Работала в 7 компаниях 24 года 9 месяцев
Страхование, Медицина и Здравоохранение
Head of the Medical Assistance and Claims Settlement Department
Garant-Assistance LLC
Страхование
11 лет 2 месяца
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
Страхование
11 месяцев
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
Страхование
1 год 1 месяц
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 и Здравоохранение
3 года
01.2008 - 01.2011
- 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 и Здравоохранение
4 месяца
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 и Здравоохранение
7 лет
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 и Здравоохранение
1 год 1 месяц
08.1999 - 09.2000
- treatment of patients;
- taking of material for scientific research;
- conducting scientific research;
- carrying out diagnostic and therapeutic manipulations
Ключевая информация
- Proficient user of Microsoft Word, Microsoft Excel, Access, PowerPoint;
- Experience in working with and implementing databases on various platforms;
- Excellent organizational, comminication and analytical skills;
- Driving licence;
Училась в 4 заведениях
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
Kyiv Medical School No. 2
Nurse
Kyiv, 1993
Владеет языками
Английский
средний
Может проходить собеседование на этом языке
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Русский
свободно
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Украинский
родной
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Курсы, тренинги, сертификаты
The use of metaphorical association cards in dealing with crisis states of adults and children
Using metaphorical association cards to help adults and children with various psychological problems
Stanford Introduction to Food and Health
Deepening knowledge of the basics of healthy eating, nutrition, food compatibility
Speciality courses in healthcare organization
- Knowledge of the basics of healthcare management
- Analytics of medical institutions
- Analytics of health parameters
Speciality courses in hematology
Speciality course in therapy
Наталія
Наталія
Project Manager
Киев
Активно ищет работу
полная занятость
Обновлено 7 часов назад