1. ABDUL JALEEL
E-mail:
Jaleelvk1983@gmail.com
Contact No:(K.S.A)
+966 545825503 (Mobile)
+966 8749666*381 (Landline)
Permanent Address:
ABDUL JALEEL
VELLURKAAVIL (HOUSE)
THAZHECKODE (PO)(WEST)
PERINTHALMANNA (VIE)
MALAPPURAM(DIST)
PIN- 679352.
KERALA, INDIA.
RESUME
Career Objective
Seeking to work for a well-known and established
organization that values individual experience and abilities
in individual and organizational success. I have worked in
the fields of Medical claims department, experience in
medical claim supervisor. I am confident that I can provide
your firm with a fresh and unique perspective that augments
your business success. To obtain a challenging position that
provides me opportunities to exploit my knowledge and
extensive development skills to the extreme levels of my
ability and to continually upgrade myself to the highest
levels of expertise enabling the organization to achieve its
target and growth.
Educational Attainment.
Academic:
Bachelor of Arts (B-A.) ‘‘Bachelor of
Arts’ with First Class (70.01%) from CALICUT
UNIVERSITY (CUIET)-APRIL (2003).
Pre-degree with First Class (70.44%) from
CALICUT UNIVERSITY. (APRIL-2000).
10th with 70.34% (P.T.M High School
THAZHECKODE, Kerala, Marc-1998)
Professional:
Computer Hardware and Networking
(A+)
Installation, Maintenance, up
gradation and troubleshooting of
desktops.
Operating Systems
Windows 98/01//XP/ME/NOVEL&LINUX
2. PERSONAL DETAILS
Sex :- Male
Age :- 33
DOB :- 31/05/1983
Marital Status: Married
Nationality : Indian
PASSPORT DETAILS
No:-F0383040
Place: KOZHIKODE
Languages Known :
Read Wright & Spoken
English, Malayalam , Hindi &
Arabic
Accounting (DACEasy,
Tally,Peachtree,TataEX and Project)
MS OFFICE and Good Knowledge in
Internet
Diploma in Computer Application.
(D.C.A)
(Fox Pro,Visual Basic,DBMS)
Work Experience
Experience in Saudi Arabia:
SAICO (Saudi Arabian Cooperative Insurance
Company) -Medical Claims Department – Working
as a Medical claim Processing Supervisor since September
2008 to until now.
SAICO is a fully Public Limited insurance company
licensed by SAMA and CCHI to provide various products
in medical, life, property, engineering, and other kinds of
general insurance. The medical department insures more
than 150,000 members and employs over 200 full time
staff.
Responsibilities:
Medical claims supervision.
Preparing paid claims Report.
Preparing outstanding claims Report.
Preparing CCHI and SAMA reports.
Preparing the medical claims aging report for
management.
Preparing Loss Ratios for Polices.
Preparing Loss Ratios and average claims cost of
medical providers.
Preparing Debit and Credit notes and submitting
to finance department for final settlement.
Preparing the employees production report.
3. Identifying duplicate registrations.
Maintaining and updating provider’s monthly
receiving claims details tracking sheet.
Checking the mistake of filing and registrations.
Remaking and correcting the problem files from
male & female processors.
Reporting and sending an official Email to the
providers for the missing claims and need full
required documents.
Final verification of provider’s payments during
the time of settlement.
Verifying the total amounts of hospitals entered by the
data entry operator.
Verifying eligibility.
Maintaining & looking into history of past benefits.
Identifying duplicate charges
Checking approvals & second opinion
Experience in India:
Worked in Accounts Department Silent Valley
Hotels and Resorts Pvt. Ltd. Mannarkkad.
(04- July- 2006 to 01-April -2008)
Worked in C.INDIA Pvt. Ltd. Cochin Branch as
a System Hardware Engineer. (01-
May-2003 to 15-June-2006)
Target Jobs
Target Position: Medical Claim
Supervisor,
Medical Claim Officer.
Insurance Coordinator
Network Assistant.
Target job location: Saudi Arabia.
Special Achievements
President Award holder for Scout in National
level.
4. State Award holder in Scout.
I hereby declare that all the information given above are
true and correct with the best of my knowledge and I
bear the responsibility of the above-mentioned
particulars.
Abdul Jaleel
