MD ARIF ASHRAF

Claims Processor – Healthcare Sector
Duration: 3 years, 4 months

• Processed a wide range of medical claims, including basic, high-dollar, and stop-loss claims, ensuring accuracy and compliance with policy guidelines.
• Reviewed and analyzed medical documentation to determine coverage eligibility and appropriate claim settlement.
• Assisted colleagues daily by providing guidance on both simple and complex claims, contributing to team efficiency and knowledge sharing.
• Maintained high productivity and quality standards in a deadline-driven environment.
• Collaborated with internal teams and insurance providers to resolve discrepancies and expedite claim processing.
• Demonstrated strong attention to detail, analytical skills, and understanding of healthcare insurance processes and terminology.