Kaleyvanee Munigadu

Experience

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  Somags Ltée

  Dec 2009 - Dec 2010

  Cashier

  Intermittently stepping as a salesgirl or managing the welcoming desk, my job involved:• Greeting customers entering the store and responding promptly to customer needs.• Building relationships with customers to encourage repeated business.• Ensuring correct pricing of customers' purchases and assisting them with their sales transactions (cash, cheque or card).• Having a flexible schedule and extra shifts to meet business needs.

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  Qualcall Ltd

  Apr 2011 - Apr 2011

  Teleagent

  With the objective of attaining a preset number of donors, my role encompassed:• Calling listed phone numbers and explaining the company's charitable cause.• Attending to the interlocutor's enquiries.• Encouraging the interlocutor to participate in the fund raising activity.

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  Fortis Clinique Darne

  Jun 2011 - Apr 2015

  As a new recruit in the medical field, I acquired the fundamental knowledge of the admission and billing processes through the below assignations:• Gather and input patient's personal data to the system.• Liaise with ward attendants, nurses and doctors for preliminary diagnosis, medical reports and treatment plan.• Prepare and communicate estimated treatment costs to the patient, his/her insurance company or employer in view of securing deposit or letter of guarantee.• Issue final bills and ensure doctors' fees are congruent to the Scale of Costs.• Follow up for additional payments or guarantees and assist client in completing an 'I owe you' form in case of shortfalls.• Despatcb OPD bills to respective insurer/ company for settlement. Show less

  • Accounts Receivable Clerk

    Jul 2014 - Apr 2015

  • Admission and Invoicing Clerk

    Jun 2011 - Jun 2014
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  MUA Mauritius & East Africa

  Apr 2015 - now

  In charge of a team with significant growth potential, my responsibilities include:• Planning and coordinating daily tasks to ensure that KPIs and SLAs are duly respected• Screening of documents and checking accuracy of client and policy information before claim's assessment • Conducting claim analysis to assure strict adherence to policy limits and 'Terms and Conditions' before providing stand or processing reimbursement • Monitoring adequacy of reserves for effectove monthly reporting• Attending to customer enquiries (walk-in clients, phone calls and emails)• Reporting and following up of suspicious and/ or fraudulent claims• Liaising with service providers for timely placement of GOPs (Guarantee of Payments), receipt of quotes, evacuations and repatriations• Ensuring 24/7 service via Assistance Hotline• Discussing complex cases with stakeholders and escalating to Management as and when required• Providing case chronology and feedback to Complaints Coordinator• Notifying Management of any potential risk and make appropriate recommendations• Ensuring compliance to company rules and regulations, legal requirements and industry regulations • Coaching team members to enhance their knowledge of the field and competencies• Assisting Management with performance reviews of team members• Reconciling statement of accounts (SOAs) from service provider to ensure prompt settlement and risk pool top ups Show less With more than 200 overseas cases handled over 3 years , I was entrusted to:• Assess client's eligibility for coverage based on Medical Advisor's recommendations, applicable limits and the 'Terms and Conditions' of Insured's medical contract.• Ensure optimal treatment options and proper coordination of flights, airport pickups as well as medical evacuations/ repatriations through respective service providers. • Reconcile, handle and process claims for prompt discharge and reimbursement.• Keep timely records for reporting and audit purposes Show less

  • Team Leader - Inpatient (Assistance)

    Oct 2023 - now

  • Claims Handler Health (Inpatient & Overseas)

    Apr 2020 - Sept 2023

  • Claims Handler Health (Outpatient)

    Apr 2015 - Apr 2020