CURRICULUM VITAE :
Dr. Suman Babu Karu B.P.T, MIAP
E-mail : suman.karu AT gmail.com

Career Objectives :
To pursue challenging and progressively responsible career in Medical Insurance & Health care Services capitalizing on my strong experiential and academic background Where my knowledge and skills can effectively be utilized which will enable me to contribute constructively towards the set goals of the Organization.

EDUCATIONAL QUALIFICATIONS :
1. Bachelor’s Degree in Physiotherapy : 1999- December 2004 N.T.R University of Health Sciences, Vijayawada-A.P.India.
2. Medical Coder Certification from S.J.R. Health Care services, Chennai, India.
3. Life Member in Indian Association of Physiotherapists.

TECHNICAL QUALIFICATIONS :
1 BDPS, Nellore : Completed Diploma In Computer Applications (DCA)
2 TYPE WRITING : English Lower (First Division)
Having a good speed in the type writing with an average of
50-55 words per minute.

EXPERIENCE SUMMARY :(6 Years)
1. Clinical Experience – 3 Years.
2. Medical Insurance - 3 Years.

OVERSEAS EXPOSURE :
Sultanate of Oman : Designation – Medical Claims –Executive
Roles & Responsibilities :
1. To scrutinize the cashless and reimbursement of medical Insurance Claims.
2. To issue authorization letter for cashless medical insurance service.
3. Checking admissibility of claims as per policy terms and conditions.
4. Evaluating Claims for treatment & associated cost as per policy guidelines.
5. Approving the Medical Claims received from various hospitals on day to day basis across Sultanate of Oman.
6. Checking for all the documentation provided in order to rule out all the exclusions for the Medical policy issued.
7. Checking for Pre existing & Chronic Conditions.
8. Checking the policy terms & conditions based on table of benefits.
9. Handled more than 400 Clients for both out -patient & in patient Claims.
10. Taking care of the entire direct billing outpatient claims as well as reimbursement for the schemes allotted.
11. Registration & Processing of Medical Claims.
12. Updating the claims status to the clients on day to day basis.

Clinical Experience :
1. Worked as a Physiotherapist for 3 Years in RICH HOSPITALS, one of the reputed Paediatric Super specialty hospitals in Nellore, Andhra Pradesh, India.
2. Treated huge number of cases of Bells palsy, Hemiparesis, Hemiplegia and Paraplegia.
3. Organized many Paediatric health care programmes on monthly basis in order of INTERVENTION PROGRAMMES.
4. Expertised in treating the patients with disabilities with Electrical Stimulation of nerves & Muscles.

Voluntary Services :
VHC, Chennai.
Worked as Assistant Physical Therapist for Voluntary Health center, Chennai dated 25-1-2005.

PERSONAL PROFILE :
DOB : 13-04-1980
Marital Status : Married
Languages Known : English, Hindi, and Telugu

Strengths :
Supportive to the Team, Communication, Punctuality, Dedication, Sincerity and Efficiency in work.

DECLARATION :
I hereby declare that the above-mentioned details are true to the best of my knowledge.

(K.SUMAN BABU)