Dr.Priya Crasta Email and Phone Number
Dr.Priya Crasta work email
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Dr.Priya Crasta personal email
•Experience of 14 years within Medical insurance in Dubai covering areas of medical claims assessment, Global audits, product analysis, Training, Large account on boarding & leading a team.•Good knowledge of medical insurance policies, technically well versed with Global market practices.Doctor of Homoeopathic Medicine with practical experience over 2 years in India.•Self-motivated, committed with professional excellence, enjoy new challenges, quick learner, and with sharp analytical skills.•Team Player within a multinational, multi-cultured work force. •Won various accolades for excellence in work & projects handled
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Claims ManagerNeuron Uae Dec 2020 - PresentUnited Arab Emirates -
Claims ManagerCigna Sep 2016 - Nov 2020Dubai, United Arab Emirates -
Quality & Audit Team LeadAetna Mar 2015 - Feb 2016Dubai•Act as an advocate for and support the business by serving as a quality champion through measuring and monitoring the quality and effectiveness of work processes in claim processing.•Managing day to day workflows for continuous Quality improvements through measurement, analysis, training and consulting.•Supervising the Quality team, and overseeing the day to day activities of the Quality Team.•Allocation of monthly audits to the team and overseeing of the timely completion of audits.•Ensure team meets their targets. Review the performance of the team via scorecard measures, key performance metrics and service level agreements.•Monthly reporting of Quality scores to the management & reporting error trends to the claims team for any retraining. -
Quality ConsultantAetna Feb 2012 - Feb 2015Dubai•Handled Quality audits on Global claims and completed in the stipulated time frame.•Supporting the in house claims teams and vendor teams with complex claims queries.•Scheduling biweekly quality hours, to discuss error trends, training & cascade new claims procedures.•Liaise with network team, & cross functional teams to develop processes & workflows.•Resolved Complex claims scenarios within established time frame.•Created reference guides for claims team.•Was chosen as a trainer to train the new vendor team during the transition period.•Travelled to vendor site to deliver training on new processing platform – Open health.•Training Sales & Account management teams on the bespoke policies & Claims process.Achievements :Received the Aetna Silver Award for excellence in delivering the training to the vendor team & completing the transition process with high excellence– Feb 2013
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Quality Assurance AnalystAetna Dec 2009 - Jan 2012Dubai•Conducted quality reviews/audits to measure compliance with published policies, procedures.•Identified and distributed errors to business partners.•Assisted with day –to – day maintenance and operations of assigned functional unit.•Perform root cause analysis of data to identify and communicate trends during day to day work.•Conducted meetings with vendors to discuss error trends, queries, and train on new policies & guidelines.•Travelled to vendor site to train on the global claims processing.•On-shore pre-pay audits and post pay audits were conducted with required training needs. Achievements3Q 2010 – Aetna Global Best Award
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Claims AssessorAetna Jun 2006 - Nov 2009Dubai•Assessing & processing of both Direct billing/ Reimbursement claims.•Handling claims for bespoke & large accounts.•Applying medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies and apply all cost containment measures to assist in the claim adjudication process.•Liaising with medical facilities & Doctors regarding medical reports, to clarify on additional information required to process the claim.
Dr.Priya Crasta Skills
Dr.Priya Crasta Education Details
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Fr. Muller'S Homoeopathic Medical CollegeHomeopathic Medicine/Homeopathy
Frequently Asked Questions about Dr.Priya Crasta
What company does Dr.Priya Crasta work for?
Dr.Priya Crasta works for Neuron Uae
What is Dr.Priya Crasta's role at the current company?
Dr.Priya Crasta's current role is Claims Manager.
What is Dr.Priya Crasta's email address?
Dr.Priya Crasta's email address is cr****@****tna.com
What schools did Dr.Priya Crasta attend?
Dr.Priya Crasta attended Fr. Muller's Homoeopathic Medical College.
What skills is Dr.Priya Crasta known for?
Dr.Priya Crasta has skills like Microsoft Excel, Insurance, Customer Service, Management, Microsoft Office, Leadership, Strategic Planning, Process Improvement, Project Management, Health Insurance.
Who are Dr.Priya Crasta's colleagues?
Dr.Priya Crasta's colleagues are Ashraf Laila, Yolanda Cerillo, Dr. Samir Deshmukh, Pamila Lincoln Lincoln, Elsheikh Mohamed, سامح البديوي, Princess Mae Aquino.
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