CV Dr. Faisal - pdf-1

PROFILE
Experienced, customer oriented with demonstrated operational excellence

& team management capabilities , able to create & implement a CHANGE in
order to maximize customer satisfaction & increase market shares within a
cost effective profitable business frame.
An experienced CustomerCare Manager with a demonstrated history of

working in the Claims , Call Center , Customer Service and insurance
industry. Health , Travel , Road Side Assistance, Appliance Protection &
Assistance Insurance . Skilled in Customer Experience , Negotiation ,
Operations Management, Analytical Skills, Coaching , and consistently
successful in building win-win relationships with staff,healthcare providers,
customers and business partners. Strong business development, project-
management, team-building, work force management & leadership skills.
Solid network of professional contacts in health insurance and healthcare
Dr. FAISAL SAEED

industry.
MD MScOPHTH CERT CII EXPERIENCE
ASST. MANAGER - TRAVEL & ASSISTANCE, MEA ASST. MANAGER - TRAVEL & ASSISTANCE, MEA
NEXTCARE - ALLIANZ PARTNERS | JAN 2019 - TILL DATE
Managing team of 20+ employees at Travel & Assistance, MEA (Medical &
non-Medical).
7+ years’ experience in Travel & Assistance claims management handling
Escalation point providing 24/7 guidance & support to T&A Center (new &
on-going requests)
Travel Health Insurance Claims handling process management ensuring
cases are monitored in real time
Quality control implementation, analysis of SLA divergences in real time &
case audit outcomes
Update top management, ensure case directions are applied as per
escalation matrix & operational procedures.
Handling Travel Insurance & Medical Assistance Evac/Repat (Air, Ground
and Maritime), especially remote territories.
Providing client solutions & added-value initiatives for end-customers.
Review management systems,
processes, cost containment, people structure,
Development of behavioral volume curves and AHT for each month and
year/season
Team Training/management & monitoring. Providing employees
progress/performance reports to management
KPIs design and analysis, ensuring it meets expectations of our Payers,
CONTACT Providers & Members.
Customer service management (handling complaints internal and external
clients).
+971 50 5369158
Setting SOPs for the different LOBs. Monthly reports for Top Management.
Implementing different projects to bring more automation/digitalization
dxbfaisal@gmail.com and enhance the quality of output.
Cost management, fraud detection & prevention. Direct underwriting
supportive function.
www.linkedin.com/in/dr-faisal- Case management & utilization review along with Coding & billing systems.
saeed-md-mscophth-cert-cii- Focus on providing operating foundations and CX improvements at all
claims-07145230 times
Ensure Automation, Cost Containment and Customer Centricity in all
areas.
Provide solutions to sales & operations reinforcing teamwork
ASST. CARE CENTRE MANAGER
NEXTCARE - ALLIANZ PARTNERS | NOV 2015 - DEC 2018
LANGUAGES
Experienced CustomerCare Manager with a demonstrated
history of working in the Claims, Call Centre, Customer
ENGLISH
Service and insurance industry. Health, Travel, Road Side
ARABIC Assistance, Appliance Protection and Assistance Insurance &
claims adjudication
FRENCH
ROMANIAN MEDICAL CLAIMS - CLAIMS ASST. MANAGER
NEXTCARE - ALLIANZ PARTNERS | JAN 2015 - NOV 2015
PERSIAN
In charge of handling day to day medical claims: Direct
DARI
billing and reimbursement, inpatient and out-patient claims
URDU (high cost claims),as well as the audit, coaching and SOP’s
setup.
MEDICAL CLAIMS - SENIOR CLAIMS OFFICER

NEXTCARE - ALLIANZ PARTNERS | JAN 2014 - DEC 2014
Claims handling (IP & OP)
MEDICAL CLAIMS - CLAIMS OFFICER

SKILLS
NEXTCARE - ALLIANZ PARTNERS | MAY 2011 - DEC 2013
- STRONG LEADERSHIP QUALITIES Claims handling (IP & OP)
- TEAM PLAYER
- EXCELLENT COMMUNICATION
AND PRESENTATION SKILLS EDUCATION
- CLAIMS ADJUDICATION
- CUSTOMER CENTRICITY GRIGORE T. POPA UNIVERSITY OF MEDICINE AND
- MANAGEMENT PHARMACY - IASI – ROMANIA 1997 - 2008
- KPI ORIENTED Masters in Ophthalmology - Ophthalmology Residency Program

- TIME MANAGEMENT 2003 – 2008
Postgraduate Certificate on Topical issues in the surgery of the
posterior segment of the eyeball (Ophthalmology-Retina) 2006
MD (Medical Doctor) 1997 – 2003
ARAB UNITY SCHOOL - DUBAI,U.A.E (IGCSE) 1991 – 1997
ACHIEVEMENTS
CHARTERED INSURANCE INSTITUTE- UK

CERT CII (CLAIMS) 2017 - 2018
REFINED REGIONAL PRECERTIFICATION KPI MONITORING

PROCESS AND PROCEDURES 2016 - 2017
PROJECT MANAGER OF NEXTCARE AP - TEAM OF THE YEAR

2014 - “ALLIANZ TIRIAC” PROJECT
2013 - 2014
References available on request.

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PROFILE

Experienced, customer oriented with demonstrated operational excellence

An experienced CustomerCare Manager with a demonstrated history of

Dr. FAISAL SAEED

MD MScOPHTH CERT CII EXPERIENCE

MEDICAL CLAIMS - SENIOR CLAIMS OFFICER

Claims handling (IP & OP)

MEDICAL CLAIMS - CLAIMS OFFICER

- STRONG LEADERSHIP QUALITIES Claims handling (IP & OP)

- KPI ORIENTED Masters in Ophthalmology - Ophthalmology Residency Program

ARAB UNITY SCHOOL - DUBAI,U.A.E (IGCSE) 1991 – 1997

CHARTERED INSURANCE INSTITUTE- UK

REFINED REGIONAL PRECERTIFICATION KPI MONITORING

PROJECT MANAGER OF NEXTCARE AP - TEAM OF THE YEAR

References available on request.

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