1. Objective:
To maintain a challenging career by providing Technology and Communication solutions
which effectively utilize successful and comprehensive experience and training, as well as
natural talents and abilities in an atmosphere conducive to professional growth and
development.
Professional Experience:
DILAWER HUSSAIN
Phone: +971 502037821
E-mail: dilawer_ali88@hotmail.com
Nationality: Pakistani
Marital Status: Single
Aug 2011 till Date U.A.E. Dubai
Insurance & Claims
Coordinator
Primary
Responsibilities:
 Responsible for auditing medical claims to ensure proper compliance,
regulatory rules and contractual agreements.
 Responsible for general clinical validation.
 Review the claims (both provider and facility) and associated medical
records to confirm the correct coding.
 Responsible for detection of overpayments and underpayments
 Responsible to met monthly quality and production standards
 Responsible to research pricing and benefits issue.
 Investigated and identified claim processing issues to ensure to
resolution in a timely manner
 To countercheck the financial difference.
 To countercheck the payments and reconciliations are on track.
 To coordinate with insurance staff to assist with work and reduce
number of claim rejections
 Acts as patients’ advocate
 Coordinates to Insurance Companies for amendments of policies as
well as informing and implementing new policies to our hospital.
 Answers queries of patient with regards of their respective insurance
policies
 Screens, audit and process claim forms for claims submission
 To keep track of the dispatch of the bills of all companies on time. To
counter check INPATIENT claims
 To do final checking of the claims in terms of medical correlation,
attachments and approvals.
 Preparing month wise management highlights and reports to financial

2. SKILL
 More than Four years of experience in insurance department
 Highly skilled in performing insurance coordinator duties pertinent to medical billing ,
approvals and coding
 Good knowledge in different software programs like; Hospital Information Management
System (CARE Dynamics), Medical Benefit System, New Technology System thru CITRIX
 Experience in HISGENIX, VIDA and other software programmers.
 Proficient knowledge of different Insurance policies in UAE.
 Good knowledge in health information management systems.
 Highly experienced Insurance Claims Processor.
 Proficient knowledge in Electronic Claims
 Knowledge in medical terminology and medical billing.
 Knowledge about health insurance industry in Dubai.
 Proficient knowledge in various computer software which includes but not limited to MS
OFFICE ( Word, Excel, Power Point )
 Good leadership, management and interpersonal skills
 Effective in communication, advisory skills and managing with and colleague.
 Excellent oral and written skills in communications
 Typing speed confirmed 60 wpm
Collection Department
 Posting & settlement month wise
 Making ledger in excel sheet month wise
Education Profile:
controller
 Responsible in manual and computer invoicing ( accounting side)
 Posting & processing claims to our official Hospital Information
Management System (VIDA)
 Prepares Financial Reports (hard copy and soft copy) for claims
submission and for Monthly Financial Reports
 Responsible for monthly DHA Data Submission
 Responsible for Electronic Claims.
2007  Graduation from Karachi University B.Com (PRIVATE)

3. Language Spoken:
References:
Will be furnished upon request.
Conduct at University of Karachi Karachi, Pakistan
2004
 Intermediate from Inter board in 2004 ( I.Com) (PRIVATE)
Conduct at college…………. Karachi Pakistan
URDU
ENGLISH