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Christeen Maher Fanous

Case Management Supervisor at Medmark

Mokattam, Cairo, Egypt

Work Experience

  • Case Management SupervisorFull Time

    Medmark

    Jan 2016 - Present -9 yrs, 6 months

    Egypt , Cairo

    • Job Details:Launching newly established Case management role at Customer Care department Training new candidates for Case Management job Case management role is handling clients queries that are categorised as a case; for needing more investigation / negotiation with the insurance company. Updating the client with the case progress. Ensuring smooth flow of the case among the involved parties. Validating the final outcome. Delivering the final outcome to the client with the needed clarification(s)
  • Medical Services SupervisorFull Time

    Medmark

    Jan 2012 - Dec 2015 -3 yrs, 11 months

    Egypt , Cairo

    • Job Details:*Supervising medical claims assessors team *Ensure adequate atmosphere for team members’ coordination *Applying new team objectives for upgrading the level of service provided to the clients *Maintain proper/adequate recording, reporting and filing system
  • Medical Services Senior AdvisorFull Time

    Medmark

    Nov 2009 - Dec 2011 -2 yrs, 1 month

    Egypt , Cairo

    • Job Details:In addition to the activities done as Medical Services Advisor & Medical Services Coordinator: Technical Training of new colleagues joining the team. Reviewing the training progress of the new colleagues Act as first escalation level, for members' with requests that weren't resolved.
  • Medical Services AdvisorFull Time

    Medmark

    Jan 2009 - Oct 2009 -9 months

    • Job Details:Customer Service Activity through: *Handling clients' requests with regards to the medical claims *Update the client(s) with their request progress Reviewing Activity through: *Technical review for medical claims that are further sent to the Bupa Insurance company for full assessment and reimbursement. *Review of the reimbursement outcome and ensure that it is in alignment with the members' plan and policy. Assessment Activity through: *In house assessment of medical claims that are fully authorized by Medmark as TPA Hotline activity, on 24/7 basis, through: *Technical review for pre-authoriztion requests hat are further sent to the Bupa Insurance company for full assessment and either approving or rejecting *Handling pre-authoriztion requests that are are fully authorized by Medmark as TPA
  • Education

    • Bachelor's Degree in Pharmacy

      Cairo University (CU)

      Jan 1999 - Jan 2004 - 5 yr

    • High School - Thanaweya Amma

      Ramses College for Girls

      Jan 1999 

    Skills

    • Customer Service
    • Management

    Languages

    • English

      Fluent
    • Arabic

      Fluent

    Training & Certifications

    • Future Leadership Program

      Dale Carnegie·2018
    • Coping with change

      Dale Carnegie ·2012
    • Performance management

      Dale Carnegie·2011
    • Management skills for new managers

      Dale carnegie·2011
    • World class customer service

      Dale Carnegie·2010
    • Dale Carnegie immersion seminar

      Dale carnegie·2010
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