Summary
Overview
Work History
Education
Skills
Timeline
Generic

Abrar Almuhandeb

Medical Insurance
Dammam

Summary

Highly disciplined employee with main goal to maximize profits for the company and minimize losses by competent analysis of insurance cover applications. Equipped with solid background in the insurance industry, as well as strong analytical, research. Possessing strong experience as an Insurance Underwriter and Medical Claims auditor for two different companies. imperative first-hand knowledge and sharp medical risk assessment as well decision-making abilities.

Overview

6
6
years of professional experience

Work History

Medical Auditor/Medical Underwriter

Gulf Union
Dammam, Eastern Province
04.2021 - Current


  • Conduct medical underwriting analysis
  • Prepare policies by insuring all risk factors have been taken into consideration
  • Review and prepare quotations to process contract within authority limit
  • Determine customer’s loss ratio and reporting it to management with recommendations
  • Investigate suspicious dental claims in regard to fraud or malpractice in coordination with higher management.
  • Highlighting & escalating abusive trends, patterns,or any unwarranted/Fraudulent practices to the concerned departments for corrective actions.
  • Audit Dental claims(Direct Billing/ Reimbursement) as per policy, provider agreement and medical necessity.

Medical Case Manager

Total Care Saudi
03.2019 - 04.2021
  • Handling dental and medical cases
  • Approving cases in timely manner
  • Working on Hajj/Ummrah insurance program
  • Handling GOSI cases
  • Auditing cases with medical service providers

Intern

Safwa Hospital
07.2018 - 08.2018
  • Working in prosthodontic & pedodontic clinics

Intern

Jubail central Hospital
03.2018 - 04.2018
  • Worked in surgery & endodontic clinics

Riyadh Colleges of Dentistry & Pharmacy
06.2017 - 01.2018
  • Completed 3 comprehensive cases
  • Coordinating with patient for their appointments
  • Handling materials as well as appointment schedule
  • PROJECTS
  • Attended international dental conference & exhibitions around GCC region

Education

Bachelor Of Dental Surgery -

Riyadh College of Dentistry & Pharmacy
05.2011 - 1 2018

Skills

    * Maintained knowledge of all recent events and trends within the underwritten industry

undefined

Timeline

Medical Auditor/Medical Underwriter

Gulf Union
04.2021 - Current

Medical Case Manager

Total Care Saudi
03.2019 - 04.2021

Intern

Safwa Hospital
07.2018 - 08.2018

Intern

Jubail central Hospital
03.2018 - 04.2018

Riyadh Colleges of Dentistry & Pharmacy
06.2017 - 01.2018

Bachelor Of Dental Surgery -

Riyadh College of Dentistry & Pharmacy
05.2011 - 1 2018

Similar Profiles

CREATE PROFILE
Abrar Almuhandeb Medical Insurance