1. Deepak Gunani
Mobile: 050-3586291/052-4766080
Email: deepakinsurance1@gmail.com
Professional Profile
A dedicated, talented professional with total work experience of 26 years in which more than 14 years of
proven work experience in medical insurance at leading healthcare organizations in UAE. My areas of
expertise are leadership, supervision, strategic, tactical planning, continuous process improvement, business
process rationalization, process mapping and complex negotiation with Insurance Companies and TPA’s.
Skill-Set
• Good understanding of Health Authority of Abu Dhabi (HAAD) and Dubai Health Authority (DHA)
Regulations (Insurance Mandates and Benefits, Medical Coverage, E-claims, PBM, e-Prescriptions etc.)
• Thorough knowledge of ICD 9, 10, 10 CM and CPT 4 codes
• In-Depth knowledge and understanding of medical terminology and medical conditions
• Excellent interpersonal, communication, analytical and strategic planning skills
• Pleasant personality with excellent communication skills
• Critical Thinking and Problem solving skills
• Able to work on own initiative as a team leader
• Proven leadership skills involving managing, developing and motivating team to achieve their objectives
• Played a key role in implementation of the tailor made software which has increased the Group revenue
and enhanced the overall Group operations
• Effective and excellent contributor for achieving ISO Accreditation, twice won Dubai Quality Appreciation
Program, Sharjah Economic Excellence Award, MRM Award (Mohammed Bin Rashid Al Maktoum Business
Award) and JCI Accreditation
• Ensured that all Insurance and reporting processes are computerized with various interfaces & regular
internal checking are performed on a day to day basis
• Took initiatives for cost control measures at various levels and ensured minimum utilization of stationery
• Experienced in handling recruitments and training
• Dedicated to maintain high quality standards.
• Good command over MS Windows (Win 2000, NT, XP) and Ms office
• Advance courses in IT from Nagpur & Delhi
Career Summary
May 2015 - till date Head of Insurance in IMARA Health Care Group for GCC Region
IMARA Health Care has started a new era in the Health Care sector of UAE and Qatar to accomplish our
commitment to “Affordable and Quality Health Care”. IMARA is having three multi specialty Medical Centres
in UAE under the brand name “Clinicare” and three Pharmacies under the brand name “RX Pharmacy” which
are successfully operational since May 2015. Also we have one full-fledged multi speciality Day Care Medical
Centre in Qatar as one of the largest Medical Centre of the region.
Our primary vision of Clinicare Medical Centres and RX Pharmacies is to provide exceptional healthcare
facilities rational to all streams of population in the UAE and Qatar.
• Manage the entire team for overall operational activities of the Insurance Department relating to the all
Medical Centres and Pharmacies within the group
• Developed a new comprehensive CPT Coded Price List with thorough study and analysis which has
increased enormously the Group Insurance turnover
Page 1/6

2. • Increased the Group total revenue of all Medical Centres and Pharmacies by empanelling most of the
Insurance Companies and TPA’s with best tariff
• Restructured the pricing with CPT coding in line with regulators protocols of the region
• Actively participated in Software finalization and implementation along with IT enhancement of current
system
• Streamlined and monitor the claims/e-claims submission process and ensure timely submission of all
claims/e-claims as per the agreed stipulated time frame with all Insurance Companies and TPA’s
• Ensure Valuable contribution given to negotiate and finalize the Group Staff Insurance in compliance to
Dubai Health Authority (DHA) mandate
• Monitor the regular follow ups for all Insurance Companies and TPA’s for outstanding payments of entire
Group
• Timely submission of re-claims manually/online through .xml files as per the cut off dates
• Monitoring the over utilization and abuse of clinical practice by treating Doctors as per the regulators
protocols
• Implemented clinical auditing to bring a good clinical practice
• Evaluating various reports and monitoring the performance of Team along with Group Insurance
turnover
• Monitor the receipt allocation manually/online through .xml in the system as per remittance
advices/payment details provided by the Insurance Companies and TPA’s
• Monitor Insurance rejection percentage and to take measures/suggestions to control the same
• Actively conduct all network meetings with Insurance Companies and TPA’s and negotiate competitive
rates for one of existing Medical Centre to increase the revenue
• Educate Doctors, Nurses and other concerned staff regarding Insurance Companies and TPA’s policies by
continuous interaction and lectures
• Assisting Management regarding Insurance and TPA’s Policies, Guidelines to achieve targets and system
implementation
• Provide continuous guidance to all team members with DHA, HAAD and MOH rules/regulations
• Monitor and resolve all E-claims requirements for timely submission to Insurance Companies and TPA’s
• Liaise with existing Insurance Companies and TPA’s regarding the Clinics, Pharmacies, Diagnostic Centre
and Hospital Insurance related issues like eligibility, approvals, network management, outstanding
payments and other areas of concerns
• Liaise with new Insurance Companies and TPA’s for new Agreements regarding the tariff/discount to be
applied on covered services
• Resolve all routine and complex enquiries of the Patients, Doctors, Nurses, Paramedic Staff and all other
staff of Clinics, Pharmacies, Diagnostic Centre and Hospital along with all Insurance Companies and TPA’s
• Continuous training to front office and back office staff regarding Insurance Companies and TPA’s
policies and procedures
• Supporting marketing team for the brand sustainability and Business development
• Provide out-of-the box thinking and recommendations for ongoing process improvements
• Provide management with consistent feedback on market place issues with recommendations to
address such issues
• Ensure all regulatory requirements are met by assisting with the ongoing monitoring and communication
with Compliance
October 2015 - April 2015 Insurance Consultant for Hospital, Medical Centres & Pharmacies
With 12 years of my experience in Health Care industry I have extended my support and expertise to some
Health Care organizations to overcome financial risks and provided them a long term financial forecast that
can be followed by the organizations to resolve their financial crisis and plan out for the future.
• Assisted Medical Providers to adopt various techniques and strategies to increase their revenue
Page 2/6

3. • Valuable contribution and support extended to various Health Care organization for the empanelment of
Insurance Companies and TPA’s along with re-categorization of their existing networks to increase their
Insurance turnover
• Verify data and analyze it to find out solutions to make renegotiations for the existing Agreements with
Insurance Companies and TPA’s
• Work with software professionals to add/modify the existing complex data/reports into simplified
formats in accordance to the regulators requirements
• Conduct meetings and surveys with their existing staff to thoroughly understand their issues/problems
which are causing enormous impact on their brand and revenue
• Assisted Health Care providers to recruit the highly qualified and experienced Health Care professionals
to achieve the organization’s goals
• Worked with expertise to make systems that ensure conformity with the obligations of the regulatory
bodies
• Collaborate with colleagues and team members to provide them best support for their existing work
requirements
• Thoroughly understand and improvise the services provided by Health Care providers for the utmost
customer satisfaction, brand recognition and to increase turnover
May 2003 - August 2014 Group Insurance Deputy Manager in Prime Healthcare Group, UAE
Prime HealthCare Group is part of Al Ghurair Group with over 1000 dedicated staff consists of a network of
multi-specialty medical Centres (Prime Medical Centres), Prime Hospital, Premier Diagnostic Centre and
MediPrime Pharmacies chain.
“Prime” is located in most of the major residential areas of Dubai, Sharjah and Abu Dhabi with expert team
of over 250 doctors, catering to more than 4,000 patients across all service Centres on a daily basis.
The Group has been recognized under the Dubai Quality Appreciation Program followed by Sharjah
Economic Excellence Award for its high quality standards offering healthcare services under different service
verticals to suit the specific needs of the customers and creating a sustainable brand, “Prime”.
• Manage the team of more than 46 staff and responsible for overall operational activities of the
Insurance Department relating to the Clinics, Pharmacies, Diagnostic Centre and Hospital within the
group
• Increased the Group total revenue of all the Clinics by revising the agreed prices and for Pharmacies by
reducing the agreed discount
• Reduced the rejection rate to less than 5%
• Restructured the pricing with CPT coding in line with regulators protocols of the region
• Monitor the regular follow ups for all Insurance Companies and TPA’s for outstanding payments of entire
Group
• Streamlined and monitor the claims/e-claims submission process and ensure timely submission of all
claims/e-claims as per the agreed stipulated time frame with all Insurance Companies and TPA’s
• Brought the cases of unclaimed invoices to ‘Zero’
• Ensure timely submission of re-claims manually/online through .xml files as per the cut off dates
• Monitor reconciliations with Insurance Companies and TPA’s at regular intervals to resolve the disputed
issues till sign off
• Monitoring the over utilization and abuse of clinical practice by treating Doctors as per the regulators
protocols
• Implemented clinical auditing to bring a good clinical practice
• Evaluating various reports and monitoring the performance of Team along with Group Insurance
turnover
• Monitor non-batched/non submitted claims regularly
Page 3/6

4. • Monitor the receipt allocation manually/online through .xml in the system as per remittance
advices/payment details provided by the Insurance Companies and TPA’s
• Monitor Insurance rejection percentage and to take measures/develop guidelines and suggestions to
control the same
• Actively conduct all network meetings with Insurance Companies and TPA’s and negotiate competitive
rates for effective cost savings utilization
• Communicating with all Insurance Companies and TPA’s for empanelment, tariff negotiation and
network related queries/concerns
• Educate Doctors, Nurses and other concerned staff regarding Insurance Companies and TPA’s policies by
continuous interaction and lectures
• Assisting Management regarding Insurance and TPA’s Policies, Guidelines to achieve targets and system
implementation
• Provide continuous guidance to all team members with DHA, HAAD and MOH rules/regulations
• Monitor and resolve all E-claims requirements for timely submission to Insurance Companies and TPA’s
• Liaise with existing Insurance Companies and TPA’s regarding the Clinics, Pharmacies, Diagnostic Centre
and Hospital Insurance related issues like eligibility, approvals, network management, outstanding
payments and other areas of concerns
• Liaise with new Insurance Companies and TPA’s for new Agreements regarding the tariff/discount to be
applied on covered services
• Resolve all routine and complex enquiries of the Patients, Doctors, Nurses, Paramedic Staff and all other
staff of Clinics, Pharmacies, Diagnostic Centre and Hospital along with all Insurance Companies and TPA’s
• Continuous training to front office and back office staff regarding Insurance Companies and TPA’s
policies and procedures
• Supporting marketing team for the brand sustainability and Business development
• Provide out-of-the box thinking and recommendations for ongoing process improvements
• Provide management with consistent feedback on market place issues with recommendations to
address such issues
• Ensure all regulatory requirements are met by assisting with the ongoing monitoring and communication
with Compliance
July 1998 - Jan 2003 ‘Administrative Manager’ in CIC-CCIT Computer Institute NAGPUR (INDIA)
• Introduced procedural improvements to increase productivity including scheduled maintenance,
employee and student activity tracking and cross integration of systems.
• Provided “hands-on” training classes for employees as well as students. Training includes Operating
Systems (Windows, DOS), MS-Office, FoxPro, C Language, C++ Language, Oracle and Visual Basic.
• To conduct the batches of DOEACC Courses of Central Government.
• Guided student for their projects.
• Managed development and implementation for computer systems to enhance business systems.
• Performed general management duties including hiring/scheduling of personnel with oversight on
accounting transactions.
• Prepared and executed an IT strategy that reduced administrative costs.
February 1996 - May 1998 Personnel Secretary in ‘ROYAL TRADERS’, DUBAI
• Using a variety of software packages, such as Microsoft Word, Excel, Outlook, PowerPoint, etc. to
produce correspondence, documents and maintain presentations, records, spreadsheets and databases.
• Maintaining of daily sales reports, in bound/out bound manifestations, petty cash, update & follow ups
of outstanding.
• Handling correspondence.
• Recruiting, training and supervising junior staff
• Implementing new procedures and provide administrative support to departments or individuals.
Page 4/6

5. • Schedule meetings and arrange conference rooms.
• Liaising with staff in other departments and with external contacts.
• Ordering and maintaining stationery and equipment.
• Prepare confidential and sensitive documents.
• Coordinates office management activities and determine matters of top priority & handle accordingly.
January 1994 - December 1995 P.R.O in ‘RAYMOND SHOWROOM’, NAGPUR (INDIA)
• Serve as the internal subject matter expert for all issues related to marketing, lists, tools, reports.
• Organizing marketing and sales visits for the company.
• Evaluating the effectiveness of all marketing activity.
• Establishing good relations with Marketing and PR firm.
• Attending trade exhibitions, conferences and meetings.
• Supporting the Managing Director in day to day activities.
• Lead all marketing initiatives of the company (in collaboration with sales team) including internal
training.
• Develop and execute strategies to improve campaign targeting, efficiency and results.
• Track all business development activities, analyze quarterly progress and suggest new strategies based
on findings.
• Maintain a current and accurate knowledge of competitor products, be able to highlight their
disadvantages and promote relevant benefits.
• Supervise and mentor staff members.
October 1991 - November 1993 Instructor in ‘SHIVAM COMPUTERS’ at NAGPUR (INDIA)
• To conduct the batches for training in software’s and guide for Projects.
• Training for Centre Faculties, Administrative staff and design Course Material and Course Structure.
• Handling of Accounts & Office Administration.
• To handle the queries of the visitors.
Educational Qualification
• Bachelor of Commerce
Awards and Recognition
• Awarded for the successfully completion of 10 years service
• Awarded for the best employee of the quarter in 2007
• Awarded for actively participating in the accreditation of ISO 9001:2000
• Awarded for attending ISO 9001:2000 quality internal audit training
• Twice awarded for Dubai Quality Appreciation Program Award
• Valuable contribution in MRM Award (Mohammed Bin Rashid Al Maktoum Business Award)
• Valuable contribution in the Company as Trainer in Training Team for continuous growth of the internal
staff in various sectors
Trainings - Seminars
• “O” Level Computer Course from DOEACC Society, Delhi, India
• Course from Dubai Institute of Business Management on “Managerial Skills”
• Course from Dubai Institute of Business Management on “Debt Collection & Recovery Techniques”
• Course from ETA STAR - Training Institute on “ISO 9001:2008 Awareness”
• Since 2012 all DHA Seminars attended on CPT and ICD coding
Page 5/6

6. Software Knowledge
Operating Systems : Windows 98/2000/XP, Windows NT
Packages : Ms-Office, Tally 4.5/5.3/6.3, Visual FoxPro
Languages : C, C++
RDBMS ` : Oracle
RAD Tool : Visual Basic
Personal Details
Date of Birth : 14-02-1975
Nationality : Indian
UAE Driving License : Valid till 7th
April 2019
Marital Status : Single
Languages Known : English, Hindi, Marathi & Sindhi
Deepak Gunani
Page 6/6

7. Software Knowledge
Operating Systems : Windows 98/2000/XP, Windows NT
Packages : Ms-Office, Tally 4.5/5.3/6.3, Visual FoxPro
Languages : C, C++
RDBMS ` : Oracle
RAD Tool : Visual Basic
Personal Details
Date of Birth : 14-02-1975
Nationality : Indian
UAE Driving License : Valid till 7th
April 2019
Marital Status : Single
Languages Known : English, Hindi, Marathi & Sindhi
Deepak Gunani
Page 6/6