JAMAL AHMED
Senior Claims Executive Officer
Karachi
Summary
Dedicated and detail-oriented Claims Executive with over six years of experience in claims management within the health insurance and Takaful sectors. Expertise in 24/7 helpline support, client counseling on health card utilization, and ensuring accurate claims evaluation and processing. Demonstrated ability in reconciling outstanding payments with network hospitals and collaborating with medical professionals to optimize cost efficiency.
Overview
11
11
years of professional experience
1
1
year of post-secondary education
1
1
Certification
2
2
Languages
Work History
Senior Claims Executive Officer (Panel Section)
Pak-Qatar Family Takaful
09.2024 - Current
- Managed client recovery payments and ensured timely follow-ups.
- Provided detailed briefings on payment recoveries to stakeholders.
- Developed strong relationships with sales agents to streamline payment processes.
- Automated procedures to enhance efficiency and ensure smooth payment processing.
- Facilitated employee training programs designed to enhance skill sets and boost overall productivity levels.
- Established performance metrics to monitor progress toward organizational goals and objectives.
- Assessed organizational structure periodically for potential improvements, leading to increased operational efficiency.
- Enhanced team productivity by streamlining processes and implementing time-saving strategies.
Claims Executive Officer (Panel Section)
Pak-Qatar Family Takaful
01.2022 - 09.2024
- Managed a 24/7 helpline, offering prompt assistance to hospitals
- Guided clients on effectively using health cards to maximize benefits
- Reconciled payments to network hospitals for timely claim settlements
- Evaluated, processed, and notified claims efficiently
- Assisted doctors in cost-saving by verifying medical needs and compliance with rates
- Worked with healthcare professionals to manage and reduce claims-related costs
Junior Officer Claims (Panel Section)
Allianz-EFU Health Insurance
05.2018 - 01.2022
- Notifying and processing insurance claims efficiently
- Dispatching cheques in a timely manner
- Evaluating claims and generating necessary requirements
- Reconciling outstanding payments with network hospitals
Material Control Officer
Pioneer Cables
08.2015 - 04.2018
- Responsible for controlling PVC in the production
- Daily report on excess PVC and available stock in the warehouse
- Maintained daily production reports
Internee
ABM Data System
01.2014 - 07.2015
- Epson printer repairing
- Managed stock in the warehouse
- Prepared daily reports of ready printers
Education
B.Com -
Allama Iqbal Open University
01.2022 - 01.2023
Intermediate - Science
Karachi Board
Skills
- Data Analysis & Visualization
- SQL & Database Management
- Excel & Google Sheets
- Python for Data Analysis
- Data Cleaning & Preprocessing
- Dashboard & Reporting (Tableau/Power BI)
- Statistical Analysis
- Business Intelligence
- Problem-Solving & Critical Thinking
Certification
Google Data Analytics
Playing Chess
I enjoy playing chess because it enhances my strategic thinking and problem-solving skills. It helps me stay focused, think ahead, and analyze different possibilities before making a decision.
Timeline
Google Data Analytics
10-2024
Senior Claims Executive Officer (Panel Section)
Pak-Qatar Family Takaful
09.2024 - Current
Claims Executive Officer (Panel Section)
Pak-Qatar Family Takaful
01.2022 - 09.2024
B.Com -
Allama Iqbal Open University
01.2022 - 01.2023
Junior Officer Claims (Panel Section)
Allianz-EFU Health Insurance
05.2018 - 01.2022
Material Control Officer
Pioneer Cables
08.2015 - 04.2018
Internee
ABM Data System
01.2014 - 07.2015
Intermediate - Science
Karachi Board
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