REEM ABDULKAREM ALANBARI

• Monitor and manage insurance policies.
• Risk mitigation strategies implementation.
• Design and develop insurance policies.
• Analyze the insurance need of the organization.

• Directing the team and evaluating performance, organizing training and distributing tasks, and resolving issues to ensure goal achievement and compliance with policies.

• Add, save, and follow up on the document.
• Loss record analysis.
• Follow up of employees visit invoices.
• Make quotations for document renewal.
• knowledge of the regulations of Council of Health Insurance.

- Health insurance claims :
• Review and process claims.
• Verify documents for accuracy.
• Evaluate coverage based on policy.
• Communicate with members for information.
• Coordinate with healthcare providers.
• Prepare claims reports.
• Analyze claim denials and improve processes.
• Monitor compliance with regulations.
• Submit claims to insurers.
• Suggest process improvements.

• Analyzed customer complaints for validity.
• Collected evidence related to potential fraud cases.
• Conducted investigations into suspicious claims.
• Evaluated reports and recommended fraud classifications.
• Collaborated with underwriting and claims teams.
• Prepared periodic fraud reports for management.
• Provided training on fraud recognition.
• Monitored suspicious activities using data analysis.