About

A skilled human aid professional with over four years of working experience. Empathetic and passionate about impacting lives through my work. Always looking for ways of making the world a better place in whatever I put my heart and mind to doing. An excellent communicator who values listening more than telling which sets me apart as a good leader and team player. My goal is to achieve my highest and truest expression as a human being.

Skills

  • Management
  • Microsoft Office
  • Typing Skills
  • Customer service
  • Microsoft Word
  • English
  • Excel
  • Ms office
  • Office management
  • Product management
  • Project Management
    9
  • English and Kiswahili
    10

Experience

Emmanuel Ekumba

Work experience
  • Reviewed and captured at least 250 medical /surgical bills for reasonable and necessary charges from service providers
  • Promptly responded to queries from clients, intermediaries, and providers
  • Dispatched letters and rejected claims
  • Reviewed quarterly medical reports and claims for compliance with set guidelines
  • Liaised with underwriters on scope of cover for various schemes
  • Interacted with clients and service providers to ensure that care is given within policy guidelines
  • Moderated understanding of insurance concepts
  • Verified and audited medical claims to ensure supporting documents are attached and returned invoices without proper documentation to provider for completeness
  • Evaluated claims submitted from service providers for reimbursement and make decisions regarding reasonableness of payments
  • Ensured that reconciliation of medical statement is done timely and all disputes addressed
  • Prepared monthly claims reports for management
  • Analyzed insurance products to obtain information required to make appropriate health insurance product recommendations in relation to claims.
  • Customized health insurance programs to suit individual clients, boosting sales.
  • Escalated schemes with significant indemnity exposure to supervisor for further investigation.
  • Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
  • Followed up with customers on unresolved issues.
  • Utilized appropriate cost containment techniques to reduce overall claim costs.

Emmanuel Ekumba

Education
  • September, 2013 - December, 2017
  • Fulltime
  • Actuarial Science with IT

Related persons

Penorah BuyakiManagement, Microsoft Office , Customer service