A seasoned professional with over 16 years of diverse experience in health insurance and services, specializing in operations management, project leadership, financial reporting, and key account management. I have a proven track record in optimizing business processes, managing high-profile accounts, and driving profitability. Expertise in risk management, claims management,and cross-functional team leadership, committed to continuous improvement and operational excellence.
Operational Leadership: Directed day-to-day operations, ensuring the company achieved its service quality and efficiency goals.
Process Optimization: Implemented business process improvements and streamlined workflows to enhance operational productivity and reduce costs.
Risk and Claims Management: Oversaw the management of claims, ensuring adherence to regulatory requirements and efficient claims processing to minimize risks.
Key Accounts Management: Maintained strong relationships with key clients and stakeholders, ensuring client satisfaction and long-term partnerships.
Cross-Functional Coordination: Collaborated closely with finance, HR, and other departments to ensure seamless integration of operations and achieve business objectives.
Compliance and Reporting: Ensured regulatory compliance and prepared detailed reports for senior management, enabling data-driven decision-making.
Leadership and Team Management: Led cross-functional teams, driving operational excellence and fostering a culture of continuous improvement within the organization.
Implement business strategies and plans that align with the short- andlong-term objectives developed in tandem with CEO.
Oversee operations, HR, and Accounts and partner with CEO in Sales & Marketing management so insufficient investment capital can be budgeted for near-term growth targets
Manage capital investments and expenses aggressively to ensure that thecompany achieves investor targets for growth and profitability
Build and maintain trusting relationships with key customers, clients,partners, and stakeholders
Analyzed financial accounting information, presenting key analysis and reports tobusiness
partners.
Key Accounts Management.
Project management, includes technical aspects of policy underwriting and businessProcess orientations.
Continuous Analysis for business process improvement and development.
Managed Health Claims, Loss Management reporting, and Analytics.
Analyze loss management key factors and develop/implement loss control measures.
Led cross-functional projects, identifying opportunities for improvement.
Implemented cost-saving initiatives, addressing long-standing problems.
Lead Team of the Panel Hospitals management & ClientsRelationship.
Approve & Authorize payment vouchers and IBFT payments of Health Division.
Verify and Process IAP, SECP and Audit reports for Health Division.
Cultivate and maintain relationships with key clients or accounts
Implement and monitor policies and procedures to maintain compliance
Oversaw month-end, quarter-end, and year-end closing of books, reconciliations, andjournal entries.
Oversee the day-to-day operations ensuring high-quality customer interactions and adherence to service level agreements (SLAs).
Work to Maintain and expand key accounts, identifying opportunities for upselling orcross-selling
Health Claims Management and Compliance.
Implement and optimize new technologies and systems to enhance efficiency and
customer experience.
Monitor metrics, analyze performance data, and implement improvements to achieve operational excellence.
Ensure seamless coordination between sales, marketing, and customer service teams for a unified customer experience.
Develop and monitor key performance indicators (KPIs) for operations and the Key Accounts Management Section.
Generate regular reports to assess the performance of each function and identify areas for improvement.
Collaborate with other departments, such as finance, logistics, and product development, to ensure alignment and effective coordination.
Address operational challenges, customer complaints, and other issues promptly and effectively.
Implement solutions and preventive measures to avoid recurring problems.