Basic Info

Rimin Abdul Razak

3 years

Kerala, India

Bachelor's Degree

Experienced

Work Experience

Medical Claim Auditor at MD India Health Insurance TPA Pvt Ltd

Experience Details

Medical Claim Auditor

Medical/Healthcare

Experienced (Non-Manager)

• Processing assigned medical claim in accordance with policies, procedures and guidelines in timely manner.
• Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to identify fraudulent claims, Over payment, discrepancy in treatment and documents and processing errors of claims.
• Reviewed and ensure that there is no missing or incomplete information.
• Processing RSBY claims.
• Auditing over payments.


Company Details

MD India Health Insurance TPA Pvt Ltd

cochin, India

More than 1000 employees

Insurance, Healthcare and Medical Services

www.mdindiaonline.com/

Jul 2016 to present (5 months)
Assistant production manager at Oushadhi, The Pharmaceutical corporation I.M

Experience Details

Assistant production manager

Manufacturing/Production, Medical/Healthcare

Entry Level

• Assisting the production manager in planning, managing and executing production operation.
• Coordinate and plan production priorities, workflow and schedule.
• Identify and report operational and maintenance problems to prevent production delays.
• Assist in documenting of all work instructions and procedures.
• Ensure safety measures and procedures are followed to reduce unexpected incidents and hazards.
• To manage integration among production, planning, and managements.


Company Details

Oushadhi, The Pharmaceutical corporation I.M

Kerala, Thrissur, India

501-1000 employees

Manufacturing, Pharmaceuticals

www.oushadhi.org

Oct 2015 to Jul 2016 (9 months)
Medical claim investigator at Ayu Health Allied Organisation.

Experience Details

Medical claim investigator

Medical/Healthcare

Entry Level

• Collecting accurate information and documents to precede a claim.
• Review and research evidence/documents (ICP) to analyse the overall fact pattern of claim and synthesise data into a professional reports.
• Investigating claims data, reviewing claim transactions to detect potentially fraudulent of claims and report identified fraud.
• Conduct objective, fair, thorough, unbiased and timely investigations into allegations of fraud, waste or abuse committed by clients/Hospitals.


Company Details

Ayu Health Allied Organisation.

Chennnai, India

51-100 employees

Insurance, Healthcare and Medical Services

http://ayuhas.webs.com/

Jan 2014 to Feb 2015 (1 year 1 month)
Resident Medical Officer at ATMA AYURVEDASRAM HOSPITAL

Experience Details

Resident Medical Officer

Medical/Healthcare

Entry Level

• Consultation of IP and OP patients, advising correct treatments, medications, diet and daily routines.
• Monitoring daily operation of hospital, pharmacy, drugs, training therapies and monitoring therapies.


Company Details

ATMA AYURVEDASRAM HOSPITAL

Kollam, India

1-10 employees

Alternative Medicine

N/A

Dec 2012 to Jan 2014 (1 year 1 month)

Education

B.A.M.S in Alternative Medicine ( Ayurveda Medicine)

Education Details

B.A.M.S

Alternative Medicine ( Ayurveda Medicine)

University of Calicut, India

C / Good / 65 - 75%

N/A

University of Calicut
2006 - 2012
High School - Other

High School Details

Other

V.P.M.S.N.D.P.H.S.S, Kazhimpram, Thrissur, Kerala

India

2005

A / Excellent / 85 -100%

N/A

V.P.M.S.N.D.P.H.S.S, Kazhimpram, Thrissur, Kerala
2005
This profile is fresh!
Last update 18 days ago.

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Profile Skills and Keywords

Alternative MedicineAlternative Medicine ( Ayurveda Medicine)AnalyticalAssistant Production ManagerCarromsCricketCustomer-orientedEnglishGamesHard WorkerHealthcare And Medical ServicesHindiInsuranceInternetLeaderMalayalamManagingManufacturingMedicalMedical Claim AuditorMedical Claim InvestigatorMedical InsuranceMedicineMoviesMs ExcelMs OfficeOperationsPharmaceuticalsPower OintProductionReadingResident Medical OfficerSocialTamil

Self-assesed Skills

Languages

English

English

: Fluent

: Fluent

: Fluent

: Advanced

Malayalam

Malayalam

: Fluent

: Fluent

: Fluent

: Fluent

Hindi

Hindi

: Fluent

: Fluent

: Fluent

: Fluent

Tamil

Tamil

: Beginner

: Beginner

: Advanced

: Advanced

Tools and Technologies

Ms Office

Ms Office

: Expert

: Extreme - I love it!

:

5-7 years

Internet

Internet

: Expert

: Extreme - I love it!

:

More than 7 years

power oint

power oint

: Advanced

: Extreme - I love it!

:

3-5 years

Ms Excel

Ms Excel

: Intermediate

: Extreme - I love it!

:

1-3 years

Fields of Expertise

medicine

medicine

: Expert

: Extreme - I love it!

:

1-3 years

Alternative Medicine

Alternative Medicine

: Advanced

: Extreme - I love it!

:

1-3 years

Medical Insurance

Medical Insurance

: Advanced

: Extreme - I love it!

:

1-3 years

managing

managing

: Intermediate

: Extreme - I love it!

:

Less than 1 year

Key Skills

Analytical, Leader, Hard worker, Customer-oriented, Social

Online Presence

vaidyaveekshan.blogspot.com

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