Bismah Hasnain
Health Insurance Specialist
House# 17, Street #16, Javaid Bahria Society, Near Hawksbay, Karachi
Summary
More than 8 Years of experience in different divisions of Health Insurance of Multi Cultured Organizations. Looking to use my experience and talent to grow my career, sustaining a motivated team and achieving organizational goals together.
Overview
8
8
years of professional experience
6
6
years of post-secondary education
Work History
Manager Health Claims
IGI Pakistan
Lahore
06.2021 - 05.2022
- Responsible for Reimbursements, IPD and OPD of customers like Coca Cola International, LUMHS education system, Packages Pakistan etc
- Responsible for the medical insurance and claim benefits to the clients who had contacted the hospitals
- Developed and Managed new Policies.
- Discussing and guiding client and hospital regarding policies and claim procedures
- Conducting Seminars and preparing presentations
- Evaluations of Panel Hospital Claims and and Non Panel Reimbursements
- Cross-training of existing Teams, employees to maximize team agility and performance..
- Accomplished multiple tasks within established timeframes.
- Onboarded new employees with training and supporting documentation done through team
- Maximized performance by monitoring daily activities and mentoring team members.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
Assistant Manager Health Claims
Adamjee Health Insurance
Lahore
12.2015 - 05.2021
- Looking after Reimbursements, IPD and OPD of customers like Meezan Bank, MCB, BYCO Petroleum, Indus Motors, Pakistan International Terminal, Nestle Pakistan, IBEX Global, Weather Ford Oil and Gas Company, Nishat Group of companies etc.
- Mentored team members to enhance professional development and accountability
- Attention to details and observant of protocols and ensuring implementation of claim policies
- Managing and handling team of four doctors
- Deals with the queries of Clients and Hospitals
Case Manager Health Department
Jubilee Life Insurance
Lahore
02.2014 - 11.2015
- Looking after Reimbursements, IPS and OPD of customers like Mobilink, Kashaf Foundation, Pepsi International etc.
- Evaluation of claims, approval of panel hospital, visiting panel hospital for case management
- Performing liaison between hospital and clients
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Interacting with clients for exceptional customer service
- Verification and evaluation of coverage of health insurance
- Partnered with physicians, social workers, activity therapists, nutritionists, and hospitals to implement individualized care plans and documented patient interactions and interventions on portal
- Facilitated individual and group sessions to promote positive behavior change for clients.
- Provided education on health and nutrition for patients to maintain healthy habits and wellbeing.
Education
Bachelor of Science - MBBS
Liaqat University of Medical And Health Sciences
01.2006 - 01.2012
Skills
Medical Terms, Policies and Procedures
Managing and Handling Claim Projects
Handling of multiple customer ( more than 30) policies
Improvement initiatives
Contract Management
Coaching and mentoring
Negotiation
Timeline
Manager Health Claims
IGI Pakistan
06.2021 - 05.2022
Assistant Manager Health Claims
Adamjee Health Insurance
12.2015 - 05.2021
Case Manager Health Department
Jubilee Life Insurance
02.2014 - 11.2015
Bachelor of Science - MBBS
Liaqat University of Medical And Health Sciences
01.2006 - 01.2012