Dr. Irfan Golandaz

Dr. Irfan Golandaz has a strong background in the insurance industry, specifically in health claims and auditing. Dr. Irfan started their career at WAPMED TPA Services Co. in 2015, where they served as a Medical Officer for claims and medical management. In this role, they processed and adjudicated claims, provided preapproval for medical claims, and ensured accurate and timely claim processing.

In 2017, Dr. Golandaz joined Aafiya TPA as a Senior Executive for claims audit and reconciliation. Here, they managed the complete claims portfolio, from adjudication and audit to providers reconciliation. Dr. Irfan also played a crucial role in detecting fraud and abuse, adding savings to the organization and clients by approving only clinically necessary services. Additionally, they identified and investigated claims for possible abuse and fraud, as well as reported any irregularities.

Currently, Dr. Golandaz is employed at Union Insurance as a Senior Officer for Health Claims. Dr. Irfan'sresponsibilities include analyzing reimbursement and direct billing claims, auditing claims based on policy terms and medical necessity, and making payment decisions. Dr. Irfan also maintains audit data with possible outcomes.

Overall, Dr. Irfan Golandaz has a comprehensive background in health claims, auditing, and fraud detection within the insurance industry.

Dr. Irfan Golandaz obtained a Master's Degree in Healthcare and Hospital Management from Osmania University from 2013 to 2015. Prior to that, they completed their BHMS degree in Medical Clinical Sciences/Graduate Medical Studies from Maharashtra University of Health Sciences from 2006 to 2011. Dr. Irfan also holds a certification in MS-CIT. No additional information is available regarding the institution, month, or year of obtaining the certification.