Abdulmoniem Ramadan
@abdulmoniemramadan
Claims Assessor leveraging pharmacy insight and data analytics to streamline health insurance claims.
What I'm looking for
I’m a detail-oriented Claims Assessor with a pharmacy background and 3+ years of experience in health insurance claims management, fraud detection, and regulatory compliance. In my current role, I process and assess 100+ health insurance claims weekly, communicate with internal departments to obtain claim information, and ensure timely, policy-aligned resolutions in line with Egyptian Financial Regulatory Authority guidelines.
Previously, as an Inpatient Pharmacist, I reviewed prescriptions for accuracy, safety, and compliance, advised medical staff on medication selection and interactions, and managed medication inventory while supporting inpatient, OR, outpatient, and clinical pharmacy services. I also bring strong data analysis capabilities—using Excel, Power BI, SQL, and Python—to optimize processes, identify trends, and support strategic decision-making, with a Certified data analysis program behind me. I’m passionate about project management and eager to apply my analytical, organizational, and problem-solving strengths to successful project delivery and continuous improvement.
Experience
Work history, roles, and key accomplishments
Claims Assessor
Bupa Egypt Insurance
May 2023 - Present (3 years 2 months)
Processed and assessed 100+ health insurance claims weekly according to Bupa Global policies. Coordinated internally to obtain claim information, identified potentially fraudulent claims, and ensured claim handling aligned with Egyptian Financial Regulatory Authority guidelines.
Inpatient Pharmacist
Arab Contractors Medical Center
Nov 2021 - May 2023 (1 year 6 months)
Reviewed inpatient prescriptions for accuracy, safety, and compliance with hospital protocols while collaborating with physicians to optimize medication therapy. Managed medication inventory and provided pharmaceutical support across inpatient, OR, outpatient, and clinical pharmacy services to ensure timely medication management and continuity of care.
Education
Degrees, certifications, and relevant coursework
Misr International University
Bachelor of Pharmaceutical Science, Pharmaceutical Science
2016 - 2021
Grade: GPA: 3.28 (Very Good)
Earned a Bachelor of Pharmaceutical Science from Misr International University (2016–2021). Graduated with a GPA of 3.28 (Very Good).
Availability
Location
Authorized to work in
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Skills
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