Gulf Electronic Management Systems Co.W.L.L

Gulf Electronic Management Systems Co. W.LL., or GEMS as everyone knows us by is a Bahrain based Third Party Administrator in Medical & Motor Claims Administration. We have been operating for over 13 years now in the GCC with over 70 staff, 24 dedicated in motors claims and assistance, 25 dedicated in medical network, claims and call centre personnel, and 8 medically trained doctors. Already processing medical policy and medical assistance claims for 3 major Bahraini insurers and the Bahrain Ministry Of Health Overseas Patients Scheme. Processing all motors claims, assistance and replacement vehicle services for one of Bahrain’s largest motor insurers. Third Party Administration Services in Medical Claims Administration, Online Pre-Approvals, Customer Care Services, Provider Network Direct Billing Services, Provider Account Reconciliations and Fraud investigation. Strong Domain Knowledge with over 12 years of Regional Experience in handling Claims in Bahrain, GCC, Middle East, Europe, Far East and China. MEDICAL CLAIMS SERVICE CAPABILITIES Extensive Direct Billing / Cashless healthcare provider network Discounted tariffs to ensure cost effective spend Automated claims adjudication to monitor policy limits and settlement Toll free 24 x 7 x 365 Multi-language call Centre based in Bahrain In-house medical audit of claims to control fraud & abuse On-line portals for healthcare providers and insurers, Mobile Apps for members with push SMS Detailed MIS reporting for all stakeholders Wellbeing and health screening initiatives In-house software development team Full DR site and BCP. MOTOR CLAIMS SERVICE CAPABILITIES Processing over 20,000 Motor Insurance Claims annually and Road side assistance with car replacement for around 6,000 Motor vehicles annually. Dedicated own Surveyors and garage network Seamless functionality from First Notice of Loss to finalization of claim and payment Toll free 24 x 7 x 365 Multi-language call Centre based in Bahrain Detailed MIS reporting for all stakeholders CONTACT PERSONS Emanuel Lantzos, Chief Executive Officer +973 6634 6646, Emanuel.lantzos@gemstpa.com Dr. Sherif Kwsen, Medical & Helpdesk Operations Manager + 973 3840 6383, Sheriff.Kwsen@gemstpa.com Bhairav Desai, Claims Operations Manager +973 3362 1129, Bhairav.desai@gemstpa.com Sachin Sawant, Asst. Manager Provider Network & Client Relations +973 3840 9284, Sachin.sawant@gemstpa.com Main: +973 800 44367 www.gemstpa.com