Coordinator sees to it. He makes sure that all the cases are carried on smoothly and to the satisfaction of the customer. The insurance company is more interested in hiring a resourceful person with references and contacts for his claims with additional knowledge of medical field and great judgment skill. A person who has the quality, experience and capability of solving all cases to customer’s satisfaction Resume is your first interface with the employer. The resume sample given below should guide in building an impressive resume. Finally adding references to your resume will stand your resume out among others.

How A Good Resume Should Be Written?

Resume is your first interface with the recruiter. It is your very introduction, invest good time in making effective and persuasive resume. The resume sample given below is created by the experts keeping all the crucial points of the employer in mind. There are some basic tactics to make your resume stand upon other pile of resumes; firstly make it as much reader-friendly as possible. Use right font size and style to make the reader read without much effort. The quality of your paper, sheet and folders DOES matter so don’t skimp on to it. The details about your qualification and experience should be precise but not too lengthy to force the reader glide through or not too short to give him an impression of scanty or neglected resume. Your picture should be updated and clear. And lastly references their addresses and immediate contact numbers would seal your success in getting the job.

Our Medical Claims Coordinator Resume Sample is perfect.

The information, although, is totally fake and is mostly put there to give you ideas about presenting yourself. Frequent use of bullets is practiced as it makes the reader to have a precise idea about your point of view without really stressing on to it. Text formatting is avoided in order to abstain the content from over emphasis.The text is created in MS Word and can be easily modified and edited there. See also

Accidental Insurance Officer Resume Sample

Insurance Coordinator Resume Sample

Insurance Underwriter Assistant Resume Sample

Insurance Claim Investigator Resume Sample

Medical Claims Secretary Resume Sample

Admin Cum Insurance Executive Resume Sample


Medical Claims Coordinator Resume Sample


Name: XYZ

International city, Dubai

Cell No. 0000

Email xxxxxx

Professional Profile

Aim to secure a responsible position in the field of Insurance where able to utilize my knowledge and technical skills by maintaining a positive environment in the working place.

Professional Experience

Medical Claims Coordinator:

  • Managing all Reimbursement/Direct Billing claims for NLGI
  • Managing Approvals received from TPA and Hospitals
  • Replying to queries from TPA/Broker and Client Via Phone calls(Approx 35 calls per day/includes calls during office hours and out of office)
  • Replying to queries from TPA/Broker and Client Via Email(Approx 75 – 100 emails per day)
  • Maintaining claims tracker for Reimbursement claims/ Direct Billing approvals/ and medical death claims
  • Evaluating and Issuing approvals to the TPA for all direct billing approvals above 20,000 AED(Approx 50- 60 approvals per month)
  • Attending meetings held by Broker/Client and TPA.
  • Visit to the hospital for high cost claims.
  • Assist Cheque dispatch.
  • Coordinating with HO for approvals and all other issues via email and via Phone.
  • Coordinating and Arranging for Direct billing with TPA(Paramount Health Services)
  • Extracting Utilization report and beneficiary list as and when requested by Sales/Operations.
  • TPA payments and float fund management.

Duty Medical Officer

  • Provides medical patient care by interviewing, examining and treating of clinical patient in order to meet their medical needs
  • Educates patients on wellness, prevention and early detection by providing materials and resources to the patients and families, Diet and regimen advice
  • Determines which referrals are required based on examination and patient needs
  • Insurance Claim form filling and processes
  • Determines which referrals are required based on examination and patient needs
  • Exercises final medical judgment in all issues of health care
  • Prescribes medical treatment patients
  • Documents all services in patient medical record Reviews on a regular basis long term cases that require ongoing medical attention
  • Consults with Medical Director and other professionals on staff as needed regarding patient care, assessment, and education issues
  • Participates in quality improvement, management, continuing education, and other patient care programs established by the hospital or clinic requirements
  • Assists in the resolution of complaints, requests and inquiries from patients
  • Maintains confidentiality of all patient information according to federal guidelines and regulations.

Medical Registration

 Medical Council

Homoeo Medical Registration Certificate-A

Registration Number: 000

 Homeopathic medical council

Homoeo medical Registration Certificate-A

Registration Number: 000

Professional Education | Certifications

  1. RVS HOMOEOPATHIC COLLEGE & HOSPITAL.
  2. BHMS (Bachelor of Homoeopathic medical science and Surgery)
  • ICRM (Institute of Clinical research management).

Certificate in Clinical research management.

Internship/ Training

  • Training for Basics of infertility treatment, Infertility counseling, Pelvic scan, IUI and IVF laboratory techniques.
  • Industry internship at Clinical trial site from IQRAA international hospital ,Calicut, Kerala
  • Compulsory rotatory residential internship program from RVS Homoeopathic Medical College & Hospital.                                                          Certifications Presentation/Thesis

Dissertation submitted to the Tamilnadu Dr.MGR Medical University, Chennai as “A CLINICAL STUDY ON IRRITABLE BOWEL SYNDROME (IBS) AND ITS HOMOEOPATHIC MANAGEMENT” as partial fulfillment of the rules and regulation for the degree of Bachelor of Homoeopathic Medicine and Surgery (BHMS) under the guidance of Dr. Vinay Kumar MD (HOM), Head of the department of Forensic Medicine and Toxicology, RVS HMC, Coimbatore, Tamilnadu.                                               

Seminar/Conferences

  • Attended one day workshop on “SOURCE DOCUMENTATION” by Harish V Shankarankutty, Senior Clinical research associate & quality reviewer, GSK Pharmaceutical Ltd held at Institute of Clinical research Management, Calicut on 26th of August 2010
  • Attended one day workshop on “QUALITY MANAGEMENT IN CLINICAL TRIALS” by Harish V Shankarankutty, Senior Clinical research associate & quality reviewer, GSK Pharmaceutical Ltd held at Institute of Clinical research Management, Calicut on 23RD of September 2010
  • Attended the seminar on Food weapon conducted by IHMA (Indian Homoeopathic Medical Association)
  • Attended the continuing medical education program (CME) on Arthritis and its management conducted by IHMA (Indian Homoeopathic Medical Association)
  • Kerala state conference 2011 ‘FORSCHENE’ by IHMA (Indian Homoeopathic medical association) facilitated by Dr.Jayesh Bellare (Phd FNASc FNAE), IIT, Bombay (Scientific evidence for the presence of medicines in higher potencies).

 Personal Profile

AGE & DATE OF BIRTH                                    : 00

SEX                                                                         : Female

MARITAL STATUS                                             : Single

PASSPORT No                                                      : 00000

VISA STATUS                                                       : 0000

NATIONALITY                                                     : Indian

Accidental Insurance Officer Resume Sample

This resume is a sample for the post of Insurance Executive. An Insurance Executive’s prime job is that of an administrative. He monitors, advises and inquires after his co workers. Below we have given an easy but convincing sample of resume. Start it with your basic information followed by your education, expertise and then experiences. Do mention your past credits/awards(if any) to impress upon the versatility of your character on the employer. An Insurance Executive needs to be a resourceful person so do mention your references.

How A Good Resume Should Be Written?

Resume is your first interface with the recruiter. It is your very introduction, invest good time in making effective and persuasive resume. The resume sample given below is created by the experts keeping all the crucial points of the employer in mind. There are some basic tactics to make your resume stand upon other pile of resumes; firstly make it as much reader-friendly as possible. Use right font size and style to make the reader read without much effort. The quality of your paper, sheet and folders DOES matter so don’t skimp on to it. The details about your qualification and experience should be precise but not too lengthy to force the reader glide through or not too short to give him an impression of scanty or neglected resume. Your picture should be updated and clear. And lastly references their addresses and immediate contact numbers would seal your success in getting the job.

Our Accidental Insurance Officer Resume Sample is perfect.

The information, although, is totally fake and is mostly put there to give you ideas about presenting yourself. Frequent use of bullets is practiced as it makes the reader to have a precise idea about your point of view without really stressing on to it. Text formatting is avoided in order to abstain the content from over emphasis.The text is created in MS Word and can be easily modified and edited there. See also Health Insurance resume sample, Life and medical insurance resume sample, Insurance agent resume sample, Insurance coordinate resume sample, Insurance underwriter resume sample, Insurance sales manager resume sample.

And finally to make our efforts as much flawless for you as possible we have given the text of the resume. You wouldn’t have to download any file or folder with the fear of downloading something dangerous. Just Ctrl C the text and Ctrl V the content in your draft.The following is given the sample of Housekeeper/Cleaner Resume. It should manage you in introducing yourself before the business in an amazing way.


Accidental Insurance Officer Resume Sample


Name

Address:

Mobile: 00000000

E-mail: xxxxxx

__________________________________________________________________________

CAREER OBJECTIVE:

To be associated with an organization that can provide me with an opportunity to grow and pursue a career, also to give an opportunity to learn and contribute to its goals.

PERSONAL DETAILS:

Date of Birth:              JAN. 26th 1990

Nationality:                 Sudanese

Visa Status:                  Residence visa

Marital Status:            Single

EDUCATION:

  • High Secondary School Scientific Certificate from Al Ghubaiba School in 2010.
  • Holding a Diploma in Business Management and completing to Bachelor from Anglia Ruskin University in UK through their study Centre in Dubai – BTEC – .

WORKING EXPERIENCE:

XYZ insurance Gulf

From March2014 – present

Position: Recovery Executive (recovery from individual)

  • Acknowledge receipt of rejected recovery claims from third party insurance.
  • Follow up the recovery claims with concerned Individual parties.
  • Ensure that Cheques received & debit notes are issued on time.
  • Develop and maintain excellent relations with all parties in order to be able to handle and negotiate with on litigious recovery files.
  • Assist the claims manager/recovery manager in their regular reporting.

XYZ insurance Gulf

From Nov2012 – March 2014

Position: Customer service assistant ( Call Centre/Direct walk-in-customers)

  • Assess Insurance claims in Motor, Travel and Home Insurance for Gulf countries.
  • Process claims within agreed Service Level Agreements.
  • Prepare, maintain and send all recovery files to the concerned third party insurance.
  • Deal with customer’s queries and providing necessary information.
  • Trained for (Complaint Handling) and having a dedicated task.
  • Build strong knowledge of policies and products as per Emirates insurance association laws.
  • Supporting Team Leader in daily tasks and reports.

EmiratesNBD Bank

From March2012 – Sep2012

Position : Customer service assistant ( Call Centre)

  • Guides customers through the various banking products and services that EmiratesNBD offers, helping them to identify which option is right for them
  • Takes calls from both business and personal banking customers, listening to their requests and queries
  • Promoting and selling financial products and services to customers.
  • Using a computerized system to update account details
  • general administration tasks such as maintaining records and sending letters to customers
  • Helping customers with loan and mortgage applications.

Cupola Teleservices Limited

From May2011 – March2012

Position : Call Centre Agent ( EMS warranty support)

  • Interact with customers to provide and process information in response to inquiries, concerns, and requests about products and services.
  • Gather customer’s information and determine the issue by evaluating and analyzing the symptoms.
  • Redirect problems to appropriate resources , technicians.
  • Offer alternative solutions where appropriate with the objective of retaining customers.

SKILLS:
Computer Skills:

  • IBM Operating System: Windows XP, Vista, and Seven
  • Software: Microsoft Office & Internet Usage

Language Skills:

  • Arabic : mother Tong
  • English

Business Skills:

  • Highly organized and dedicated with a positive attitude
  • Able to handle multiple assignments under high pressure
  • Punctual, well organized and accept challenges
  • Ability to deal with people diplomatically, quick learner

Personal Skills:

  • People-oriented enjoy working/being with people.
  • Ability to work on my own without being constantly supervised.
  • Hardworking, diligent.

Claims Officer Resume Sample

This resume is sample for the post of Claim Officer. The Insurance claim analyst a person who prepare the basic report after the Clint application. He analyst all existing things and inquires which he consider is important for the further action of officer or senior officer asking about them. For the company reputation and goodwill companies mostly hired intelligent and skillful person for this post. For wining job in competition first of all your should build your resume perfectly which attract the reader or employer . We given below a sample resume for this purpose which giving you a idea for constructed job wining resume.

How A Good Resume Should Be Written?

Resume is your first interface with the recruiter. It is your very introduction, invest good time in making effective and persuasive resume. The resume sample given below is created by the experts keeping all the crucial points of the employer in mind. There are some basic tactics to make your resume stand upon other pile of resumes; firstly make it as much reader-friendly as possible. Use right font size and style to make the reader read without much effort. The quality of your paper, sheet and folders DOES matter so don’t skimp on to it. The details about your qualification and experience should be precise but not too lengthy to force the reader glide through or not too short to give him an impression of scanty or neglected resume. Your picture should be updated and clear. And lastly references their addresses and immediate contact numbers would seal your success in getting the job.

Our Claims Resume Sample is perfect.

The information, although, is totally fake and is mostly put there to give you ideas about presenting yourself. Frequent use of bullets is practiced as it makes the reader to have a precise idea about your point of view without really stressing on to it. Text formatting is avoided in order to abstain the content from over emphasis.The text is created in MS Word and can be easily modified and edited there. See also

Claims Processor & Administrator Officer Resume Sample,

And finally to make our efforts as much flawless for you as possible we have given the text of the resume. You wouldn’t have to download any file or folder with the fear of downloading something dangerous. Just Ctrl C the text and Ctrl V the content in your draft.The following is given the sample of Housekeeper/Cleaner Resume. It should manage you in introducing yourself before the business in an amazing way.


Claims Officer Resume Sample


Name: XYZ

E-Mail:0000

Mobile: 000000

Applied For:Claims Officer/Assistant Claims Analyst Officer/ Business Claims Analyst

Career Summary

Over 3 years of extensive, executive operations management role in organizations; contributed to firm growth by executing business strategies using strong decision making abilities.

  • Strong background in back end operations.
  • Knowledge of Quality assurance, audits, bugs fixing and production management.

Core Competencies:

  • Excellent people manager – Persuader, influence, leader, negotiator and delegate.
  • Team work – Effectively communicates to delegate responsibilities using interpersonal skills.
  • Accuracy and punctuality – Precise with details and facts.

EDUCATION QUALIFICATION:

  • Master of Computer Applications from Osmania University.
  • Bachelors of Sciences (computers) from Kakatiya University.

EXPERIENCE:

1)     Company: United Health Group, Hyderabad

Worked as a Sr Claims Associate in United Health Group, Hyderabad

  Responsibilities:

  • Coordinate with customers and staff and provide support to all data analysis.
  • Perform data analysis on all results and prepare presentations for clients.
  • Perform audit on data and resolve business related issues for customer base.
  • Coordinate with engineering and product management team and ensure accuracy on all deliverables and prepare summaries.(Claims Analyst)
  • Perform data analysis and facilitate in delivery to all end users.
  • Supervise all client issues and coordinate with managers and supervisors and facilitate in deliverables.
  • Monitor and organize all client invoices and perform all timely assessment for all payment issues.
  • Administer all data for customer invoices and provide company metrics.(Claims Analyst)
  • Monitor and resolve all customer invoice data issues and coordinate with various vendors and manage all previous balance.
  • Organize all consumption anomalies and determine defects for data and prepare appropriate resolutions.
  • Supervise process management tools and ensure compliance to all cycle guidelines.
  • Maintain and document library of invoices and resolve all issues in same.
  • Perform internal audit and prepare all invoices and determine quality improvement processes.
  • Maintain and escalate issues to lead analyst if required.

2)     Company: Sutherland Healthcare Solutions, Hyderabad.

Worked as a Process Associate in Sutherland Global Services, Hyderabad.

  • Assists in implementing production procedures to optimize new and existing manufacturing processes.
  • Gathers research on new and existing technologies and procedures
  • Monitor all transactions and ensure compliance to quality regulations and maintain effective relationships with clients.
  • Manage everyday work activities and informed supervisor appropriately
  • Administer and collect all metrics on processes and identify data points to improve all processes.
  • Documents all transactions on an everyday basis and collate metrics from various associates and prepare appropriate reports.(Claims Analyst)
  • Monitor all data entry operations and ensure compliance to timeframe.
  • Ensure and maintain effective professional relationships with staff.
  • Perform quality check assessment on all processes of various associates.
  • Coordinate with team members and ensure achievement of all team objectives and goals.(Claims Analyst)
  • Analyze all issues of internal and external clients and provide effective resolutions for same.

PERSONAL PROFILE:

Name                                       :           XYZ

Father’s Name                           :         XYZ

Marital Status                            :          Married

Nationality                                 :            Indian

Passport No                               :            00000

Visa Type                                  :           Visit Visa

Hobbies                                     :            Playing cricket.

Date of Birth                             :          31,MaY, 1986

 

Insurance Coordinator Resume Sample

This resume is a sample for the post of Insurance Coordinator. Insurance is a department that requires accuracy and good character qualities. An Insurance coordinator’s job is a strict one as he has to coordinate, manage and arrange different tasks related to the insurance department. Now the question arises how you can write a good and impressive resume for Insurance Coordinator? There are certain specific tips for writing a good resume. You should keep in mind them before starting your resume.

Guidance About Writing Insurance Coordinator Resume Sample:

The resume for this post must be proper. It must entails all of your capabilities along with highlighting your good moral character. It must manifest that you are able to work under pressure and a multiple task manager. (You may want to see Insurance Executive Resume Sample, Health Insurance Manager Resume Sample for better understanding and ideas). Below we have given you an example of such a resume that should help you to create an impressive resume. Finally adding (verified) references to your resume is definitely going to add to the worth of your resume.

Tips For Editing Insurance Coordinator Resume Sample:

All you need is to Ctrl C (copy) the entire text of the resume sample and Ctrl V(paste) it on to your Word document. Having trouble with formatting the text when you Ctrl V (paste)? Click here to resolve!

  1. Add in your personal information as per our guidelines just like fill-in-blanks.
  2. Adhere the most recent, fresh picture of yours.
  3. Enlist your address and available contact information.
  4. Enlist you references and their contact numbers.
  5. Make sure to have the print out on the best quality of paper.
  6. Are you looking for…? Life & Medical Insurance Resume Sample, Insurance Underwriter Resume,

Insurance Coordinator Resume Sample


Name :   XYZ

Email: xxxxxx

Place:  xxxx

Contact No :  0000

CAREER OBJECTIVE:

To serve the organization better with integrity, honesty and confidence; to make use of the opportunities and facilities for the development of organizational and individual goals; and ensure better performance with my technical and managerial skills.

EDUCATIONAL QUALIFICATION:

  • Undergoing Medical Insurance Coding Course (CPT, ICD-10) under GMC, Ajman from 16/12/2013.
  • Master’s in Hospital Administration from Amrita School of Arts and Science with 89% aggregate.
  • Graduation in Economics with 78%aggregate
  • Plus Two in Commerce with 75% aggregate
  • PG Diploma in Human Resources and Marketing from IGNOU.
  • IELTS scored with band 7.

SOFTWARE PROFICIENCY:

  • Operating System: MS DOS, Windows 98, 2000, XP
  • Social Media Awareness.

PROFESSIONAL EXPERIENCE:

Sl.no Organisation Place Position Period
1 Pharmalink Group (Medicina) Sharjah, UAE Insurance Coordinator 2014
2 International Radiology Center Sharjah, UAE Insurance Coordinator 2013
3 KIMS Hospital & Surgical Center Cochin, India Insurance Coordinator 2011
4 Lakeshore Hospital and Research Center Ltd, Cochin Cochin, India Insurance Executive 2009
5 Amrita Institute of Medical Sciences and Research Centre Cochin, India Admin & Insurance Executive 2007

 JOB PROFILE – PHARMALINK GROUP (MEDICINA PHARMACIES), SHARJAH, UAE

  • Supervise, manage and monitor claims submission and re submission to ensure accuracy and processing insurance claims in timely approach.
  • Review and monitor denial reasons and discrepancies, processed claims to minimized revenue loss and maximize reimbursement.
  • Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums and provider settlements.
  • Entered claims online for authorization request (PBM Link, E-Rx, Openjet) and coordinating with Dimensions healthcare for HAAD regulation rules and changes.
  • Entered claims data into system, reviewed and made sure that there is no omitted information, Entered claims into computer utilizing knowledge of CPT, ICD codes and medical terminology.
  • Create a detailed summary report of filled claims for each month and keep tract of the payments, reconciliation, discrepancies and denials for reporting and filling purposes.
  • Checking and review all claims we received from all our branches in Abu Dhabi, Dubai and Northern Emirates. Segregating Claims per facility, per insurance and per TPA.
  • Filing all submitted claims and duplicate of paper claims for audit purposes and re submission for our reference if in-case there is a denial.
  • Performing as a liaison between insurance company’s and provider concerning network agreements, enrollment of the New Pharmacies open and contract renewal.
  • Assist and conduct a training for the new hired Pharmacists regarding insurance policies and the claims department staff in carrying out their duties effectively
  • Inform the pharmacist about new circular received from the insurance companies and new insurance network added in our company
  • Answered inquiries from providers (Pharmacies) on the subject of claim, eligibility, covered benefits, insurance inclusion, exclusions and approval status issues

JOB PROFILE – INTERNATIONAL RADIOLOGY CENTRE, SHARJAH, UAE:

  • Attend Insurance customers in the Clinic.
  • Obtain authorizations from respective Insurance providers for Healthcare services in the clinic.
  • Maintain files and records of all insurance cases.
  • Attend to the customer queries related to Health Insurance.
  • Prepare monthly and weekly and Quarterly MIS of the department.
  • Responsible for assisting patients with the processing of insurance claims and coordinating with insurance companies and TPAs for getting the required claims approval and keeping its proper record. Contacts insurance companies and patients regarding outstanding balances. Researches and resolves insurance billing issues.
  • Assists and reviews claims and E-claims pre and post submission to determine completeness, accuracy and collection of unpaid and denied claims.
  • Facilitate the processing of unpaid and denied claims and receipt of payments from insurance companies.
  • Examine remittance advice to ensure the collection of applicable third party reimbursements.
  • Determine the reason for denied claims and resubmits or follow up with insurance companies to propriety and medical necessity of services by the facility.
  • Verifies new patients insurances and re-verifies that of patients coming back on service.
  • Submits pre-determinations for clinical medical necessity.
  • Review all claims for accuracy.
  • Works closely with Patient Relations Manager, Customers Care Representatives, Nursing Staff, Insurance Manager and providers to ensure claims accuracy and processing.
  • Completes proper tracking and reporting for Finance Department regarding collection and error rates.
  • Interact with insurance companies to research and resolve complex claims billing problems/issues.
  • Prepare, and/or maintain reports on billing and collection activities.
  • Establish working relationships with insurance carriers and third party payers
  • Enters data into the computer as needed
  • Maintains frequent phone contact with case managers at third party insurance companies.
  • Participate and contribute to departmental quality initiatives.
  • Perform any job/task as and when assigned by the superior.

JOB PROFILE IN ORGANISATION’S INDIA:

  • Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements.
  • Taking approvals from Insurance Companies for Inpatient procedures
  • Responsible for filing and tracking insurance claims and informing patients of their claims status.
  • Process insurance and disability claims in a timely manner.
  • Prepares insurance forms and associated correspondences.
  • Dealing with all the famous health insurance companies.
  • Rejected claims to be rectified by providing the requirements needed by the insurance company.
  • Collecting deduction and co insurance from insurance patient.
  • Develop good relationship with various insurance companies.
  • Preparation of IP Insurance Bills.
  • Taking prior approval for lab investigations and other procedures, in case required as per the agreement with the Insurance companies.
  • Giving clarifications to the concerned person in Insurance companies regarding the sent claims.
  • Entertains patients’ queries regarding unpaid balances.
  • Liaise with patients regarding their eligibility and entitlements.
  • Corporate marketing – emplacement of corporate for various medical services
  • Coordinating camps, workshops, awareness programs, exhibitions etc.
  • Internal marketing which includes conducting different programs for employees especially for nurse’s day, special packages for employee referrals.
  • Assists with the development and administration of various departmental programs and prepares reports.
  • Processes invoices and other miscellaneous payments for the department.
  • Responds to department inquiries (mail, phone, email)
  • Develop and maintain good working relationships with all relevant local governmental bureaus, agencies and authorities
  • Interacting with customers, senior-level executives, and all other levels of employees.
  • Provide general administrative support including but not limited to: phones, distributing mail, and preparing expense reports.
  • Organize and maintain file and records.
  • Media Activities – press release, events etc.
  • Preparing monthly and annual reports
  • Day to day operations
  • Inviting International patients from UAE, Oman, Nigeria etc. for treatment.
  • Communicating with international agencies for referrals of patients.
  • Transportation arrangements for the patients.
  • Providing necessary help for the patient for their stay, OP consultation, admissions etc.
  • Make the patients aware about the hospital policies and procedures and also providing financial information to the patients.
  • Handling of Corporate, Executive checkups etc.
  • Administering the day to day operations of the department.
  • Handling insurance related activities.

MAJOR ACHIEVEMENTS in KIMS Hospital:

  • Corporate Tie ups: Tied up with Apollo Tyros, Binani Zinc Limited, Carborundum (CUMI), Cognizant Technologies, UST Global Services, Idea Cellular Limited, State Bank of Travancore, Corporation bank, SUDchemie, Ultratech Cements, Najath School, SCMS College, Aries Telecasting Limited.
  • Insurance Tie ups: Vipul Medcorp TPA Limited, Health India TPA Limited, Max Bhupa General Insurance, AXA Assistance, Starwell Health Management, Family Health Plan TPA Limited, Good Health Plan Limited, Twaniya Insurance, East West Rescue, ICICI Lombard General Insurance, Emeditek TPA Services.

MAJOR ACHIEVEMENTS in Lakeshore:

  • Corporate tie up: Tied up with Indian Oil Corporation, Air India, RBI, Canara Bank
  • Insurance Tie ups: Vipul Medcorp TPA Limited, Health India TPA Limited, Starwell Health Management.

PERSONAL SKILLS:

Comprehensive problem solving abilities, organizing and coordinating skills, good verbal and written communication skills, ability to deal with people, willingness to work in a team, work under pressure.

PERSONAL PROFILE:

Name                                   :        xyz

Husband’s Name                     :        xyz

Nationality                              :        Indian

Date of Birth                          :        22.2.1982

Marital Status                         :        Married

Passport No                            :        00000

Visa Status                            :        Husband Visa

Visa Expiry                             :        21.02.2016

License                                  :        UAE Driving License

Hobbies                                 :        Reading, Traveling, Hearing Music

Languages Known                   :        Malayalam, English, and Hindi

Reference:
Mr. ABC
Sales Manager,
International Radiology Center,