diala duraidi

Health Claims Officer

About Candidate

I am writing to express my interest in the Health Claims  position at your esteemed organization. With over 20 years of experience in medical claims adjudication and healthcare compliance, I bring a proven track record of accuracy, efficiency, and strategic problem-solving that aligns perfectly with the demands of this role.
During my tenure at MetLife in Dubai, I processed over 10,00000 medical claims with a 98% accuracy rate, consistently ensuring compliance with ICD, CPT, and HCPCS coding standards. My ability to assess medical necessity, negotiate provider pricing, and manage high-value portfolios such as ROG, HAAD, and global claims has contributed to significant operational improvements, including a 25% reduction in adjudication turnaround time.
Beyond technical expertise, I have a passion for mentoring and team development. I’ve trained over 50 new hires, including UAE nationals, and created onboarding materials that enhanced processing consistency and team performance.
I hold a Bachelor of Pharmacy from Applied Science University in Jordan and am certified as a Medical Claims Adjudicator by AHIP. My fluency in both English and Arabic allows me to communicate effectively across diverse teams and stakeholders.
I am excited about the opportunity to contribute to your organization’s continued success and would welcome the chance to discuss how my background and skills can benefit your team. Thank you for considering my application.
Warm regards, Diala Duraidi

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