1. Experience
SUPERVISOR PRIOR APPROVALS AND CASE MANAGEMENT
METLIFE ALICO- EGYPT — MAY 2015 - PRESENT
Responsibilities
- Receiving reports from 2 Assistant Supervisors and 4 Approval officers
- Co-ordinating day to day case management together with sales teams, corporate
services and network
- Managing exceptional and Ex-Gratia cases with sales and higher management as
well as funds and special orders as in advance pay checks.
- Handling customers complains and responding directly to the global help desk of
MetLife globally.
- Co ordinating Roving Doctor project together with Roving Doctor team, network
and Major providers. This includes action plans, reports and regular visits to
providers
- Preparing performance reports for both prior approvals and case management
- In cooperation with claims supervisors and customer services supervisors plan the
claims department action plans and growth targets.
ASSISTANT SUPERVISOR PRIOR APPROVALS
METLIFE ALICO - EGYPT — APRIL 2014 - APRIL 2015
Responsibilities
- Receiving reports from 6 Approval officers and training of new comers.
- Revising special approval requests with business related decisions, major accounts,
or case referrals to SMO.
- Act as frontline for customer complains and managing problem solving with sales
and corporate solutions.
Afy Ahmed Shokr
(+2)01065556172 aafi80@hotmail.com
8 Ali el laithy street from Masr & Sudan street-Hadayek El Kobba Cairo,Egypt
2. PRIOR APPROVAL OFFICER
METLIFE ALICO — APRIL 2012 - MARCH 2014
Responsibilities
- Medical revision of prior approval requests from different providers and customers
and deciding on approvals according to MetLife Alico terms and conditions.
- Managing online e-approvals for providers
DOCTOR ON SITE
METLIFE ALICO - EGYPT — MARCH 2007 - MARCH 2012
Responsibilities
- Facilitate any medical services inside and outside head office for customers.
- I was Responsible for giving approvals or rejections about any medical services and
demand.
- Checking all customer financial claims to evaluate and mention the availability of
paying or not.
- working as a signing doctor (general practitioner) for many multi-national and local
companies such as:
Salam international hospital
Cairo medical center
Salam hospital
Osman hospital
Safa medical center
Baker hughes company
Alkan holding company
CAF
Sykes Egypt company
3. Sanofi Aventis company
Etisalat Egypt company
INTERNAL MEDICINE RESIDENT
KASR EL QOBA MILITARY HOSPITAL - EGYPT — MARCH 2006 - MARCH 2007
INTERNAL MEDICINE RESIDENT
PUBLIC TRANSPORTATION HOSPITAL - EGYPT — MARCH 2005 - MARCH 2006
HOUSE OFFICER
AL DERMEDASH HOSPITAL - EGYPT — MARCH 2004 - MARCH 2005
Education
• Finalized my 1st part of master degree in Internal medicine
• Mb.Bch of Medicine– Ain Shams University –Egypt, December 2003-
Degree:Very good
• Finalized the diploma degree in medical insurance from Egyptian Insurance
Institute .
Personal Information
Date of Birth: 12/10/1980.
Nationality: Egyptian.
Marital Status: Married.
Military status: Terminated.
Skills
• Good communication and problem solving skills.
4. • Make tough decisions within defined policy.
• Self motivated.
• Flexibility to work in shifts.
• Ability to work under stressful circumstances.
• MS office package.
• Proficient internet user.
• Good English Language
References
Will be furnished upon request