Michealla Glarian

Verified compliance with internal policies, contractual obligations, and regulatory requirements prior to issuance to mitigate risk.

Verified presented plan details match approved documentation entries and regulatory standards.

Identified discrepancies and resolved inconsistencies before plans are discussed or issued.

Served as a quality checkpoint to prevent errors creating legal and reputational risk.

Coordinated client and advisor calls to explain plan structure and expectations.

Facilitated calls with financial advisors and clients to clarify plan and insurance details.

Assisted financial advisors in briefing clients on benefits, limitations, exclusions, and payments to ensure comprehensive understanding.

Reviewed plan and insurance documents before client presentations for accuracy.

Communicated risks, conditions, and payment processes to minimise client misunderstandings.

Documented call summaries, investigation findings, and confirmations for compliance audits.

Escalated high-risk findings and unclear plan elements before incorrect issuance.

• Reviewed and assessed prior authorisation requests for procedures and medications to ensure compliance and facilitate timely approvals.
• Verified patient eligibility and insurance coverage for prior authorisation requests to streamline processing and prevent delays.
• Organised clinical documentation to align with insurer requirements, enhancing submission accuracy and review efficiency.

• Enhanced customer satisfaction by developing and implementing feedback mechanisms and service improvements that directly addressed client needs.
• Maintained accurate documentation to meet programme requirements and contractual obligations.
• Led cross-functional teams in high-stakes environments, fostering collaboration and driving successful outcomes.
• Established daily schedules and routines for facility operations, ensuring smooth and efficient running of the facility.
• Conducted comprehensive market research to identify emerging trends, supporting strategic planning and informed decision-making.