Summary
Overview
Work History
Education
Timeline
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Reem Fathy

Reem Fathy

Cairo

Summary

I am seeking for job that provides an opportunity for gaining more experience and enhancing my work-related skills, gain more practice for getting more steps towards a great future. In addition, for gaining skills about business & relationships.

Overview

10
10
years of professional experience
1
1
year of post-secondary education

Work History

Supporting all EB units

Mercer Marsh Benefits
11.2022 - Current
  • Data analysis: - For existing and new business clients using data to understand usage trends and make informed decisions about how to optimize the service or product for customers
  • It can involve creating reports and presentations that explain the recommending changes to the product or service based on the findings
  • This may include recommendations for cost savings, identifying potential abuse or fraud cases, and providing clients with solutions that will benefit them
  • It is also important to make sure that the reports are compliant with industry regulations and standards
  • Working on Benchmark exercises for Egypt and Jordan
  • Employees assistant programming
  • Health & Wellbing: Projects includes overseeing the overall health, safety, and wellbeing of employees in an organization
  • This can include providing resources and services related to physical and mental health, such as health promotion, stress management, and wellness programs
  • Developing the programs related to health, safety, and wellness; promoting awareness of health and safety in the workplace; and providing guidance and support to clients
  • Negotiation with various providers to provide best discounted packages to Marsh corporate clients.
  • Initiate 50 wellness events focused on breast cancer, prostate cancer, and various medical specialties,

Account manager

Lockton insurance brokerage
Cairo
07.2019 - 08.2022
  • Implement, monitor and control consulting projects, including renewal/re-broking activities
  • Advise upon changes in perceived risk exposures and relevant legislative changes
  • Co-ordinate the use of other Lockton specialist teams where required
  • Ensure that clients understand the Lockton premium collection terms and monitor and resolve debtor queries in a timely manner to ensure prompt payment of premiums and fees
  • Review with appropriate associates at the earliest opportunity, any case under threat or where perceived vulnerable and implement, monitor and oversee a plan of action
  • Maintain income to at least budgeted levels and in line with set and agreed personal objectives
  • Identify and progress new business leads
  • Oversee delivery of client management information and relevant commentary
  • Support management of global insurance programmes and liaise with our Global teams and partner network worldwide.

Medical claim specialist

Willis Tower Watson
Cairo
06.2016 - 06.2019
  • Reviewed refunds to ensure accurate reimbursement for claims, maintaining client satisfaction
  • Examined contracts to ensure proper reimbursement, resolving any discrepancies
  • Followed up with insurers to assure timely refunding of claims, meeting or exceeding due dates
  • Reviewed refunded amounts and claim statuses, ensuring the accuracy of payment
  • Negotiated with insurers to refund suspended claims, successfully resolving outstanding issues
  • Conducted medical check-ups, evaluating different offers from providers and choosing the best options for clients
  • Prepared comparison sheets based on items, price, providers, and government regulations, aiding clients in making informed decisions
  • Provided weekly follow-up with clients, addressing any concerns and providing awareness tips for special diseases
  • Managed chronic medication for all WTW clients, ensuring timely delivery and adherence to prescriptions
  • Oversaw WTW added value and occupational projects, ensuring successful implementation and client satisfaction
  • Facilitated approval processes between insurance companies and WTW clients, ensuring efficient communication and resolution
  • Translated medical articles, making complex information accessible to a wider audience.

Medical approval Agent

Mediconsult Medical Care Company
Cairo
10.2013 - 10.2015
  • Conducted follow-up with physician offices to obtain missing prior authorization information, ensuring timely processing of requests
  • Updated the system to collaborate prior authorizations for approval or denial, maintaining accurate records for efficient workflow
  • Represented the organization in support of member prior authorizations, offering guidance and resolving issues effectively
  • Provided specialized information on a variety of matters related to the processing of prior authorizations, ensuring a comprehensive understanding for all stakeholders
  • Answered calls from pharmacies, physicians, and other medical professionals, addressing their inquiries and providing support for member prior authorizations
  • Assisted pharmacists with prior authorization requests, ensuring compliance with regulations and streamlining the authorization process
  • Offered support to the call center, handling calls from members, patients, and their representatives, providing assistance with prior authorizations.

Education

Bachelor of Science - Microbiology and biochemistry

Helwan University
Cairo, Cairo

Insurace Dioloma

The Insurance Institute of Egypt
01.2015 - 12.2015

Timeline

Supporting all EB units

Mercer Marsh Benefits
11.2022 - Current

Account manager

Lockton insurance brokerage
07.2019 - 08.2022

Medical claim specialist

Willis Tower Watson
06.2016 - 06.2019

Insurace Dioloma

The Insurance Institute of Egypt
01.2015 - 12.2015

Medical approval Agent

Mediconsult Medical Care Company
10.2013 - 10.2015

Bachelor of Science - Microbiology and biochemistry

Helwan University

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Reem Fathy