Ataullah Khan
New Delhi
Summary
Experienced hospital auditor with skills in health claim investigations, claim allocation, and quality checks. Extensive knowledge of hospital audit procedures and expertise in handling health claim investigations. Proven track record of effectively allocating claims and conducting quality checks to enhance work potential. Proficient in Excel maintenance and report analysis for accurate and efficient operations.
Overview
14
14
years of professional experience
Work History
Deputy Manager ( Zonal Head North and north East )
Bajaj Allianz General Insurance Co Ltd
12.2021 - Current
- Working as hospital auditor, investigator, team leader and auditor for claim files presently
- Working to improve work potential and minimize soft and hard frauds
- Fraud detection in health claim
- Auditor in health claims
- Working to minimize soft and hard fraud
- Working to improve microsoft excel skills
- Working to develop systems in fraud detection
Assistant Manager
Bajaj Allianz General Insurance Co Ltd
04.2020 - 12.2021
- Working in Investigation & Loss mitigation
Senior Executive
Bajaj Allianz General Insurance Co Ltd
04.2018 - 04.2020
- Working in Investigation & Loss mitigation
Senior Medical Officer-Health claims
Vipul Medcorp TPA Pvt Ltd
08.2017 - 04.2018
- Worked as field investigator for Mediassist India TPA Pvt Ltd
- Worked on hospital projects to rule out fraudulent activities
- Conducted interactive sessions with team colleagues to improve work potential
- Fraud detection in health claims
- Interactive sessions to improve work potential
- Hospital projects to rule out frauds
TPA Coordinator
Eden Hospital Pvt Ltd
05.2014 - 08.2017
Senior Medical Officer
Star Health General Insurance Co Ltd
04.2011 - 04.2014
- Worked as field investigator for Mediassist India TPA Pvt Ltd
- Worked on hospital projects to rule out fraudulent activities
- Conducted interactive sessions with team colleagues to improve work potential
- Fraud detection in health claims
- Interactive sessions to improve work potential
- Hospital projects to rule out frauds
Education
BUMS -
Ajmal khan tibbiya college AMU
12.2004
Skills
- Microsoft Excel
- Microsoft Word
- Microsoft PowerPoint
- Excel Formulas
- Basic Computer Skills
- Project Management
- Workload Management
- Product and service knowledge
- Team motivation
References
- General practice of medicines
- TPA coordinator in hospital
Personal Information
Date of Birth: 07/01/80
Timeline
Deputy Manager ( Zonal Head North and north East )
Bajaj Allianz General Insurance Co Ltd
12.2021 - Current
Assistant Manager
Bajaj Allianz General Insurance Co Ltd
04.2020 - 12.2021
Senior Executive
Bajaj Allianz General Insurance Co Ltd
04.2018 - 04.2020
Senior Medical Officer-Health claims
Vipul Medcorp TPA Pvt Ltd
08.2017 - 04.2018
TPA Coordinator
Eden Hospital Pvt Ltd
05.2014 - 08.2017
Senior Medical Officer
Star Health General Insurance Co Ltd
04.2011 - 04.2014
BUMS -
Ajmal khan tibbiya college AMU
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