This document is a resume for Jamal Shehda Hussein, a Palestinian national seeking a role in the insurance industry in Dubai. He has 9 years of experience in medical insurance claims assessment and internal audits in the UAE. He holds a BA in Pharmacy from Ukraine and is fluent in English, Arabic, and Russian. His most recent role was as a Medical Claims Executive at AXA Gulf since 2007, where he assessed and processed complex medical insurance claims. Prior to that, from 1996-2006, he worked as the Pharmaceutical Chief at Hebron Pharmacy in Palestine, overseeing pharmacy operations and dispensing medicines to patients.

1. JAMAL SHEHDA HUSSEIN
Mobile: 0505040242
Email: jamal271271@hotmail.com
Dubai, United Arab Emirates
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Objectives:
 With experience in all aspects of Insurance Industry such as medical claims assessments and
internal audits, seeking a challenging role in a dynamic organization to contribute extra
ordinary skills in its building and growth.
Key Qualifications
 9 years experience in Medical Insurance.
 Excellent Communication skills
 Organized, punctual, and independent worker.
 Excellent computer skills
 Being proactive and organized
 Time management
Academics:
 BA in Pharmacy ,Ukrainian Pharmaceutical Academy 1996,Ukraine
Additional Qualification
 Microsoft Office Applications (Word, Excel, Power Point ,Outlook, Internet Applications)
 Member of Pharmaceutical association , Palestine
 Wide Participation in many Pharmaceutical and science conferences ,workshops and lectures
Language Skills
 English – Excellent (Speak/Read/Write)
 Arabic-– Excellent (Speak/Read/Write) ( Mother Tongue)
 Russian – Excellent (Speak/Read/Write)
Professional Experience:
 AXA Gulf (Current)
Period : 2007 to Present
Designation: Medical Claims Executive
Job Responsibilities:
 Assessment & Processing of Complex claims with speed and 99% accuracy.
 Specialized in handling HAAD claims and Verifying DRG codes.
 Specialized in auditing claims for Top Abu Dhabi Providers.
 Perform various administrative functions, such as updating the reference folders for the same.
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2.  Interact with customers to provide information in response to enquiries related to services/
coordinating with other departments regarding provider frauds/tariff rates and to handle
complaints
 Reviewing and Giving Approvals of individual insurances ensure all standard reports / claims
are completed to company standard.
 Liaised with doctors and healthcare providers regarding medical reports, clarification and other
information to enhance claims processing.
 Processed reimbursement claims including complex claims analyzing the appropriateness and
necessity of medical care and treatment.
 Sort emails from other departments regarding queries / complaints and forward them to
concerned assessors, sorting the issues and keep a track of error log and make necessary steps
to reduce error rate in claims processing.
 Presence the emails and replying to the queries from the brokers and clients with regards to
the rejection of claims partially paid claims and conditions which are standard exclusions based
on the policy terms.
 Identifying fraudulent case and investigating the authenticity of documents and forwarding
suspicions cases to fraud investigation department of the insurance company
 Training of new employees in various aspects of claims processing.
 Hebron pharmacy, Palestine( Own Pharmacy)
Period: 1996-2006
Designation: Pharmaceutical Chief / Supervisor
Job Responsibilities
 Dispensing prescription medicines to the public.
 Checking dosage and ensuring that medicines are correct and safely supplied and labeled.
 Keeping a register of controlled drugs for legal and stock control purposes.
 Liaising with doctors about prescriptions.
 Selling over the counter medicines.
 Counseling and advising the public on the minor treatment.
 Providing a range of specialist health check services, monitoring blood pressure, cholesterol
levels, offering a diabetes screening service, pregnancy testing.
 Overseeing the purchasing and safe storage of medical products
 Keeping up to date with current pharmacy practice ,new drugs and their purpose
 Maintaining computerized records
Personal data:
Nationality : Palestine
Religion : Muslim
Date of Birth : 27 December 1971
Civil Status : Married
Visa Status : Residence Visa
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