sirajudheen M

Revenue Cycle / Claims Manager
September 22, 1997

About Candidate

·         Managed insurance operations for 30+ pharmacy branches across UAE, ensuring smooth claim processing and compliance

·         Handled end-to-end claims lifecycle, including submission, rejection analysis, and resubmission

·         Reduced claim processing delays by improving documentation accuracy and coordination with pharmacy teams

·         Coordinated with TPAs and insurance providers (e.g., NextCare, NAS, MedNet, Daman& All major insurances) for approvals and claim resolutions

·         Monitored and resolved claim denials and billing discrepancies, improving payment turnaround time

·         Managed reconciliation of insurance claims and payments, ensuring accuracy in financial reporting

·         Tracked outstanding claims and followed up with insurers to improve cash flow efficiency

·         Led staff training on claim submission protocols, compliance requirements, and denial prevention

Supported empanelment processes and assisted in contract coordination with insurance providers

 

Location