Waly Algusi Email & Phone Number

Dubai, Ae

United Arab Emirates

• Communicates product features and fundamental components to the organization that reflects the product and responds to the needs of various "stakeholders" (i.e., employees, customers, shareholders) while communicating the need and rationale for policies and standards.• Represents product strategy in cross functional project activities• Collaborates with market segment to develop and implement plans to achieve segment product strategies• Performs research and analysis on legislative, competitive and industry issues to recommend new products or product enhancements.• Gathers and analyzes feedback in support of performance analysis for products and continual improvement• Assisting vendor management as relationship manager.• coordinate and organize events from Marketing prospective.• working with Marketing for launching products. • Corporate communications writing: Managed for MEA region, including: o Wrote and designed regional & company-wide employee-facing presentations o Internal communications supporting HR Director and region’s General Manager o Strategic PR thought leadership opportunities in partnership with agency o External communications to brokers, plan sponsors and members, from formal announcements to multichannel World Awareness campaigns o Brand language and design governance, press releases and email editing• Led creation, design and delivery of Aetna's value proposition in UAE; Supported marketing and strategy of vHealth telemedicine launch in UAE; Supported HR culture planning initiatives and related communications; Led product and marketing strategic plan development for Europe, Middle East and Africa region, from insight to execution; led Africa marketing plan development with client in Kenya;

Dubai Emirate, United Arab Emirates

Case Management Associate, Middle East and Africa Position Summary: Provide operational and logistical support to Clinical Case Managers, working in partnership to coordinate the delivery of pre-authorisation services. Rapidly investigate, review and adjudicate claims in advance of treatment taking place. Responsibilities: • Working within the Member Assistance contact center, investigate, consider and pre-authorise treatment globally.• Professionally manage inbound and outbound telephone, fax and email correspondence with customers, brokers, suppliers and all other interested parties ensuring that appropriate and timely communication is maintained at all times.• Complete eligibility verification, escalate medical information to Clinical Case Managers, determine coverage, identify discrepancies, and apply all cost containment measures including identification of opportunities for subrogation and recovery.• Triage and prioritise caseload considering urgency, geographical location and service level.• Take ownership for progression of own caseload, maintain communication, remove barriers, avoid delays.• Follow appropriate escalation process for high dollar claims.• Investigate claims for possible abuse and fraud.• May facilitate training and coaching when considered topic subject matter expert.• Escalate unresolved claims complaints and high costs claims to Service Delivery Leader for guidance.• Continually work to improve best practices procedures and standards.• Ensure compliance with requirements of regional compliance authority/industry regulator.• Adheres to international privacy policies, practices and procedures.• Strives to deliver consistently excellent customer service internally and externally.• Works rotating shifts to meet business requirements.

United Arab Emirates

•• Processes medical service requests and medical inquiries with strict adherence to confidentiality agreements and policies and procedures.•Contact Medical/Dental providers, hospitals, and clinics in US to solve participants’ issues and to provide assistance when required.• Verify check payment status and liaison with claims team to stop/re-issue payments for the participants• Maintains files, logs, lists, manuals, and indexes of clients or provider enrollments, claims, payments, work area guidelines, authorized treatment procedures, corresponding fees, and other records.• Verify medications coverage, contracted Doctors, hospitals, and pharmacies for participants.• Contact Medical/Dental providers to solve participants’ issues and to provide assistance when required. • Resolve customers' service or billing complaints by performing activitiessuch as exchanging merchandise, refunding money, and adjusting bills. • Service and a positive impression of the organization. • Check to ensure that appropriate changes were made to resolve customers' problems.• Recommend improvements in products, packaging, shipping, service, or billing methods and procedures in order to prevent future problems.

Sudan

Emergency room Operation rooms Intensive care unit (I C U) Radiology department. Maintenance of dental chair equipment's Installation equipment of laboratory. Installation, Maintenance and Repairs of our equipment Training and Familiarization of Partner and Customer Service Support of our Distribution Partner in the region