This document is a curriculum vitae for Dr. Mohd Yousuf Ansari. It provides his contact information, objective, educational qualifications including a BHMS degree and diplomas in health insurance, technical skills in computer applications and data analysis, and work experience including positions as a medical officer, TPA coordinator, and manager of claims and underwriting at an insurance company where he oversees claims processing, underwriting, and customer service.

1. CURRICULUM VITAE
Dr.Mohd Yousuf Ansari
H.no-12-2-386/A/11
Hyderabad -500028.
Phone No. {00} 8297001140
Email ID: yousufprince2u@gmail.com
Pass port no-L2244343
Pan no-AKKPA8689D
Skype Id-yousufprince2u
Linkedin id-- https://in.linkedin.com/in/dr-mohd-yousuf-ansari-76138a7b
Objective:
To be at the best of the affairs in an esteemed organization that gives scope
to
apply my knowledge into practice for the growth of the organization.
Educational Qualifications :
1. Diploma in Health insurance from Insurance institute of india.
2. Licentiate certified in General insurance from Insurance institute of
india.

2. 3. BHMS from Rajiv Gandhi university of Health Science in 2008 with 66%.
4. Intermediate from Vidya Vikas junior college, Hyderabad in year 2003
with 86%.
5. SSC from Vaidik patshala ,Narayanpet in year 2001 with 86%.
Technical Skills :
• Basic knowledge on computer application like MS Office
• Additionally having detailed knowledge regarding internet browsing
and Email.
• Preparation of MIS in policy.
• Preparation of Audit report according to policy t&c in collaboration
with underwriting guidelines.
• Analysis of claims as per underwriting guidelines.
• Ms-Excel
Work Experience:
 Worked as medical officer after completion of medical degree at
Hyderabad at Mythri hospital and Raja hospital in year 2009 to 2010.
 Worked as a DMO at Premier hospital ,Hyderabad from Feb 2010 to2011
 Worked as a TPA (Insurance) coordinator in Omni hospital Hyderabad
from 2011 to 2012.
 Joined ICICI LOMBARD in Apr-2012 as customer service manager in
Health claims of cashless department.
 Moved to Retail -Health underwriting Team in 2014 and started
assisting policy booking till 2015.

3.  In April-2016 promoted as Manager In claims and Underwriting and
started new role.
JOB PROFILE AT ICICI LOMBARD GIC PVT LTD.
Key responsibilities in claims:

To do scrutiny of claim files and give opinion on decision.
 To ensure timely processing of claims and accurate payments of
claims.
 To ensure adherence to TAT in various sub processes in claims
department.
 To review IRs/rejections of claims and implementation of actionable
periodically.
 To monitor and control error rates and consistency in processing.
 To Monitor Productivity in Claims processing and Cashless processing.
 To review SOP for claims processing and to develop & execute better
processes.
 To manage individual KRAs for achieving organizational goal.
 To monitor and appraise performance of doctors working under
vertical.
• Management of cashless services 24 x 7 including handling
contingencies arising out of
process/systems/manpower/infrastructure failure or issues
• Management of claims from Network Hospitals all over India
• Process Standardization & improvement with special impetus to
customer satisfaction & profitability along with optimization of

4. Productivity
• Prioritization of Platinum customers both corporate as well as
hospitals) for cashless as well as claims
• Technical inputs for new strategies for ILHC expansion & growth
with focus on new initiatives
• Co-ordination with internal teams (Business & Sales,
Underwriting, Provider Management & Investigation teams) &
external clients (Hospitals)
• Reduction in outliers % as well as operational queries
• Handling senior management escalation
Skills in Brief Health Portfolio:
• Health portfolio management i.e- Claims and underwriting.
• Negotiation with provider in related to Health claims for financial
savings.
• Claims adjudication according to policy and Medical Feasibility
decision.
• Case management.
• Maintaining TAT and service guarantee of company which was
committed to IRDI.
• Maintaining standard SOP of company in respect to Claims and
underwriting.
• Handling senior management escalations in regards to service quality
team.
Job profile at OMNI Hospitals:
• Joined as a full time TPA(Insurance) coordinator.
• Processing of health insurance claims admitted in hospitals
• Coordinating with insurance companies in regards to claims
approvals and deniel
• Negotiation with insurance companies in regards to MOU and
approvals
• Denial management

5. • Assisting patient's with reimbursement facility and preparing
documents as per their requirement.
• Rate negotiation with regards to Surgeries and Medical procedures
Job profile as DMO(Duty Medical officer)
• Taking rounds of admitted patient's
• Follow-up with consultants in regards to patient improvement
• Taking care of medical cases who require immediate medical
attention.
Personal information:
Name : Dr.Mohd yousuf ansari
Father’s Name : Mohd khaja ansari(Rtd.Teacher)
Age : 29 yrs
Gender : male
Marital Status : Married
Dependants:4
Languages known : English, Telugu, Hindi & Urdu
Native Place : Hyderabad
Hobbies :Reading Insurance books,Articles, Insurance related exams
Nationality : Indian
Declaration:
I hereby solemnly declare that above furnished information is true to the best
of my
Knowledge and belief.
(Dr. Mohd yousuf ansari)

6. • Assisting patient's with reimbursement facility and preparing
documents as per their requirement.
• Rate negotiation with regards to Surgeries and Medical procedures
Job profile as DMO(Duty Medical officer)
• Taking rounds of admitted patient's
• Follow-up with consultants in regards to patient improvement
• Taking care of medical cases who require immediate medical
attention.
Personal information:
Name : Dr.Mohd yousuf ansari
Father’s Name : Mohd khaja ansari(Rtd.Teacher)
Age : 29 yrs
Gender : male
Marital Status : Married
Dependants:4
Languages known : English, Telugu, Hindi & Urdu
Native Place : Hyderabad
Hobbies :Reading Insurance books,Articles, Insurance related exams
Nationality : Indian
Declaration:
I hereby solemnly declare that above furnished information is true to the best
of my
Knowledge and belief.
(Dr. Mohd yousuf ansari)