sirajudheen M
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
