Experience

  • Medical Claims Analyst

    at APA INSURANCE

    October 2018 - at Present

    Nairobi

    •Vetting of claims in line with APA policy, procedures and benefits to ensure accuracy of processing and within set TAT. •Processing claims, as required, to ensure that production levels and TAT are met. •Negotiating, where necessary, professional fees and charges, including discounts, to control costs. •Monitoring, preventing and identifying medical claims fraud through regular claim audits and reporting. •Marketing and selling products in line with market demands in the medical insurance market. •Meeting service providers(Pharmacy) to ensure compliance on contract terms, answering their queries and liaising with the internal reconciliation team to reconcile provider accounts. •Following up with providers for bills and reconciling discrepancies in bills. •Approving indemnities for recovery, prepare indemnity reports and submit to management monthly. •Training, coaching and mentoring staff. •Savannah/Slade360 product lead •Regulatory boards liaison

  • Superintendent Pharmaceutical Technologist

    at Aga Khan University Hospital

    October 2013 - September 2018

    Nairobi

    As Superintendent Pharmacy in charge liaison with marketing department to organize for medical camps and medical training at community gatherings, workplaces and within our branch to enhance visits to the clinic and help in all other marketing activities when called upon. Receive prescriptions from patients, verify and dispense drugs within approved standards and procedure Verify expiry dates of drugs. Ensure accuracy of the label before dispensing for the right patient, right drug and right quantity, for effective service delivery. Counsel patients on drug administration. Contact the physician for inaccuracy in prescription order, proper documentation and communication of it to nursing and pharmacy staff Ensure complete documentation of all patient documents. Complete the expiry. Maintain and update personal drug knowledge data base. Ensure that the variance levels in the stock-team are kept to a minimum Comply with the EHS measures and regulation.

  • Pharmaceutical Technologist

    at CityLink Pharma LTD

    June 2013 - September 2013

    Nairobi

    Responsibilities In charge of stores department Control stock, procure drugs and ensure. Keeping accurate records off drugs Preparing SOPs and ensuring they are adhered to Guide interns and students on elective rotation in the unit. Set achievable targets for sales department in accordance with pharmacy strategic plan Coordinate and conduct weekly departmental CMEs and monthly case studies

Education

  • Bachelors of Commerce-Marketing

    at University of Nairobi

    2014 - 2017 (3 years) Nairobi

  • Diploma of Pharmacy

    at Kenya Medical Training College

    2008 - 2012 (4 years) Nairobi

  • K.C.S.E

    at Maranda High School

    2003 - 2006 (3 years) Kisumu

Languages

  • English Native

  • Swahili Native

Hives