Mo Gomaa
Saint-Basile,NB
Summary
- Background in Medical science with the relevant clinical and research skills as well as experience in LLQP Accident and sickness insurance.
- Professional experience in both the medical and the business fields in different countries.
- Multilingual : English, French, Arabic.
- Easily able to cope with stress and work overload.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Insurance Specialist
Xodus
04.2024 - Current
- AMF Accident and Sickness insurance specialist licensed in Quebec
- Licensed by Registered Insurance Brokers of Ontario - RIBO
- LLQP A&S licensed; accident and sickness life insurance licensed in AB,MB,BC,SK, NB,PEI, NFL
- Providing expert advice, recommendations, and counseling to prospects about their medical and non medical travel insurance coverage customized to their unique needs; Quoting and selling customers through an omnichannel contact center solution; Resolving any concerns or complaints with a professional demeanor by leveraging product and service knowledge; Service existing customers' insurance products, including assisting the customer throughout a claim; Continuous self-development via industry training and other courses; Remain up to date with product knowledge in a dynamic environment; and Remedy urgent issues as they arise.
Coverage Review and Assessment Specialist
Global Excel Inc- Claims Management
10.2023 - 02.2024
- MRCA Specialist ( Medical Review and Coverage Assessment )
- Gathering Extensive Data: collected comprehensive information related to insurance claims; including hospital bills, pharmacy records, Medical records, proof of travel, proof of vaccinations..etc..
- Evaluated the validity of claims
- This includes examining policy details, assessing the situation, and understanding the context
- Research and Analysis: analyzed the gathered data, compared it with policy terms, and conducted research if needed in order to reach informed conclusions regarding coverage eligibility
- Decision-Making: Based on my assessments, I made decisions on insurance claims and determined whether the claimant is owed a payment under the insurance policy
- Follow regulations: Made sure to follow the rigorous measures applied by the company as well as insurance regulatory authorities every step of the way to make sure the decision letter delivered to the claimant is representative of the company's final decision and for it to be valid in a court of law if need be.
Insurance Underwriter / Advisor
Global Excel Inc- Canam Insurance
12.2019 - 10.2023
- Licensed by Registered Insurance Brokers of Ontario - RIBO
- AMF Accident and Sickness insurance licensed in Quebec
- LLQP A&S license; accident and sickness life insurance licensed in AB,MB,BC,SK, NB,PEI, NFL
- Performed front line medical and non medical travel insurance underwriting to identify risk exposures and provide effective and relevant customer counsel on coverage selection
- Engaged with clients to gather customers' detailed medical history, determine their needs and provide expert advice to ensure the best coverage for them
- Answered inquiries about coverage, deductibles, processes, exclusions, claims..etc.
- Maintained and managed a book of business and strong client relationships through proactive contact via phone, letter and email
- Reviewed policy documents before issuance, ensuring accuracy and conformance to approved standards.
Customer Relations Associate
HGS CANADA
06.2019 - 10.2019
- Answering customers questions regarding products and services over the phone
- Professionally handled complicated problems that customers encountered
- Answered phone calls in 3 languages English, French and Arabic
- Maintained efficient and competitive records when it comes to average handling time, transfer rate and sales volume
- Whenever I had offline time, I volunteered in coaching my colleagues
- Received the spirits award for teamwork effort.
Operations Manager
PinkHouz Beauty
02.2017 - 05.2019
- Overseeing the entire operation of logistics and supply chain for all imported products which included: Initiating communications with suppliers, ordering and shipping, customs clearance, inventory management and Sales & Marketing
- Pinkhouz Being a new start-up who invested in my experience, I Insured a quick and efficient expansion and in 6 months we have already made sales all over the country
- Trained and supervised a team of salespeople and worked on improving employee performance to maintain customer satisfaction and achieve top sales
- Being trilingual enabled me to communicate with all customers from different nationalities efficiently and maintained a large satisfied customer base
- Managed the company's online presence, sales and promotion; https://www.facebook.com/pinkhouz1/
- Managed inventories of the store and made sure our most demanded products were always in stock
- Directed my team to keep our online stock up to date with our inventory.
General Practitioner
Elaref Bella Hospital
01.2015 - 01.2017
- Diagnosed and treated a variety of diseases and injuries in general practice
- Examined patients, using medical instruments and equipment
- Ordered various tests, analyses, and diagnostic images to provide information on patient's condition
- Analyzed reports and findings of tests and of examination, and diagnosed conditions
- Administered and prescribed treatments and drugs
- Inoculated and vaccinated patients to immunize them from communicable diseases
- Provided prenatal care to pregnant women, delivered babies, and provided postnatal care to mother and infant
- Reported births, deaths, and outbreak of contagious diseases to governmental authorities
- Referred patients to medical specialists or other practitioner for specialized treatment
- Made house and emergency calls to attend to patients unable to visit office or clinic
- Conducted physical examinations to provide information needed for admission to school, consideration for jobs, or eligibility for insurance coverage.
Medical House Officer
Alexandria University Hospitals
01.2014 - 01.2015
- Providing patient care supervised by senior residents and attending physicians
- Performing medical procedures such as catheterization, biopsies and intubation and assisted in minor surgeries like Appendectomy and Cesarean
- Taking and logging patient vital signs and medical histories, explaining procedures, and setting up equipment
- Advised patients concerning diet, hygiene, and methods for prevention of disease
- Laboratory tasks
- Collecting samples for pathological testing as well as assisting with inject-able medications or patients
- Manage communications
- A large variety of information to patients, supervisors, coworkers, and others through postal mail, e-mail, telephone communication, video conferencing, and personal communication
- Maintaining health records
- Help in the completion and updating of patient charts and other records while meeting regulations
- Handle insurance, billing, and finances
- Include coordinating benefits, verifying patient insurance coverage, calculating patient financial responsibility, filing insurance claims, processing billing statements, making collections calls, and more
- Documenting information: documentation of patient care and evaluation of incoming patients
- Documenting a variety of information in both written and electronic formats.
Medical Representative, Sales Associate - Part Time
Atos Pharma
01.2010 - 01.2013
- Promoted the company's drug 'Spondex' and was in the top 10 sales list
- Established strong relationships with healthcare professionals, resulting in increased trust and credibility for the organization.
- Answered inquiries from customers in person and on the phone
- Investigated and solved any customer concerns
- Followed up with my customers and insured repeat orders.
Education
Bachelor of Science - Medical Science
Faculty of Medicine And Surgery
Alexandria , Egypt01.2013
Skills
- Multilingual
- HIPAA Compliance and Guidelines
- Healthcare Analytics
- Medical Terminology (10 years)
- Medical clinical procedures
- Training and mentoring
- Employee Supervision
- Decision-Making
- Operations Management
- Insurance practices and law knowledge
- Insurance Underwriting and Claims Management
- Typing speed of 120 WPM
Certification
- Registered insurance broker
- IELTS 8.5/9, 2017
- TEF French Proficiency, 2017
- RIBO, Present
- LLQP A&S accident and sickness insurance licences in all provinces, Present
- AMF, Present
- MEDICAL EDUCATIONAL CREDENTIAL ASSESSMENT REPORT, 10/01/17, Present
- CANADIAN EQUIVALENCY ASSESSMENT OF FOREIGN EDUCATIONAL CREDENTIAL, 10/01/17, Present, Medical Degree, Alexandria University Faculty of Medicine, EGYPT, 2014, Copy of final medical diploma
Languages
English
Native or Bilingual
Arabic
Native or Bilingual
French
Full Professional
Spanish
Professional Working
Highest Education
Bachelor's Degree
Communication Skills
Professional communication skills including fluency in English, French and Arabic
Knowledge
profound knowledge in Technical terms; Medical, Financial, Legal etc.
Personal Information
Total Experience: 10
Availability
Being a goal-oriented person, I would be willing to work 12-hour shifts, weekends or holidays if need be.
Awards
Team Leader Spirits Award, 07/01/19
Timeline
Insurance Specialist
Xodus
04.2024 - Current
Coverage Review and Assessment Specialist
Global Excel Inc- Claims Management
10.2023 - 02.2024
Insurance Underwriter / Advisor
Global Excel Inc- Canam Insurance
12.2019 - 10.2023
Customer Relations Associate
HGS CANADA
06.2019 - 10.2019
Operations Manager
PinkHouz Beauty
02.2017 - 05.2019
General Practitioner
Elaref Bella Hospital
01.2015 - 01.2017
Medical House Officer
Alexandria University Hospitals
01.2014 - 01.2015
Medical Representative, Sales Associate - Part Time
Atos Pharma
01.2010 - 01.2013
Bachelor of Science - Medical Science
Faculty of Medicine And Surgery
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