Працювала в 7 компаніях   24 роки 9 місяців

Страхування, Медицина та Охорона здоров'я

Head of the Medical Assistance and Claims Settlement Department

Garant-Assistance LLC

Страхування

11 років 3 місяці

02.2013 - 04.2024

  • organisation of medical assistance work;
  • recruitment and training of staff;
  • preparation of regulatory documentation;
  • underwriting of medical insurance programmes;operational control of the call-center staff effectiveness;control of the quality and scope of medical services provided;
  • development and implementation of a system of staff motivation and demotivation;control and coordination of work with insurance companies;
  • development of insurance programmes in accordance with the protocols of medical care of the Ministry of Health of Ukraine;development and underwriting of insurance contracts and programmes for insured persons;
  • control over the conduct of examinations under voluntary health insurance and civil liability contracts;
  • conducting expert examinations of disputed cases and reviewing complaints from insured persons;work with accounts receivable
  • preparation of tender documentation;correspondence and negotiations with foreign partners;preparation of reports, translation of documents;
  • negotiating with healthcare institutions to conclude contracts for the provision of medical services under voluntary health insurance programmes;
  • development and implementation of new service in medical assistance;development and implementation of a new database for the assistance service;
  • work on budgeting of the department.

Expert assessment specialist at the Medical Assistance and Claims Settlement Department

Garant-Assistance LLC

Страхування

1 рік

03.2012 - 02.2013

analysis of payments under medical insurance contracts;examination of invoices from medical institutions;drafting claims and correspondence with legal entities;conducting fraud investigations;examination of medical documents;control over the use of limits under insurance programmes;control of compliance with the terms of medical insurance contracts;control of the quality and scope of medical services provided;acceptance of claims from the Insured Persons regarding the quality and scope of medical care;preparation of reports on the work of the assistance and their analysis.

Leading expert of the medical insurance claims settlement and examination department

JSC Alfa Insurance

Страхування

1 рік 2 місяці

01.2011 - 02.2012

analysis of payments under medical insurance contracts;coordination of coverage under insurance programmes with assisting companies;examination of invoices from medical institutions;examination of documents from individuals;control over the use of limits under insurance programmes;examination of invoices from assisting companies;conclusion of contracts with medical institutions;control of compliance with the terms of the medical insurance agreement;control of the quality and volume of medical services provided;accepting claims from the Insured regarding the quality and scope of medical care

Head of the Information and Analytical Department of Medical Statistics

State Institution "Clinical Polyclinic No. 1" of the State Administration of Affairs

Медицина та Охорона здоров'я

3 роки 2 місяці

01.2008 - 02.2011

administrative and organisational work of the polyclinic;reporting on the work of the polyclinic;analysis of activities, preparation of analytical tables, materials;preparation of regulatory documents;compilation and design of analytical reference books;coordination and interaction between structural units of the polyclinic;implementation of an information and analytical database;consolidation of reports of all medical institutions of the Department and submission of data to the city statistics centre

Doctor-statistician

State Institution "Clinical Polyclinic No. 1" State Administration of Affairs

Медицина та Охорона здоров'я

5 місяців

09.2007 - 01.2008

  • maintaining current statistical documentation;
  • preparation of reports on the work of the clinic;
  • preparation of analytical tables and calculation of statistical performance indicators

Research associate

Institute of Haematology and Transfusiology of the Academy of Medical Sciences of Ukraine

Медицина та Охорона здоров'я

7 років 1 місяць

09.2000 - 09.2007

  • research work;
  • writing and translation of scientific;
  • publications;treatment of patients

Laboratory doctor

Institute of Haematology and Transfusiology of the Academy of Medical Sciences of Ukraine

Медицина та Охорона здоров'я

1 рік 2 місяці

08.1999 - 09.2000

  • treatment of patients;
  • taking of material for scientific research;
  • conducting scientific research;
  • carrying out diagnostic and therapeutic manipulations

Ключова інформація

  1. Proficient user of Microsoft Word, Microsoft Excel, Access, PowerPoint;
  2. Experience in working with and implementing databases on various platforms;
  3. Excellent organizational, comminication and analytical skills;
  4. Driving licence;

Навчалась в 3 закладах

National University of Pharmacy

Business Economics

Kharkiv, 2010

Kharkiv Medical Academy of Postgraduate Education

Healthcare Management

Kharkiv, 2005

Bohomolets National Medical University

General Medicine

Kyiv, 1999

Володіє мовами

Англійська

середній

Російська

вільно

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Українська

рідна

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Курси, тренінги, сертифікати

The use of metaphorical association cards in dealing with crisis states of adults and children

2023

Using metaphorical association cards to help adults and children with various psychological problems

Stanford Introduction to Food and Health

2020

Deepening knowledge of the basics of healthy eating, nutrition, food compatibility

Speciality courses in healthcare organization

2008

  • Knowledge of the basics of healthcare management
  • Analytics of medical institutions
  • Analytics of health parameters 

Speciality courses in hematology

Kyiv, 2001

Speciality course in therapy

Kyiv, 2000

Сертифікат цифрової грамотності від Дія. Цифрова освіта

Переглянути

Наталія

Project coordinator

Київ

51 рік

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повна зайнятість

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