Ancymol Nabeesa Samad
Muscat,Oman
Summary
Seasoned expert in medical insurance operations and claims management, skilled in negotiation and contract management with insurers. Proficient in integrating pharmacy benefit management and clinical decision-making to enhance patient care. Demonstrated leadership in team training, fraud detection, and data auditing. Strong communicator with a focus on compliance, networking, and strategic healthcare operations.
Overview
13
13
years of professional experience
2013
2013
years of post-secondary education
Work history
Assistant Manager – Medical Insurance
Sagar Polyclinic & Avicen Pharmacies Group
2024.03 - 2026.02
- Directed insurance operations across multiple clinics and pharmacies, ensuring seamless claim submission, resubmission, and preapproval processes.
- Served as Group Insurance Head, leading empanelment with major insurers, strengthening coverage and service agreements.
- Partnered with Dhamani to implement Pharmacy Benefit Management (PBM), reducing medication costs and improving patient access.
- Negotiated pricing and service agreements with insurers, achieving favorable rates and expanding corporate partnerships.
- Organized wellness checkups and corporate presentations for insurance clients, positioning the group as a trusted healthcare partner.
Medical Insurance Officer
Al Siraj Medical Center
Doha
2022.05 - 2023.06
- Conducted medical assessments for OP & dental claims, ensuring accuracy and compliance.
- Supervised preapproval processes and trained insurance coordinators, reducing claim rejection rates.
- Liaised with insurers and ministries for approvals, agreements, and pricing structures.
- Delivered orientations and resolved customer complaints, improving patient satisfaction.
Medical Advisor
Sharak Healthcare Pvt. Ltd.
Chennai
2016.07 - 2017.10
- Managed cashless claims and preapprovals for OP & IP cases, including direct handling of NLGIC Oman claims.
- Audited claims to detect fraudulent activities, safeguarding financial integrity.
- Maintained turnaround time (TAT) targets while analyzing approvals.
- Coordinated with providers to clarify insurance terms, reducing disputes and strengthening trust.
Medical Officer – Gynaecology & Obstetrics
A.H. Speciality Care
Kottakkal
2013.06 - 2016.02
- Delivered outpatient care to 30–50 patients daily in Gynaecology & Obstetrics.
- Conducted rural medical camps and awareness programs on obstetrical care & STDs.
- Led health awareness initiatives under the Integrated Child Development Service.
Education
B.H.M.S - Homoeopathy
Sarada Krishna Homoeopathic Medical College
KanyakumariSkills
- Medical Insurance Operations & Claims Management
- Negotiation & Contract Management with Insurance companies
- Pharmacy Benefit Management (PBM) Integration
- Clinical Decision-Making & Patient Care
- Team Leadership & Training
- Fraud Detection & Data Auditing
- Technical proficiency
- Promotions execution
- Communication excellence
- Compliance awareness
- Influential networking
- Time management mastery
- Leadership proficiency
- Contract negotiation
- Task prioritisation
- Initiative taking
- Stakeholder Communication & Relationship Building
Languages
Malayalam – Native
English – Proficient (C2)
Hindi – Advanced (C1)
Tamil – Advanced (C1)
Additional Information
I hereby declare that the above information is true and verifiable to the best of my knowledge.
References
References available upon request.
Timeline
Assistant Manager – Medical Insurance
Sagar Polyclinic & Avicen Pharmacies Group
2024.03 - 2026.02
Medical Insurance Officer
Al Siraj Medical Center
2022.05 - 2023.06
Medical Advisor
Sharak Healthcare Pvt. Ltd.
2016.07 - 2017.10
Medical Officer – Gynaecology & Obstetrics
A.H. Speciality Care
2013.06 - 2016.02
B.H.M.S - Homoeopathy
Sarada Krishna Homoeopathic Medical College