Yaslam Alqathmi Email & Phone Number

London, On, Ca

London, Ontario, Canada

London, Ontario, Canada

London, Canada

Jeddah, Saudi Arabia

• Managed and monitored major health insurance policies, monitored their daily transactions through our operations team.• Developed long-term relationships with our portfolio of assigned customers and ensured full retention of the accounts.• Liaising between customers, insurers and cross-functional internal teams to ensure the timely and successful delivery of solutions according to customer needs.• In-charge of the full clients and underwriter negotiation, marketing and placement of new business and renewal.* - Supported insured patients to secure the required services in hospitals.• Prepared slips, marketing documents and approached markets (insurers).• Prepared quotes' comparisons (Premium, benefits & network), presentations and submissions to clients.• Education to client and operations team for technical and operational coverage by each policy.• Established and cultivated relationships, implement Brokers agreements based on SLA's• Developed and implemented annual servicing plan for all assigned clients in accordance to the segment.• Ensured that all contentious medical claims from clients are reviewed and that we are actively seen as fighting for clients.• Handled Invoicing, statements Reconciliation and Debts Collection.• Cross selling.• Communicated and organized meetings with insurers.

Jeddah

• Managed 2 Departments ( Customer Service Center & Delegates )• Personally monitored Major Health Accounts Services.• Handled Frequent & Periodical Meetings with our Major Clients to follow & solve their issues.• Handled meetings with the Insurance Department’s Managers of Hospitals/Clinics to follow & develop the daily operations.• monitored the official communication with CCHI through Customer Service Center.• Managed & monitored the daily operations / transactions of CSC team.• Managed the VVIP’s cases/queries• Handled meetings with brokers companies & manage their daily transactions.• Investigated the Fraud Cases (primary investigation) to trace the abuse from Hospitals’/Clinics side. • Monitored of important medical claims, specially claims referred from CCHI etc..• Communicated with Underwriting department for various issues related to medical insurance policy wording & cost control measures.

Jeddah, Makkah Region, Saudi Arabia

• Supervised Customer Service Center – Jeddah.• Managed Customers calls and queries, sort out their issues and resolved them.• Communicated with hospitals/clinics verbally, written officially.• Coordinated with the Management, U/W dept. and other department according to clients needs.• Solved client’s complaints, such as delayed approvals, providers who don’t accept the assigned schemes and their various complaints via phone/email or fax.• Coordinated with Underwriting department & sales team to manage the customers’ needs.• Prepared various correspondences between our dept. and the providers (hospitals/polyclinics).• To facilitate our insured members treatment requirements subject to medical policy terms.• Briefing issuance, faxing and confirmations follow up for:- The New Health Policies.- The Renewed Health Policies.- Hospitals Addition/Deletion to the policy network.• Implemented fraud detection measures to trace the abuse from Hospitals’ side.• Reviewed the abroad medical cases requests & approving them subject to the policy coverage.• Reviewed customers requirements related to cash reimbursement with medical claims dept.

Saudi Arabia

- Handled all admission (in-patient) cases subject to Health Ministry directions. - Reviewed all admissions' required documents in details and ensured its completed. - Coordinated with patients & OPD Manager for all admission & in-patient b cases. - Communicated with insurance companied to get the required approvals for all in-patient (admission) cases. - Recorded all patients medical data in their files prior to the admission. - Collected the admissions' payments from the cash patients (non-insured patients).

Yemen

4 Years Dentistry • Practice Dentistry in the University Dental Center - Treating patients under supervision of the centers' Doctors. - Practiced amalgam filling, dental anesthesia, scaling, polishing and dental extraction. - Secured patient's medical history and record it in their files in full.

Cii Certification, Insurance

Activities and Societies: PIC

Specialist, Health Practitioner Psw

Certificate, Cpr/Aed & First Ai

Bachelor’S Degree, Business Adminstration - Health Services Management & Hospitals

Ifce (Insurance Foundation Certificate Exam), Banking And Financial Support Services

License to practice insurance, brokerage and risk management for the Saudi Arabian Government.

Education record

Diploma, Dentistry

Certificate Of Participating The First Aid, First Aid - Health

Education record

Activities and Societies: Basic Cardiac Life Support / Heartsaver with AED BLS Certificate of Cardiopulmonary Resuscitation (Saudi Heart.

Education record

Activities and Societies: ACGS Certificate

Education record