Aijaz Ali Solangi

AIJAZ ALI SOLANGI Email:-Cell#- PROFILE 10+years UAE experienced, dynamic and motivated professional with a proven record of generating and building relationships, managing projects from concept to completion, designing educational strategies, and coaching individuals to success. Skilled in building cross-functional teams, demonstrating exceptional communication skills, and making critical decisions during challenges. Adaptable and transformational leader with an ability to work independently, creating effective presentations, and developing opportunities that further establish organizational goals. I am looking for a stimulating position in an energetic and supportive team where I can continue to develop my experience in projects, administration or customer service in the organization at a management role. SKILLS • • • • • • Leadership, Communication, Team building, Risk Assessment, Scheduling, Cost Management, Planning and Execution, Time Management, Task Management, Quality Management & Critical Thinking Proficient in all MS Windows & Microsoft Office Applications, CRM, MS Visio, MS project & ERP's. Project Management & Healthcare Claims Management (HCM) Data analysis & MIS reports, profound database management skills Initiative and the ability to adapt quickly to different situations Complete knowledge of supplies, equipments and services, ordering and inventory control EXPERIENCE VServices LTD – a UK based IT Development Company www.vservices.com Projects Manager (June 2018-date) Role & Responsibilities: • Responsible for developing project plans, leading project teams, making cost estimates, ensuring that the process goes efficiently and that the project is delivered on time. • Prepare project documentation, deliverables, finances, resource allocations, and status • Responsible for budgeting and forecasting, expense reporting, risk management, status reporting, and execution. Develop strategy and architecture for clients in alignment with business plans. • Responsible for the well-functioning of business operations, developing new administrative systems, managing staff, overseeing recruitment, writing reports and updating procedures. • To communicating efficiently, paying attention to details and using critical thinking to identify and solve problems. AXA INSURANCE GULF (DUBAI) AXA is the world's second-largest financial services company www.axa-gulf.com HEALTHCARE CLAIMS ADMINISTRATOR [Sep 2010-June 2018] • Advises management of potential areas of improvement for loss control. • Searches for opportunities to pursue indemnification, contribution or subrogation while reviewing claim files. • Handles and resolves complaints and problems arising out of daily operations of the department • Makes recommendations on how to precisely move forward with mandatory settlement conferences, mediations, arbitrations and trials as well as formal requests for authority /resolution • Assess accuracy and efficiency of claims management strategies, and provide feedback and recommendations • Administering the HAAD & DHA E-claims (200K/month) submissions and uploading the Remittance Advices (RAs) on the portals, and ensure to achieve the TAT of Health authorities. • • • • • Validation of DHA, HAAD, Qatar, Bahrain & Oman E-claims. Conversion of Physical claims in E-claims with ICD codes (Medical coding) Physical/Email claims registration (Direct Billing, Reimbursement and International claims) Scanning of the documents, archiving and retrieval, cheque dispatching to providers and members Answering all customer queries in a timely and efficient manner through CRM. ADMINISTRATIVE AND CUSTOMER SERVICE • Performed variety of customer service and administrative tasks to resolve customers’ issues quickly and efficiently. • Assist the line departments i.e. Customer Service, DB Processing, RI Processing and Medical Board departments on medical claims inquiries. • Answers a high volume of incoming calls and emails while handling in person inquiries from providers and members. • Participate in individual and team development activities/training to maximize both individual and team performance. • Developing and maintaining strong relationships with our broker clients to ensure that we retain post retirement business and not lose it to our competitors (Annuities and ARFs) • Positive and pro-active attitude towards change and continuous improvement. • Expert in CRM and Management Information system (MIS) • Maintaining the record and purchase of all stationary items of department. POLICY ADMINISTRATION • Managing post-sale data of beneficiaries according to census management at policy inception level, addition and deletion of membership cards and making sure the all the policies adhere to DHA and MOH guidelines and dispatched to the customers. INTERIM RESPONSIBILITIES: • Managing the team of 11 team members, ensuring to meet the TAT and SLAs of all processes • Generating MIS reports for higher management to review the overall department progress • To supervise team regarding payment and filing CST teams, carrying out regular team meetings as well as assisting the Claims Manager with a variety of administrative tasks as required • Making desktops (presentations) for higher management regarding the KPI’s; DANWAY FUSION GLASS (DANWAY GROUP, ABU DHABI) www.danwayfusionglass.com ADMINISTRATIVE/PROJECTS COORDINATOR [AUG 2008- SEP 2010] • Provide a variety of administrative functions, which include administrative support for one or more executives, phone coverage, reading and routing incoming mail, scheduling appointments and processing expense reports • Providing HR related task to Senior Projects manager and Administration Manager, designing advertisements, short listing of applicants and conducting initial/telephonic interviews • Compose and organize materials and reports, and maintain records for work performed • Worked closely with the team to collect and collate data on progress measures; tracking service delivery, suppliers and contractor database, and review documentation of all projects • Provided regular progress reports with narrative for the projects, real estate teams and senior management • Defines and implements systems and methods. Coordinates processes that support the team in continuous improvement of project delivery and achieving maximum productivity • Carries out project related administration such as scheduling tasks and producing/ filing general documentation as required • Builds and maintains effective relationship with the team, partners, suppliers and contractors • Collaborates with suppliers to assure the quality of their products, materials, components and operations • Monitors supplier performance and costs on a quarterly basis and supports efforts to develop and implement changes to improve the production process • Negotiates favorable terms, volume discounts and long-term contracts with suppliers • • • Prepares and processes requisitions and purchase orders for the procurement of projects and facilities Reviews purchase order claims and contracts for conformance to company policy and discusses defects and delivery problems with suppliers and negotiates refunds Created Excel spreadsheets to summarize financial activity for projects, invoices, and balances and tracking the performances of site, design department and supervisors; ACADEMIC QUALIFICATION • MASTER OF ARTS (ECONOMICS) 1998 – FIRST CLASS SHAH ABDUL LATIF UNIVERSITY PAKISTAN • One Year Diploma (Computer Systems) - Innovative Computers, Hyderabad, Pakistan (1995) TRAININGS & WORKSHOPS • • • • • • • • • • • A full day Service Leaders Workshop (by Ron Kaufman) The World Renowned Trainer at Dubai 24 hours Course Review Program for CPHQ (Certified Professional Healthcare Quality) Customer Service Day @AXA AML online course @AXA Complaint Management course @AXA Advanced Skills of Microsoft Outlook @AXA Data Management Skills of Excel @AXA Counter Fraud Management @AXA Business Language course @AXA Communication Skills Advanced Skills in Ms Word & PowerPoint PERSONAL INFO Name in Full: Nationality: Languages: UAE Driving License: NIC# References: Aijaz Ali Solangi Pakistani English, Hindi/Urdu, Sindhi & Arabic (basic) No: 675129 (Since- will be provided when required