Sheeba Jose
Philadelphia
Summary
Experienced with insurance claims handling and team leadership in supervisory roles. Utilizes strong analytical skills to assess and mitigate risk effectively. Knowledge of regulatory requirements and best practices ensures operational compliance and efficiency.
Overview
20
20
years of professional experience
Work History
Health Insurance Supervisor and Advisor
Bahrain Defense Force Hospital
06.2003 - 11.2023
- Providing trainings and instructions to freshers
- Attending All Out Patients and scheduling appointments with respective Doctors
- Issuing Bills for consultations and other procedures
- Taking approvals for all out patient procedures which required approvals
- Drafting medical reports and submitting to concern Doctors
- Approaching Insurance companies for procedure approvals
- Scheduling meeting with Insurance companies regarding new policies and updated protocols
- Approaching insurance companies for urgent approvals Via calls or Emails
- Checking treatment, medications, diagnosis, complaints and other medical details in the Preapproval requests sent by the providers
- Having timely meetings with team for product guidance and updated knowledge
- To take all necessary action to smoothen and faster the process of approval reaching the patients
- Maintained a clean and organized workspace, promoting a welcoming environment for customers
- Balanced cash registers accurately at the end of each shift, minimizing discrepancies and errors
- Processed customer orders and accurately handled payment transactions
- Handled high-pressure situations calmly, maintaining composure during busy periods or difficult interactions
- Met customer service goals and exceeded customer expectations
Education
B.com - Accountancy, Economics, and Costing
Barkatullah University
Master of Commerce - undefined
Barkatullah University
Post Graduate Diploma - Computer Applications
Indian Education Center
Skills
- Communication
- Active listening
- Team leadership
- Computer skills
- Decision making
- Interpersonal skills
- Cooking
- Learning new activities
- Listening to music
- Claims management
- Data interpretation
- Policy administration
- Willing to learn
Languages
English
Malayalam
Hindi
Hobbies and Interests
As expressed my interests in my CV I would like to explain more details about my interest : Listening Music's: As i born and bought up in Northern part of India so I was familiar with Hindi songs and in Hindi, lot of meaningful songs was created by our legends of Hindustani Music.In80's and90's songs it steals my mood and in such situation i prefer to go for a long drive. Listening to old songs and with cup of Tea and some gossips with dear and near ones.. Long Drive : After a busy schedule of life to relax myself i always prefer to go for a ride with my husband where opening my car windows and where i can feel the
Awards
Best Employee2015 &2017., Best athlete during Academic periods
Timeline
Health Insurance Supervisor and Advisor
Bahrain Defense Force Hospital
06.2003 - 11.2023
Master of Commerce - undefined
Barkatullah University
Post Graduate Diploma - Computer Applications
Indian Education Center
B.com - Accountancy, Economics, and Costing
Barkatullah University
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