Ahmed Mosaed Email & Phone Number

Egypt

Saudi Arabia

Cairo, Egypt

Cairo, Egypt

-Achieved a 20% increase in annual recoveries in my first year as a senior through the utilization of advanced investigative techniques and strong negotiation skills.-Detected a fraud ring that was faking COVID-19 admissions, resulting in direct savings of over 1 million Egyptian pounds and avoidance of the same amount.-Developed and implemented a provider.

Egypt

-Successfully automated all required reports and presentations to the team through the use of advanced scripting and programming techniques, resulting in significant operational cost savings and increased efficiency.-Leveraged expertise in programming languages such as Python (Plotly Dash, Python-pptx), HTML, JavaScript, and SQL to create advanced.

Cairo Governorate, Egypt

-Successfully achieved over 12 million Egyptian pounds in savings through the identification and investigation of fraudulent cases.-Utilized data analysis skills to detect fraud cases, manipulating large data sets and simplifying them into key performance indicators (KPIs) to identify anomalies and outliers.-Developed and implemented a closed file review.

-Managed on-site medical services for 5 factories within the Al Sweedy group, identifying and mitigating health risks for employees.-Developed and maintained comprehensive medical files for patients, including managing chronic cases with both short and long-term treatment plans.-Received official recognition and appreciation for the work done in managing.

Maadi, Cairo Governorate, Egypt

-Achieved substantial cost savings through effective case management and waste avoidance while maintaining the highest level of professionalism and ensuring patients receive appropriate treatment.-Led a team of 27 members, overseeing inpatient approvals, outpatient approvals, and medical approvals call center, consistently meeting and exceeding Service.

Maadi

New Cairo 1, Cairo Governorate, Egypt

-Developed a deep understanding of the insurance system in Saudi Arabia, including its rules and regulations.-Created and implemented effective reply templates for use by other team members, resulting in a 15% increase in team performance on average.-Managed VIP members, ensuring the highest level of service and receiving zero complaints throughout my.

Maadi, Cairo Governorate, Egypt

- Successfully reviewed and made coverage determinations for medical treatment requests, ensuring compliance with insurance plan guidelines.- Communicated effectively with patients, physicians, and different providers to explain coverage decisions and address concerns.- Consistently met and exceeded performance expectations, being recognized as a top.