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| CURRICULUM VITAE DR.ELTAHIR ABDULRAZIG GUMAA PERSONAL DATA NATIONALITY Sudanese RELIGION Islam CIVIL STATUS Married +4Kids D.O.B 29/03/1970 ADDRESS email Mobile 0533460654 0548128545 eltahir_gumaa@hotmail.com or tgumaa@sanad.com.sa EDUCATIONAL ATTAINMENT CERTIFICATES M.B.B.S 1998 UMDORMAN ISLAMIC UNIVERSITY SAUDI COUNCIL SUDAN MEDICAL COUNCIL SAUDI ARABIA MONITORING AGENCY (SAMA) in Health Insurance BIBF (Bahrain institute of banking & finance) Certificate Newharizon in computer EMPLOYMENT DETAILS SANAD INSURANCE & REINSURANCE COMPANY Medical Claims Manager KSA 01/04/2011To present MEDNET – Gulf insurance companyKSA01/03/2003 TO 01/04/2011 third part administration (TPA)Assistant Manager Medical Unit Gulf insurance company Kuwait I was delegated from MedNet KSA for Operation setup for big project Kuwait petroleum project Tasks & responsibilities 1/ Monitoring and controlling all medical expenses in addition to the quality of health care services being for insured member by hospitals in general 2/managing out & in hospital claims from receiving until dispatch and payment 3/ Reviewing claims concurrence with the insurance policy legibility &benefit coverage 4/Network tasks as signing contract with best providers with high quality for different categories of clients 5/ Reconciliation with providers for final settlements and closing the annual account 6/Participating in all high management meeting &sharing points of interest 7/ Monitoring loss Ratio 8/ Managing the pre-approval claims with high cost 9/Risk management by sharing ideas about groups performance to the concerned dept 10/Developing & maintaining good relation with providers after meeting with them & eliminating their rightful complaining with making good save 11/ Giving feedback to different departments to improve our services standard 12/ communicating with CCHI & SAMA for any change & update issues 13/Training new staff 14/Meeting with staff in department sharing opinions discussion their problems update them with new issues as per company regulations 15/ Making strong link between management and staff 16/ Support to high management for general improvement and growth 17/ Familial and good experience for 04 types of medical insurance system such as Mednext ,Permia Eskadenia system & nextcare system ARAB GULF COMPANY (NEXT CAREKSA01/04/2002 TO 01/03/2003 Medical Auditor Authorization dept Claims Operation Supervisor ALBARAKA POLY CLINIC INKSA01/08/2001 TO 01/04/2002 ER Doctor Medical Insurance Co-coordinator Ministry of health in Sudan AL BORGIG CIVIL HOSPITAL 80 beds SUDAN01/04/2000 TO 01/06/2001 Medical Director General Practitioner Medicine ,Pediatric Enter ship 1/ position Khartoum teaching hospital surgery 28/12/1998 to 06/04/1999 Umdorman maternity hospital Ob &Gyna 10/04/1999 to 10/07/1999 Khartoum north teaching hospital Pediatrics 10/07/1999 to 10/10/1999 Medicine 11/10/1999 to 10/01/2000 Orthopedic 10/01/2000 to 10/03/2000 Chest 10/03/2000 to 10/05/2000 | |
| Contact The Advertiser: | |
| Contact Name: | dr.Eltahir Abdulrazig |
| Telephone: | +966 533460654 Kindly tell the advertiser that you're calling him using eDoctorOnline.com |
| Location: | sitteen street- ryiadh Ar Riyad 11417 - Saudi Arabia |
| Ad Information: | |
| Price: | Call |
| Posting Date: | 28/1/2012 |
| Ad Number: | 244377 |
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