Reem Fathy

Health & benefits team

Mercer Marsh Benefits – Egypt and Jordan

• Data analysis: For existing and new business clients using data to understand usage trends and make informed decisions about how to optimize service or product for customers by excel and power bi
• It can involve creating reports and presentations that explain recommending changes to product or service based on findings
• This may include recommendations for cost savings, identifying potential abuse or fraud cases, and providing clients with solutions that will benefit them
• It is also important to make sure that the reports are compliant with industry regulations and standards
• Working on Benchmark exercises for Egypt and
• Jordan
• I have made significant progress in finalizing aroundanalysis reports, covering the Q2 and Q3 renewal reports, and Q and full-year analysis for our high-tech clients in addition to new business
• This is in accordance with the requests and Service Level
• Agreement (SLA) I have in place with our clients
• Employees assistant programming
• Health & Wellness: Projects includes overseeing overall health, safety, and wellbeing of employees in an organization
• This can include providing resources and services related to physical and mental health, such as health promotion, stress management, and wellness programs
• Developing any programs related to health, safety, and wellness; promoting awareness of health and safety in workplace; and providing guidance and support to clients
• Negotiation with various providers to provide best discounted packages to Marsh corporate clients
• Initiate the wellness and awareness campaign for Marsh Egypt focused on breast cancer, prostate cancer, chronic condition, mental and physical health for more than 250 clients
• Through our free-of-charge campaigns, i have been able to save almost 1.5 million EGP this year!
• This significant cost reduction has not only benefited our clients but has also allowed us to provide valuable services without adding to the utilizations
• I have extended our services to outsourced employees who do not have insurance coverage
• This initiative has received glowing feedback from our clients, who appreciate the additional benefits
• Overall, around 5 thousand employees have already benefited from these campaigns, making a positive impact on their health and well-being
• No advertising costs incurred as the post was shared on social media platforms by MMB, medical providers, and clients
• I have successfully identified cases of breast cancer, prostate cancer, hypertension, and diabetes among our employees
• This early detection and prevention process is a significant step that will have a positive impact on both the medical and financial benefits in the long run
• The positive word of mouth generated by both medical providers and clients has contributed to the success and awareness of our initiatives.

• Played a pivotal role as the first member of a medical team in Egypt, overseeing the management of the entire portfolio
• Sales and Business Development | Ongoing
• Successfully closed numerous deals, demonstrating exceptional sales and business development skills
• Responsibly handle a diverse clientele of over 40 clients, ensuring their satisfaction and fostering strong business relationships.
• Implement, monitor and control consulting projects, including renewal/re-broking activities
• Advise upon changes in perceived risk exposures and relevant legislative changes
• Ensure that clients understand premium collection terms and monitor and resolve debtor queries in time manner to ensure prompt payment of premiums and fees
• Review with appropriate associates at earliest opportunity, any case under threat or where perceived vulnerable and implement, monitor and oversee a plan of action
• Maintain income to at least budgeted levels and in line with set and agreed personal objectives
• Identify and progress new business leads
• Oversee delivery of client management information and relevant commentary
• Support management of global insurance and liaise with the Global teams and partner network worldwide.

• Reviewed refunds to ensure accurate reimbursement for claims, maintaining client satisfaction
• Examined contracts to ensure proper reimbursement, resolving any discrepancies
• Followed up with insurers to assure timely refunding of claims, meeting or exceeding due dates
• Reviewed refunded amounts and claim statuses, ensuring the accuracy of payment
• Negotiated with insurers to refund suspended claims, successfully resolving outstanding issues
• Conducted medical check-ups, evaluating different offers from providers, and choosing the best options for clients
• Prepared comparison sheets based on items, price, providers, and government regulations, aiding clients in making informed decisions
• Provided weekly follow-up with clients, addressing any concerns, and providing awareness tips for special diseases
• Managed chronic medication for all WTW clients, ensuring timely delivery and adherence to prescriptions
• Oversaw WTW added value and occupational projects, ensuring successful implementation and client satisfaction
• Facilitated approval processes between insurance companies and WTW clients, ensuring efficient communication and resolution
• Translated medical articles, making complex information accessible to a wider audience.

• Conducted follow-up with physician offices to obtain missing prior authorization information, ensuring timely processing of requests
• Updated the system to collaborate prior authorizations for approval or denial, maintaining accurate records for efficient workflow
• Represented the organization in support of member prior authorizations, offering guidance and resolving issues effectively
• Provided specialized information on a variety of matters related to the processing of prior authorizations, ensuring a comprehensive understanding for all stakeholders
• Answered calls from pharmacies, physicians, and other medical professionals, addressing their inquiries and providing support for member prior authorizations
• Assisted pharmacists with prior authorization requests, ensuring compliance with regulations and streamlining the authorization process
• Offered support to the call center, handling calls from members, patients, and their representatives, helping with prior authorizations.