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Suveba Taranum

@suvebataranum

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Experienced Medical Insurance Claim Associate with a focus on efficiency.

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What I'm looking for

I am looking for a role that allows me to leverage my medical claims expertise while contributing to a collaborative team environment focused on patient care and operational excellence.

I am a dedicated Medical Insurance Claim Associate with extensive experience in processing claims, ensuring compliance with operational standards, and managing daily administrative tasks. My journey in the medical field began with a Medical Degree from Rajiv Gandhi University of Health Sciences, which laid the foundation for my expertise in evaluating claims and authorizing settlements.

Currently, I serve as a Senior Medical Claim Associate at QLM Life and Medical Insurance, where I review and authorize insurance claims, ensuring they are valid and processed according to company policies. My previous roles, including Medical Claim Assessor at Al Koot Insurance and General Practitioner at Shifa Clinic, have equipped me with a comprehensive understanding of patient medical histories and the intricacies of medical claims processing. I pride myself on my ability to coordinate effectively within teams and meet deadlines consistently.

Experience

Work history, roles, and key accomplishments

Current

Sr. Medical Claim Associate

Current

QLM Life and Medical Insurance

Feb 2022 - Present (3 years 4 months)

Reviewed, examined, calculated, and authorized insurance claims, ensuring validity and adherence to company practices. Managed reimbursement and direct billing claims efficiently.

Claims Claims Processing Medical Claims

Medical Claim Assessor

Al Koot Insurance And Re-Insurance

Jun 2019 - Jun 2020 (1 year)

Assessed patient medical history and reviewed medical diagnoses to process medical claims for reimbursement. Managed conflict and coordinated effort distribution within the team.

Conflict Management Team Coordination

General Practitioner

Shifa Clinic

Apr 2011 - Jan 2017 (5 years 9 months)

Handled all clinical cases independently in the OPD and observation unit, including diagnosis and treatment. Performed minor OTs such as suturing and first aid.

OPD Management Minor Surgeries Clinical Treatment

Duty Doctor

R.R. Hospital and Trauma Center

Apr 2011 - Jul 2013 (2 years 3 months)

Independently managed OPDs and IPDs, assisting senior doctors in gynecological and pediatric cases. Coordinated and delegated further correlations like blood tests and X-rays.

OPD Management Gynecological Cases

Internship

K.C. General Hospital

Mar 2010 - Mar 2011 (1 year)

Provided effective patient care using advanced medical treatments and diagnostic techniques. Collaborated with other medical professionals to ensure best practices and utilized the latest medical technologies.

Patient Care Diagnostics Medical Technology