Salma Ashfak
Quality Control Microbiologist
About
Project- Culturing Naso thalamus Involved in Artcraft work Attended annual meeting and Seminars
Experience
Quality Control Microbiologist - Karnataka state sericulture research and development institute - Bangalore, Karnataka
(2024-12 - 2025-12)
- Project- Culturing Naso thalamus
- Involved in Artcraft work
- Attended annual meeting and Seminars
Senior Executive Claims - Medi Assist India Private Ltd, Bangalore - Bangalore, Karnataka
(2023-02 - 2024-07)
- Processing document awaited cases
- Checking for original documents and all supporting documents
- Processing denial review awaited cases
- Processing denial cases (DLS)
- Re-opening closed cases for processing
- Applying International Classification of Diseases (ICD) codes for ailments and surgery performed
- Checking non-medical expenses in bills produced in claimed amount
- Applying policy conditions for respective policy
- Applying Copay, hospital discount and defined benefit
- Checking lab reports
- Checking mode of payment by the patient
Document Recovery Executive - United Health Care Insurance Private Ltd, Bangalore - Bangalore, Karnataka
(2017-01 - 2023-01)
- Handling reimbursement cases
- Explaining (through call and mail) to claimant about the documents to be submitted for further claim processing
- Maintaining Turn Around Time of the work allotted
- Following up with claimants to submit documents to close the pending cases
- Following up with internal team for sooner close of cases
- Sending failure cases to insurer for approval
- Handling escalations
- Following up with insurance broker for escalated cases
- Co ordinating with hospital for submission/clarification of documents
- Checking originality of documents submitted
- Processing both cashless and reimbursement claims till approving
- Liability check of claims
- Checking pre-auth received and past cla
Senior Executive Claims - Medi Assist India Private Ltd, Bangalore - Bangalore, Karnataka
(2011-01 - 2011-11)
- Processing both cashless and reimbursement claims till approving
- Liability check of claims
- Checking pre-auth received and past cla
Quality Control Microbiologist - Crystal springs Franchise of McDowell's, Bangalore - Bangalore, Karnataka
(2009-03 - 2010-03)
- To enumerate 6 micro-organisms in daily processed water i. e, E. Coli, Coliforms, Pseudomonas aerogonisa, Total plate count, Yeast and molds
- Enumeration of micro-organisms same as above in raw water weekly once
- Maintaining hygiene in the factory
- Doing fumigation in the lab in regular intervals
- Checking bio burden in the lab, filling water section, Processing Area-Weekly once
- Checking hand control-Daily basis
- Checking raw materials used for processing raw water and maintaining lab records
- Checking Ph and TDS of processed water and raw water
Education
MSc - Microbiology - Al-Ameen college, Bangalore University
BSc - Chemistry, Botany and Zoology - BMSCW - Bangalore University (2006)
