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Skills

  • Claims Auditing
  • Claims Management
  • Claims Review
  • Communication
  • Fraud Analysis
  • Health Insurance

Services

  • medical claims management

    $5/hr Starting at $25 Ongoing

    Dedicated Resource

    *More than 10 years experience in medical insurance claims reviewing. *Appling medical and opereational procedures as contracted. *Detecting medical fraud and abuse claims. *Utilization investigation,analysis...

    Claims AuditingClaims ManagementClaims ReviewCommunicationFraud Analysis

About

Medical insurance claims and fraud investigator

*communication and presentaion skills certifications
*Excutive management and leadership course
*Diploma in health insurance and fraud/abuse cases
*Claims senior supervisor at Ahly medical company AMC Since Jan 2018 till now
*Supervisor claims adjuster at Ahly medical company AMC since January 2015 till December 2017
*Claim adjuster at Metlife international company since the first of June 2010 till may 2015.
*A certificate in principles of insurance (LOMA 280 & LOMA 290).
*A certificate in underwriting (UND 386) and (ALMI) from LOMA organization.
*ALMI certificate from LOMA oraganization (LOMA 301,307 and 310).

Work Terms

avarage 6 hours per operation
Communication by email
payment terms 7$ per hour

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