LAITH AHMAD ALI HASHKI
RIYADH,al rawdah
Summary
Detail-oriented Medical Claims Officer with over 8 years of experience in insurance procedures. Expertise in processing claims efficiently and accurately, contributing to organisational objectives. Seeking a role in a reputable firm to leverage skills and professional background for mutual growth.
Overview
2
2
Languages
11
11
years of professional experience
Work History
Insurance Accountant
Remain Medical Complex
RIYADH, al rawdah
06.2026 - Current
- Managing and reviewing medical insurance claims and related financial transactions.
- Verifying medical invoices and ensuring accurate billing of services provided to insured patients.
- Monitored outstanding receivables from insurance companies, ensuring timely follow-up on pending payments to enhance cash flow.
- Reconciling insurance company statements with the medical centre’s accounting records.
- Recording insurance payments, adjustments, deductions, and settlements in the accounting system.
- Reviewed rejected and deducted claims, coordinating with relevant departments to resolve discrepancies and minimise claim loss.
- Prepared periodic reports on submitted, outstanding, rejected, and collected insurance claims to provide insights into claim performance and streamline processes.
- Coordinating with the Claims, Medical, Billing, and Finance departments to ensure accurate and timely claim processing.
- Maintaining accurate financial records and supporting monthly closing and reconciliation activities.
Insurance Accountant
Jordan Hospital
Amman
06.2025 - 03.2026
- Coordinated with insurance companies to secure approvals for medical procedures, examinations, and treatments, facilitating patient care.
- Managed medical insurance approval requests, ensuring timely follow-up with insurance companies for efficient processing.
- Followed up on medical claims and coordinated with medical and finance departments to ensure accurate processing.
- Reviewed patients’ insurance coverage and verified eligibility for medical services.
- Verified insurance information and ensured patients’ coverage was valid and up to date.
- Resolved issues related to rejected requests and insurance inquiries through proactive follow-up with insurance companies.
- Coordinated between patients, insurance companies, and medical and administrative departments to facilitate the approval process.
- Maintained accurate records of patients’ insurance information and approval transactions.
Medical Claims Officer
Gulf Insurance Group to Kuwait Hospitals.
Amman
01.2016 - 01.2023
- Evaluates and processes claims in accordance with insurance policy terms and conditions, company policies and procedures according to productivity and quality standards.
- Evaluates claims with regards to eligibility.
- Decided on high cost and complicated cases, adhering to standard operating procedures to mitigate risk.
- Oversaw daily claims administration tasks, ensuring timely and accurate processing.
- Coordinates work flow & meet deadlines.
- Handled International Preauthorization cases based on established guidelines.
- Attends calls and e-mails from insurance companies, clients, and providers.
- Coordinates with international providers for direct billing.
- Proposed service delivery enhancements informed by client feedback to improve overall satisfaction.
- Increases efficiency, minimizes errors and administration time.
Education
Diploma - Accounting
Intermediate college
Amman, Jordan01-2012
Skills
- Insurance skills
- Accounting skills
- Accounts receivable
- Risk management
- Accuracy
- Microsoft Office
- Time management
- Problem solving
- Work under pressure
- Communication Skills
- Team Work
- Organisation
- Customer service
Languages
Arabic: Native (mother language)
English: Good (Speaking, Writing and Reading)
References
Available upon request.
Training Courses
- Successfully attended and completed the following courses:
- Roles and responsibilities towards work.
- Directing people to work.
- Presentation and presentation skills.
- Managing priorities and tasks.
- Managing stress at work.
- Critical thinking.
- Six Sigma Team Dynamics, Roles, and Success Factors.
- Preparing and Implementing a Business Plan.
- Managing in a Crisis.
- Business Continuity Management Programs.
- Administrative Support: Developing Your Essential Skills.
- Keeping Top Performers Challenged.
- Management & Leadership Essentials.
- Key Elements of Business Execution.
- Forging Ahead with Perseverance and Resilience.
- Positive Atmosphere: How Organizational Learning Drives Positive Change.
- Positive Atmosphere: Establishing a Positive Work Environment.
- Introduction to emotional intelligence.
- (emotional awareness of others) social awareness.
- Self-awareness.
- Self-management.
- How do you manage your anger in the work environment.
- How do you manage the anger of others in the work environment.
- Writing Skills for Public Relations Extra courses.
- Cardiopulmonary resuscitation (CPR): first aid.
- Social communication skills.
Timeline
Insurance Accountant
Remain Medical Complex
06.2026 - Current
Insurance Accountant
Jordan Hospital
06.2025 - 03.2026
Medical Claims Officer
Gulf Insurance Group to Kuwait Hospitals.
01.2016 - 01.2023
Diploma - Accounting
Intermediate college