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islam medhat sedky

Claim Adjuster at Globemed Egypt

Maadi, Cairo, Egypt

Work Experience

  • CeoPart Time

    Samaa medical center

    Jan 2024 - Present -1 yr, 6 months

    Egypt , Giza

    • RCM quality assuranceFull Time

      Digital Bridges

      Apr 2022 - Aug 2024 -2 yrs, 4 months

      Egypt

      • Claim AdjusterFull Time

        Globemed Egypt

        Feb 2016 - Present -9 yrs, 5 months

        Egypt , Cairo

        • Job Details:- evaluating insurance claims on behalf of insurance companies in order to determine who is liable. - Apply the operating instructions agreed upon with the service provider. - Review contracts and apply financial rejection based on the terms of the contract. - Review the claim-holder's insurance policy in order to determine what should be covered. - Determine what should be reject and what should be paid to the service provider
      • Education

        • Diploma in law

          Cairo University (CU)

          Jan 2011 

        Skills

        • Medical Claims
        • Medical Insurance
        • Claims Auditing
        • Insurance
        • ICD 10
        • TPA
        • English
        • Networking
        • Health insurance
        • Microsoft Office
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        Languages

        • English

          Advanced

        Training & Certifications

        • Diploma in insurance

          IIE institute·2019
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