Khadije Saleh
Claims Examiner @Active Care Management
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WORK HISTORY
Claims Examiner @Active Care Management
Review, examine and process insurance claims as required. Verify policy information to evaluate payment eligibility. Prepare and establish appropriate technical and functional reports Investigate, evaluate, and settle claims. Process and analyze financial reports to the company Pay the clients’ claims via the computer system Resolve claim issues and maintain claim files while ensuring customer satisfaction. Contact or correspond with many providers located all over the world, such as Canada,the United States, Australia, England, etc. to obtain any additional information requiredto ascertain completeness and validity of claim. Send and process claims for re-pricing to re-pricing network. Handle first level of disputes or complaints from clients/providers Collaborate with customers and team to develop and implement solutions that betterenhance the business and help meet its goals. Cross-train to work in several departments of the company such as dealing with travelinsurance and medical insurance claims.
EDUCATION
University of Windsor
Bachelor of Commerce - BCom, Human Resources
ABOUT KHADIJE SALEH
Experienced Cashier Customer Service with a demonstrated history of working in the food & beverages industry. Skilled in general Customer Service, Public Speaking, Time Management, Teamwork, and Leadership. Strong support professional with a Bachelor of Commerce - BCom focused in Human Resources from University of Windsor.
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