Experience

First Assurance

• Kenya
• Insurance
• 100 - 200 Employee

• Care Manager

  • Mar 2023 - Present

  Manage 24 hour call centre • Prompt response to emails, admissions requests. • Critical analyzation of all medical requests from service providers. • Efficient & accurate submission of approvals in line with the medical policy . •Obtaining medical information from providers with written correspondence if necessary. • Capacity to continually apply negotiation skills with the service providers • Interacting with clients, Intermediaries and services providers as required to resolve problems in a manner that is legal, ethical and consistent with the principles of the policy. • Accurate checking and confirming membership validity, benefits and sending member statement upon enquiry. • Accurate guidance on provider network enquiries from brokers, providers, members etc. • Vetting and confirming validity of the service given by the service provider in relation to the member benefit covered, treatment given, adherence to provider panel rules and cost of treatment • Obtaining additional required information on invoice/claims from providers or clients. Show less



Ukwala Sub-County Hospital

• Ukwala

• Volunteer student nurse

  • Jun 2020 - Feb 2023



Tayari.live

• United States
• E-Learning Providers
• 1 - 100 Employee

• Enrollment Coach

  • Mar 2018 - Aug 2018



Africa Plantation Capital

• Kenya
• Farming
• 1 - 100 Employee

• Client Relationship Manager

  • Feb 2017 - Jan 2018



Advancebeyond Technologies

• Kenya

• Marketing Executive

  • Feb 2014 - Feb 2016



Swara Safari Hotel

• Kenya

• Marketing executive (intern)

  • Apr 2012 - Sep 2012