Summary
Overview
Work History
Education
Skills
Certification
Personal Information
References
Training
Languages
Timeline
Generic

Danya Al-Jayousi

Pharmacist
Amman

Summary

A caring self-motivated individual with a passion for work and learning new things and experience and improving quality of work. An organized, effective communicator and an ability to remain calm even in stressful or unexpected circumstances. Confident team player, thriving on challenges and with a positive, cheerful attitude. Attention to detail with ability to handle multiple tasks and meet deadlines in a fast-paced environment. Adaptable, flexible, and willing to learn. Trustworthy, honest, reliable, and looking forward to being part of a team. High level values in medications, medical consumable operations and calculating the exact Dr fees for any procedure. Ability to manage supplier contracts, including pricing, terms, and conditions to achieve cost saving and operational efficiency. Proficient in MS office applications. Strong on negotiation, communication, and interpersonal skills. Detail-orientated adept at making critical decisions, managing deadlines and conducting team reviews. With expertise in analysis and quantitative problem-solving skills, dedicated to company growth and improvements.

Overview

8
8
years of professional experience
5
5
years of post-secondary education
9
9
Certifications

Work History

Medical Claims Audit Officer

International Medical Corps
7 2021 - Current
  • Work on the audit and settlement of medical claims and processing and the work of the initial procedures and arrange according to the assets.
  • Review insurance policies to cover coverage.
  • Completion of the number of daily claims fully agreed upon in accordance with the policy of the Internal Service and directed by the direct officer.
  • Review claims accurately to ensure that there is no missing or missing information of high quality according to agreed KPIs.
  • Maintain and comply with claims delivery to service providers within the agreed period.
  • Provide the medical network with a weekly and periodic assessment of feedback on information entered the system.
  • Analyzed financial statements and records to verify accuracy and compliance with legislation and standards.
  • Participated in special investigations to uncover fraud, waste, or abuse within the organization.
  • Managed the assessment and processing of complex insurance claims to facilitate timely settlements.

Medical Claims Officer

GIG (Gulf Insurance Group)
04.2017 - 06.2021

Medical Claims Officer

Mednet Insurance
01.2017 - 03.2017

Responsible Pharmacist

Al-Samman Pharmacy
11.2015 - 8 2016
  • Dispensed prescription medications accurately, adhering to legal and safety protocols to optimize patient health outcomes.
  • Advised on medication storage and disposal, minimizing environmental impact and promoting safety.
  • Educated patients about possible drug interactions and gave special administration instructions.
  • Maintained appropriate drug records and completed reports as necessary.

Education

Bachelor (Pharmacy) -

Jordan University of Science And Technology
Irbid, Jordan
01.2010 - 05.2015

Skills

strong on negotiation, communication, and interpersonal skills

Certification

Writing Effective E-mails and Instant Messages

Personal Information

  • Date of Birth: 08/02/92
  • Nationality: Jordanian
  • Marital Status: Married

References

Available upon request

Training

Al Samman Pharmacy, Irbid, Jordan:

  • 1/6/2014 till 30/11/2015

Languages

Arabic
Native language
English
Advanced
C1

Timeline

Medical Claims Officer

GIG (Gulf Insurance Group)
04.2017 - 06.2021

Medical Claims Officer

Mednet Insurance
01.2017 - 03.2017

Responsible Pharmacist

Al-Samman Pharmacy
11.2015 - 8 2016

Bachelor (Pharmacy) -

Jordan University of Science And Technology
01.2010 - 05.2015

Medical Claims Audit Officer

International Medical Corps
7 2021 - Current
Danya Al-JayousiPharmacist