Mohammed Hassan Tawfik
Jeddah,Saudi Arabia
Summary
Accomplished insurance professional with extensive expertise in digital transformation, claims management, and client relationship management. Proficient in insurance software, Microsoft Office Suite, and technical reporting. Demonstrates strong negotiation aptitude and strategic leadership skills, with a deep understanding of market trends and insurance laws. Experienced in fraud detection, dental insurance, medical billing and coding, contract review, and revenue cycle management. Adept at managing multi-tasking environments and proficient in ICD-10 coding. Career goal: to leverage comprehensive insurance knowledge to drive operational excellence and enhance customer satisfaction.
Overview
21
21
years of professional experience
4
4
years of post-secondary education
Work History
Insurance manager
Magrabi Health
Jeddah, Mecca Region
03.2020 - Current
- Handled complex claims with diligence and professionalism, resolving issues promptly.
- Conducted thorough market research for insight into competitive pricing models.
- Maintained up-to-date knowledge of regulatory changes in the insurance industry, ensuring compliance at all times.
- Implemented new software systems to enhance data management and streamline workflow.
- Resolved escalated customer complaints professionally maintaining company reputation.
- Managed comprehensive insurance programmes for diverse clientele, ensuring complete coverage.
- Collaborated with other departments in product development initiatives, creating innovative solutions.
- Developed risk management strategies for clients to mitigate potential losses.
- Ensured timely preparation of reports for senior management review.
- Reviewed existing policies for potential updates or improvements, enhancing service offering.
- Coordinated training workshops for staff development, boosting team competency levels.
- Analysed financial data for informed decision making on policy adjustments, ensuring profitability.
- Streamlined operational procedures to improve overall efficiency within the department.
- Increased client retention by building strong relationships and providing excellent customer service.
- Prepared insurance claims for submission to clearing houses or insurance companies.
- Obtained prior authorisation and pre-certification for outpatient procedures.
- Coordinated team rotas to meet branch needs whilst limiting staffing costs.
- Developed workplace culture for improved staff retention.
Audit officer
Tawuniya insurance company
Riyadh
03.2010 - 03.2020
- Conducted thorough reviews, improved accuracy in reporting.
- Developed sound recommendations by analysing complex financial data sets.
- Coordinated cross-departmental communication for seamless auditing process implementation.
- Assured compliance by conducting detailed internal audits.
- Handled risk management for company safeguarding.
- Identified fraudulent activities to mitigate losses.
- Mitigated potential risks through meticulous reviews of policies and procedures.
- Led comprehensive audit projects; enhanced company-wide compliance and governance standards.
- Prepared detailed audit findings reports to provide insightful feedback to management teams.
- Analysed data using optimum statistical techniques to understand or improve information relevance.
District manager
Egyphar Pharmaceuticals
Minia, Egypt
01.2007 - 12.2009
- Achieved sales targets through effective team management.
- Maintained communication channels between upper management and frontline employees, facilitating better understanding of company goals.
- Managed multi-site operations to ensure seamless business continuity.
- Mentored new hires to foster talent retention.
- Improved district performance by implementing strategic plans and policies.
- Developed training programmes for staff skill enhancement.
- Travelled across the district to oversee store operations.
- Ensured compliance with company standards, maintaining brand reputation.
- Conducted audits and risk assessments to achieve regulatory compliance.
- Managed staffing schedules for high numbers of employees, delivering operational efficiency whilst remaining under budget.
- Analysed sales reports to identify trends and update strategies.
- Managed team of [Number] staff, driving performance with motivational strategies to exceed sales targets.
- Developed marketing plans to support department strategies.
Medical representative
Egyphar Pharmaceuticals
Minia , Egypt
05.2004 - 12.2006
- Organised regular meetings with healthcare professionals for effective product promotion.
- Developed a deep understanding of medical products by extensive research.
- Attended national and regional medical conferences for networking opportunities.
- Focused on customer satisfaction during every interaction, building strong business relations.
- Established strong professional relationships with key opinion leaders in the medical field.
- Collaborated with sales team to meet quarterly targets without fail.
- Enhanced product knowledge amongst doctors and pharmacists through detailed presentations.
- Liaised with medical staff whilst promoting benefits of new drugs.
- Implemented successful strategies for achieving sales targets within assigned territory.
- Communicated effectively with healthcare professionals to promote pharmaceutical products.
- Presented new product lines to key medical and healthcare professionals.
- Increased revenue by acquiring new customers and determining needs to offer relevant products.
Education
Bachelor of Science - Biology
Minia university
Minia -Egypt 09.1998 - 11.2002
Skills
- Insurance software proficiency
- Digital transformation
- Knowledge of insurance laws
- Negotiation aptitude
- Market trend understanding
- Microsoft office suite proficiency
- Claims adjusting
- Technical reporting
- Strategic leadership
- Fraud detection
- Client Relationship Management
- Claims management
- Customer Service
- Dental insurance experience
- Insurance knowledge
- Medical billing and coding
- Contract review
- Revenue cycle management
- Medical terminology proficiency
- Insurance claims and denial processes
- Multi-tasking
- ICD-10 coding
Languages
English
Intermediate
Timeline
Insurance manager
Magrabi Health
03.2020 - Current
Audit officer
Tawuniya insurance company
03.2010 - 03.2020
District manager
Egyphar Pharmaceuticals
01.2007 - 12.2009
Medical representative
Egyphar Pharmaceuticals
05.2004 - 12.2006
Bachelor of Science - Biology
Minia university
09.1998 - 11.2002
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