Mohammed Saaduddin

Healthcare operations and claims management professional with 10+ years of experience in digital healthcare, TPA services, and provider management. Skilled in customer service, process improvement, and hospital network management. Proven ability to enhance service efficiency, resolve escalations, and support seamless healthcare delivery.

Apollo 247 Healthcare Ltd | Operations Executive

May 2018 – Aug 2025

• Manage closure of customer feedback and complaints for virtual consultations, pharmacy, and diagnostics orders.
• Resolve support tickets within defined turnaround times using Omni Support tools.
• Coordinated with hospitals/clinics to ensure seamless execution of the vaccination program.
• Appointment Scheduling/ rescheduling, Invoice generation.
• Managing accurate patient records in HMS software.
• Data validation, maintaining trackers and report preparations on a regular basis.

May 2015 – Nov 2016

• Provided email-based support to customers, coordinating with internal and offshore teams for quick resolutions.
• Ensured timely claim processing by following up with insured individuals and providers for missing information.

Good Health Plan TPA, Hyderabad | Claims Investigator

Sep 2013 – Mar 2015

• Conducted hospital visits to verify in-patients availing cashless services.
• Coordinated with hospital desks, consultants, and insured patients to verify claims.
• Reported suspicious findings and discrepancies to the medical review team.

Family Health Plan Insurance TPA | Senior Executive – Provider Management

Dec 2009 – Jun 2012

• Managed empanelment and de-empanelment of hospitals.
• Maintained hospital master data and updated tariffs.
• Delivered periodic reports to insurance companies.
• Conducted hospital visits for service feedback and network enhancement.

MBA (Master of Hospital Management – MHM) | Deccan School of Management, Osmania University

B.Sc. (BZC) | Osmania University