Mohamed Ashraf

• Lead the strategic development and execution of the quality assurance framework for Bupa Global overseas operations in the BEI,BES,UAE, Singapore, and Hong Kong.
• Ensure robust compliance with international standards and local regulatory requirements by directing the full audit lifecycle, from planning and execution to corrective action follow-up.
• Champion the digital transformation of the QA function by spearheading a strategic partnership with the Robotic Process Automation (RPA) team.
• Identify, analyze, and prioritize high-value processes for automation—including compliance reporting, data aggregation, and audit trail generation—to significantly enhance operational efficiency, data accuracy, and scalability.
• Translate complex quality control requirements into technical specifications for RPA developers, bridging the gap between operational needs and technological execution.
• Drive a culture of continuous improvement by leveraging data-driven insights from QA and RPA team collaboration.
• Serve as the key quality liaison for regional and cross-functional stakeholders, aligning local operational practices with Bupa Global central quality strategy and business objectives.
• Global Quality Governance & Strategic Oversight
• Operational Excellence & Digital Transformation

Responsible for handling all received queries from all of our contracted providers globally across all regions.

Responsible for handling spreadsheets received from all of our contracted providers across all over the world.

Oversee insurance claims departments, including adjusters, examiners, and other vital employees involved with claims processing and insurance program coverage.

Work to facilitate property claims, casualty claims, and they problem‑solve other claims issues.

Oversee the processing of insurance claims to ensure the procedure is handled efficiently, accurately, and in a manner that protects the interests of the insured parties while also providing satisfactory customer service.

Ensure compliance with the regulator requirement across each region

Delivered claims monthly reports to the higher management.

• Led and actively contributed to a culture of continuous improvement and ensured utilization of tools and behaviors within the Liberty Management System to foster critical thinking and innovation around problem solving and development of standard work.
• I was claims service manager's delegate for different periods as I was dealing with the planning, solving the logged complaints, the escalations, overtime proposals, coaching & developing existing employees and training the new ones.
• Trained & coached almost 90% of the claims assessor in the claims team and they have the highest quality score across the team.
• Attending Quality meeting every month discussing claims team performance and the received audits.
• Managed and trained staff for quality assurance and accuracy.
• Helping quality team with their claims queries and revise the received audits.
• Worked on the preauthorization project, Pharmacy exclusion list which communicates Sending Monthly newsletter across Bupa to keep our departments updated with any process change.

• Assessed different types of Claims and worked on all Queues.
• Supported different teams ex Preauthorization team, Service support BES and Membership team.
• Coaching new comers, answering their questions, queries and supporting them.

• Worked for 3 months at 57357 Children’s Cancer Hospital Foundation at IV Admixture room, dispensing and Patient Counseling Room.
• How to handle correctly chemotherapy and using sterile Vertical laminar airflow.