Mirza Abbas Hussain

Experienced Health claims professional with 5 years of experience in health claims processing, auditing and reviews.

A skilled Health Insurance professional with 5 years of 
experience in the industry, seeking a challenging role in a 
reputable company to apply my knowledge and expertise to 
help clients navigate the complex world of health Insurance.
 Strong knowledge of various health insurance products, 
plans, and regulations.
 Excellent communication and interpersonal skills to 
effectively interact with clients, colleagues, and 
providers.
 Ability to analyze and interpret medical claims, billing, 
and other related data.
 Proficient in using various software and tools related to 
health insurance.
 Detail-oriented, organized, and capable of multi-tasking 
to ensure timely delivery of tasks.
 Ability to work independently and as part of a team to 
achieve common goals.
 Audited and processed medical claims and billing for 
accuracy and compliance with industry standards and 
regulations.
 Investigated and resolved claims denials, appeals, and 
complex billing issues.
 Reviewed medical records and identified improper 
coding, billing, and other discrepancies.
 Communicated with healthcare providers to obtain 
additional information or clarification regarding claims.
 Maintained accurate records and documentation of 
claim processing and auditing activities.
 Participated in quality assurance activities to ensure 
compliance with established standards and procedures.
 Trained and mentored new claims processing and 
auditing staff.

• MBBS Medical doctor graduated from Tbilisi State Medical university